Waxing is similar to plucking and involves applying hot or cold wax onto hair-bearing skin and quickly stripping off the hardened wax and embedded hairs against the direction of hair growth. This is the most expensive yet most effective method of epilation because hair is removed completely from the hair shaft in large quantities. Often, hair can take 2-3 weeks to regrow. The effects on the hair follicle of long-term waxing are unknown. However, theoretically, this modality may reduce regrowth because repeated waxing may destroy follicles.
It is mostly done to shape the eyebrows and remove hair on the chin and upper lip, although, many women also have their legs, underarms, and bikini line waxed. Men usually come in for treatment on their back or chest.
Epilatory waxes are also available for home use. They contain combinations of waxes, such as paraffin and bees wax, oils or fats, and a resin that makes the wax adhere to the skin. There are hot and cold waxes.
With hot waxing, a thin layer of heated wax is applied to the skin in the direction of the hair growth. The hair becomes embedded in the wax as it cools and hardens. The wax is then pulled off quickly in the opposite direction of the hair growth, taking the uprooted hair with it.
Cold waxes work similarly. Strips precoated with wax are pressed on the skin in the direction of the hair growth and pulled off in the opposite direction. The strips come in different sizes for use on the eyebrows, upper lip, chin, and bikini area.
Waxing should not be performed on moles or skin that is irritated, sunburned, or broken. Pay special attention to the temperature of the wax to avoid burning the skin. Adverse effects from waxing include pain, hyperpigmentation, scarring, folliculitis, and ingrown hair pseudofolliculitis.
If you're using oral retinoids (isotretinoin and acitretin), waxing should not be performed until these medications are stopped for at least 6 months to 1 year. Taking these medications and waxing may cause tearing of the skin and possible scarring. Individuals using topical retinoids (e.g. Retin A®) should stop the medication 3-4 weeks prior to.
The different types of waxing that can be performed are:
- Arm & Underarm waxing
- Back waxing
- Bikini wax & Brazilian wax
- Eyebrow waxing
- Feet waxing
- Full face waxing
- Leg waxing
They should not be used on the eyelashes, inside the nose or ears, on the nipples or genital areas, or on irritated, chapped, sunburned, or cut skin. A small area should be tested for sensitivity or allergic reaction before treating the entire area. Some hair removal experts recommend professional waxing at salons for the best results.