Military medicine · 2026
Evaluating the Short- and Long-Term Outcomes of Laser Hair Removal for the Management of Pseudofolliculitis Barbae in a Military Population.
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Kravitz Shena, Jones Jacqueline, Raffetto Emily, Stanley Michael, Cho Sunghun
Аннотация
INTRODUCTION: Pseudofolliculitis barbae (PFB) is an inflammatory follicular disorder caused by shaving in individuals who have naturally curly hair. PFB is commonly seen in the United States Military, where Service Members (SM) are required to shave their facial hair to maintain strict grooming standards. Laser hair removal (LHR) is effective at treating PFB and is an accepted alternative to a shaving waiver.
MATERIALS AND METHODS: 50 patients previously treated for PFB with LHR were identified in the electronic medical record system at Walter Reed National Military Medical Center. All 50 participants were active duty of various ranks and branches during their treatment. LHR treatment series were considered complete after 4-6 sessions separated by 4-8 weeks of LHR with either the Nd: YAG or Alexandrite lasers. Time interval for the search was between January 2017 and June 2021. The authors conducted a phone survey in June 2021. Participants were asked various questions to assess the long-term effectiveness of LHR and subsequent hair regrowth after their LHR treatment. Participants' overall satisfaction with LHR as a PFB treatment modality and impact on military service was queried.
RESULTS: Of the 50 participants (74% identified as Black), 88% were satisfied with LHR. Immediately post-treatment, 70% of participants noted ≥ 75% reduction in PFB lesions, allowing 96% of all participants to resume shaving. PFB recurred in 84% of participants, with 56% of these noting recurrence within 6 months. After treatment, 64% of participants reported patchy hair growth, which became more uniform over time. Notably, PFB influenced 24% of participants' decisions to remain in the military.
CONCLUSIONS: LHR is an effective management option for PFB, significantly reducing disease burden and enabling shaving in most military patients. However, recurrence is common, often within six months, necessitating maintenance treatments. Patients require thorough counseling on outcomes and expectation management, including the high likelihood of recurrence and the potential for patchy hair growth. Lastly, educating SM about PFB and LHR during recruitment and basic training may help to increase awareness of this condition and treatment options.
MATERIALS AND METHODS: 50 patients previously treated for PFB with LHR were identified in the electronic medical record system at Walter Reed National Military Medical Center. All 50 participants were active duty of various ranks and branches during their treatment. LHR treatment series were considered complete after 4-6 sessions separated by 4-8 weeks of LHR with either the Nd: YAG or Alexandrite lasers. Time interval for the search was between January 2017 and June 2021. The authors conducted a phone survey in June 2021. Participants were asked various questions to assess the long-term effectiveness of LHR and subsequent hair regrowth after their LHR treatment. Participants' overall satisfaction with LHR as a PFB treatment modality and impact on military service was queried.
RESULTS: Of the 50 participants (74% identified as Black), 88% were satisfied with LHR. Immediately post-treatment, 70% of participants noted ≥ 75% reduction in PFB lesions, allowing 96% of all participants to resume shaving. PFB recurred in 84% of participants, with 56% of these noting recurrence within 6 months. After treatment, 64% of participants reported patchy hair growth, which became more uniform over time. Notably, PFB influenced 24% of participants' decisions to remain in the military.
CONCLUSIONS: LHR is an effective management option for PFB, significantly reducing disease burden and enabling shaving in most military patients. However, recurrence is common, often within six months, necessitating maintenance treatments. Patients require thorough counseling on outcomes and expectation management, including the high likelihood of recurrence and the potential for patchy hair growth. Lastly, educating SM about PFB and LHR during recruitment and basic training may help to increase awareness of this condition and treatment options.