Transgender clients

A qualitative & caring approach to intensive electrolysis, for our transgender clients.

As a transgender woman, I fully appreciate the need to remove facial hair as it is impossible to conceal for any length of time. I tried every concealer available and even emulsion paint in my desperation to loose my beard colour. Then there were the prickly hairs that come back in no time at all, along with my dread of anyone touching my face or neck. The beard had to go, but 20 years ago things were very different. Information, techniques and equipment have evolved and now offer new possibilities. 


My own facial electroepilation took around 230 hours and was spread over a two and a half year time period. My electrologist did a great job, but I certainly appreciate the desire to clear facial hair as quickly as possible. However, in creating expeditious 'potential' solutions we have a number of elements that need to be considered. Designing a programme which offers clearance of facial hair without considering these elements, can lead to discomfort, great expense and limited gain.

Undoubtedly, our intensive electrolysis programme provides many benefits and is the fastest and most cost effective method of permanent facial hair removal. Please click here to go directly to this page or continue reading the in-depth information which we consider in our treatment plans.

What should we consider?

When considering the electrolysis options we should differentiate between permanent hair reduction and permanent hair removal. It is also important to understand how electrolysis and all other forms of electroepilation work. This will ensure realistic expectations are set for the outcome of treatment.

Electroepilation is a progressive treatment designed to permanently eradicate the tissues responsible for hair growth. During this process a number of hairs will grow back, but gradually weaken in strength until they stop growing entirely. This takes time, due to the growth phase of the hair and many other considerations, as shown below. 

The first time my face was cleared of hair I felt elated, but my electrologist had prepared me well by advising me from the start of treatment, that regrowth was part of the eradication process. Understanding this will ensure there is no disappointment when regrowth occurs and that often it will take time and a number of passes to finally stop the hair from growing. As professional electrologists it is our duty to discuss this before treatment commences.

Time spent in research and planning will avail our clients of realistic expectations from the outcome of 'intensive' electrolysis. Today, it is likely that rapid thermolysis will form a significant part of your treatment. The term 'electrolysis' refers to one specific technique of electroepilation, but there are more options to consider. For an overview of the techniques please click here. 

Elements to consider

The growth phase of the hair.
The ideal phase is during the growth cycle of the hair. This is the anagen phase, where moisture is at its greatest and the follicle is less likely to be distorted.

The anticipated regrowth time from the initial clearance.
This usually is between 6 and 8 weeks depending upon the strength of growth of the beard.

The anticipated number of hours for the initial clearance
We will provide an estimate of the number of hours for your initial beard clearance. This will be based upon your photographs from which you can then plan your time away for treatment. This can be adjusted depending upon your hair growth.

First follow up appointment date
It is very important to maintain your appointment schedule as this will be designed in relation to your hair growth and growth phase of the hair. Missing appointments will increase your treatment time.

The clients comfort.
This is always a priority and our comfortable treatment bed with various support cushions, ensure comfort during treatment. Soft background music and warm ambient lighting all help create a feeling of calm and relaxation.

The electrologist's comfort. 
The longer the session, then the greater potential loss of concentration, precision and fatigue for the electrologist. We increment our sessions with regular breaks for the benefit of our clients and their electrologist. To assist in reducing fatigue and increasing precise insertion consistency, we use surgical loupe vision enhancement throughout our longer sessions and as required.

Positioning of the client (Particularly if two technicians are working at the same time).
Wherever possible the electrologist will face the direction of hair growth, this assists greatly in maintaining insertion accuracy. Positioning to enable two technicians to work, requires careful advance planning.

The accuracy of the insertion.
This requires concentration, precision and accuracy and it is critical to successful treatment of the tissues responsible for hair growth.

The pilosity.
The greater the number of follicles and their density, then treatment time increases accordingly.

Strength of hair growth.
How rapidly your beard grows is an indication of well nourished hair and resistance to treatment can be greater.

Hair texture.
Course hair may take more time to treat, due to the strength of the papilla which supports its growth.

The skin and it's condition.
 We only work on hairs in healthy skin, local contraindications such as spots, cold-soars etc. must be avoided to ensure infection is not spread to healthy skin. Consequently, hairs in an infected area will have to wait until the next session or when recovery is complete.

Clients skin sensitivity and reactivity.
Sensitivity and reactivity varies from person to person and on the area being treated. We use insulated probes to minimise reactivity on the skin's surface, as only the tip of the probe is exposed to tissue. The probe is not activated until it is concealed beneath the skin's surface at the papilla. We also provide a soothing aftercare treatment before you leave and detailed aftercare instructions to follow when you return home.

Clients tolerance.
This also varies from person to person and on the area being treated. Your state of mind, anxiety, rushing etc can adversely affect tolerance. Do try to arrive for your session in good time and in a relaxed state of mind. Any reaction to pain is part of the body's natural defence system, indicating that damage to the area may occur if the stimulus continues. With today's techniques and high frequency modalities, then sensation will be minimised and pain relief is rarely necessary, except on highly sensitive areas such as the top lip and under the nose.

Endocrine and hormonal influences (Androgen levels).
It is a general assumption that anti-androgens, such as spironolactone will retard new hair from developing, but will have no effect on existing hair. It is not necessary to begin hormone therapy before electroepilation, but there may be benefits in limiting the growth of new hair.

Medication which may cause hair growth. 
Certain medications, such as cortisone and androgens are known to promote hair growth. You should not stop taking any medically provided medication.

Previous temporary methods of hair removal.
Some temporary methods of hair removal, such as plucking, may cause distorted follicles. This resultant curvature in the follicle makes it impossible for the probe to reach the base af the follicle and the papilla. In these circumstances, the longer treatments of electrolysis or blend may be most suitable, due to the production of lye, which flows freely in the follicle during treatment.

The chosen electroepilation modality.
There are advantages and disadvantages which favour each modality technique. There are no proven studies that electrolysis, blend or thermolysis work best. Each method works well, but rapid thermolysis takes less time in its application at speeds up to 1/100 to 1/1000 second. 

Local contraindications
These can be determined at your initial consultation and before each subsequent session. They consist of transient localised ailments, which will need to be avoided during the treatment session.

General contraindications
Our medical questionnaire will provide information on those conditions which indicate that electroepilation will not be suitable. Your welfare is our prime consideration!

With so many elements to consider, it becomes clear that a carefully formulated treatment plan needs to be set in place which takes into account these key elements. The plan needs to be adaptable so as to meet individualised requirements, as one plan for all will not be suitable.

In advance of your consultation

We are mindful that many clients will be travelling a considerable distance for their intensive treatment. Prior to your consultation, we identify those elements of information which can be gained before your visit. If there are no general contraindications, the remaining elements can be identified at your consultation where a skin and pilosity examination will also take place.

Elements of information to be gained in advance of your visit. (For distanced clients who are travelling to us)
  • We request, six photographs, after 2 to 3 days beard growth. (Looking up to see front of neck hair, left and right profile, front full face, left and right oblique.) This will give an indication of beard growth and strength of hair. 
  • To ensure we provide the best possible treatment for you, we need to check on any pre-existing health conditions and we will email you our medical conditions questionnaire. (Endocrine influences, hereditary considerations. medication that stimulates hair growth, cortisone, androgens etc)
  • We also ask if you have had electrolysis before? If so, what method, when, and the results and which temporary methods of hair removal have been used before.
Upon receipt of your photographs and questionnaire, we will prepare an 'estimate' of the anticipated number of hours for the initial and complete beard clearance. From this you can plan the number of days to be with us and any adjustment will be made as treatment progresses.

Please send your photographs and questionnaire to jenny@jennybowmanelectrolysis.co.uk 
Your consultation

The objective of the consultation is to collect and confirm information with you, detect any local contraindications (the advance medical questionnaire will have established any general contraindications). We will provide information about electroepilation and discuss our proposed treatment plan with you.

Your consultation will last around forty-five minutes and will include a skin and pilosity evaluation. It is also a great opportunity to address any questions you may have and to begin our professional relationship. 

We will then start your treatment plan and first session of electroepilation for permanent facial hair removal!

This excellent article on electrolysis is from TS Roadmap 
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