NIC Esthetician Written ExamTreatment ProceduresMedium

A client with Fitzpatrick skin type V is seeking hair removal for her upper lip. She has a history of post-inflammatory hyperpigmentation (PIH) with previous waxing treatments. Which hair removal method would be the MOST appropriate to minimize the risk of PIH and provide long-term reduction?

  1. ASugaring
  2. BElectrolysis
  3. CIPL (Intense Pulsed Light)
  4. DChemical depilatory
Show answer & explanation

Correct answer: B. Electrolysis

Electrolysis is the only method that provides permanent hair removal for all hair colors and skin types, making it the safest and most effective option for Fitzpatrick V skin with a history of PIH, as it does not target melanin in the skin like light-based methods.

Why the other options are wrong

  • A. Sugaring, while gentler than waxing, still involves pulling hair from the follicle and can potentially cause trauma leading to PIH on darker skin types.
  • C. IPL targets melanin in the hair follicle. Fitzpatrick V skin has high melanin content, making it prone to burns and significant PIH with IPL, as it can absorb too much light energy.
  • D. Chemical depilatories can cause chemical burns, irritation, and allergic reactions, which could exacerbate PIH risk, especially on sensitive areas like the upper lip.

Electrolysis for Hair Removal

A method of permanent hair removal that uses a fine probe to deliver electrical current directly into the hair follicle, destroying its growth cells.

  • Only FDA-approved method for permanent hair removal
  • Effective on all hair colors (including blonde, red, gray)
  • Safe for all skin types, including darker skin tones (Fitzpatrick V-VI)
  • Minimizes risk of hyperpigmentation compared to light-based methods for darker skin

Memory trick: Electrolysis Eliminates Every Hair Safely.

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