IMPORTANT: PLEASE READ
I WILL ONLY DO PRE-SURGERY ELECTROLYSIS FOR CANDIDATES WHO HAVE AT LEAST 12 MONTHS TIME TO CLEAR THEIR HAIRS BEFORE THE SURGERY DATE. I HAVE PERSONALLY WITNESSED TIMES IN WHICH CLIENTS DID NOT HAVE ENOUGH ELECTROLYSIS BEFORE THEIR SURGERY & LATER ENDED UP HAVING UNWANTED HAIRS GROWING INSIDE OF THEM.
THIS CAN AND SHOULD BE PREVENTED.
THE PROS AND CONS OF RUSHING INTO SURGERY WITHOUT ENOUGH HAIR REMOVAL TREATMENT SHOULD BE DISCUSSED WITH YOUR MEDICAL PROVIDER & YOUR SURGEON.
TABLE OF CONTENT
2) YOUR ELECTROLYSIS SCHEDULE
3) CRITERIA FOR HAIR CLEARANCE
5) WHEN HAIRS CAN BE TREATED VIA ELECTROLYSIS POST SURGERY
6) WHEN HAIRS POST SURGERY CANNOT BE TREATED VIA ELECTROLYSIS
Please, please, please, consult with your medical provider &/or surgeon before trying any of my suggestions. Thanks! Let's get started. - Kalani
ELECTROLYSIS PREPARATION FOR BOTH:
1. Try to get "Emla" topical cream (or generic equivalent) prescribed by your medical provider before your first electrolysis session. Unfortunately, it's not over-the-counter.
"Emla" is a topical anesthetic that will help numb the genital area, thigh, or arm, to be treated. It's a 2.5% lidocaine/2.5% prilocaine combo. Use as directed.
*However, if you notice that you don't have any serious skin reactions or other side effects, you may try applying a generous layer of "Emla" to the area & then covering it with a plastic wrap for 1-3 hrs before your electrolysis session. This will help the cream to absorb better into the skin, resulting in a more comfortable treatment.
* DOUBLE DISCLAIMER: This is just a suggestion. Consult with your medical provider for appropriate use of "Emla".
If you are unable to get "Emla", you can purchase "Numb Master" online on Amazon or another website. It's an over-the-counter 5% lidocaine mixture. There are other 5% lidocaines. This one doesn’t leave a slippery residue.
Or you can go to your local drugstore and look for a 4%-5% lidocaine gel.
Topical lidocaine usually numbs an area within 30 minutes of application. The longer it is left on, the more effective it is.
2. If you don't have allergies or blood-thinning issues or other contraindications, *taking an over-the-counter painkiller (eg. Motrin, Advil, Tylenol, Alieve, etc.) will help with pre/post inflammation of the treated skin as well as lessening discomfort during treatment.
*TRIPLE DISCLAIMER: Consult your medical provider for appropriate use of OTC pain-killers & for the proper dosage depending on your medical history.
3. Every surgeon has specifications on which areas of hair need to be treated pre-surgery.
Please ask your Surgeon's office for pics/diagrams/description of the area to be cleared. If you don't have this material on your first electrolysis session, it's okay. We can work on clearing areas that are definitely necessary to be cleared for surgery, that don't require a description.
I know it's a pain, but the more info. you're able to tell me, the better I can be at helping you set your goals for hair clearance before your surgery.
2. YOUR ELECTROLYSIS SCHEDULE
Most surgeons doing "bottom surgery" require that specific areas be cleared (no more hair growth) at least 10-14 days before the surgery day.
It's SUPER IMPORTANT that you have enough time to clear your hairs before the surgery. It's a general rule that about 30% of visible pubic hair is active (anagen stage) and treatable & 70% remains inactive (telogen stage). Individual hairs go through 3 cycles of growth & shedding which takes about 3 months from the beginning stage to the last. We want to be able to catch all the hairs while they're in the anagen stage.
If possible, make sure you have at least 9-12 months, give & take, to have time to do a thorough clearance. If you have a year or more, even better! The more time you have to clear the hairs, the less stress & more confident you will be in not having hair growth growing inside you.
Most people can take up to 1 hr to 1.5hr sessions but it's dependent on the individual's pain threshold. It’s recommended to do weekly to bi-weekly sessions for faster results.
The surgeon can catch & permanently remove remaining hairs during the actual surgery, called "cauterization." It's unclear to me how thorough "cauterization" is. Please ask your surgeon for concerns.
It's less stressful to have a more thorough hair clearance before surgery than to have to remove hairs from deep within the urethra afterwards (which requires an additional surgery).
BETTER TO BE SAFE THAN SORRY!
3. CRITERIA FOR HAIR CLEARANCE
After your first & second electrolysis session, I will have a better understanding & estimate on when the hairs will be cleared for surgery. There are multiple factors to determine this, which include:
1. The amount of hairs: The more hairs you have, the longer the sessions will be to cover & treat the individual hairs.
2. The surface area: We all come in different shapes & sizes. If you have more areas of hair per square inch of skin, the more electrolysis you will need.
3. How easy/difficult to "release" each hair after treatment by electrolysis: Electrolysis works by sending a huge amount of electrical current into the root of each hair. "Releasing" means how well the individual hairs are removed from the hair follicle with a tweezer after a current is sent to the root. As individuals, we all have different hair strengths.
4. Length of the hairs: From experience, the longer the hairs are, the more likely they are to grow back finer but still longish (even in a weakened state after treatment). In order to avoid regrowth in the urethra, it's important that the hairs don't grow back.
5. How much regrowth remains: At your second session, I will be able to examine the progress of hair removal, resulting in a more precise schedule of when you will be cleared for surgery.
6. Other factors: These include your genetics, general health, healing factor, your hair growth cycle, etc.
ELECTROLYSIS FOR BOTH:
Unfortunately, after hair pre-clearance (from the electrologist) & the cauterization process (during surgery from the surgeon), hairs may still regrow even if the hairs were completely cleared in the necessary areas before surgery.
The factors leading to this regrowth may include: hormonal reasons, weakened hairs growing at a slower rate, hairs coming out after months of being dormant under the skin,etc.
5. WHEN HAIRS CAN BE TREATED VIA ELECTROLYSIS POST SURGERY
The good news is that hairs post surgery can still be treated following the guidelines of your surgeon for both F2M & M2F individuals.
For Men/Masculine Spectrum, clearance of remaining hairs of the penis/phallus is straightforward & can be completely removed as per the surgeon after healing.
For Women/Feminine Spectrum, clearance of remaining hairs is dependent on whether the base of the hair is reachable to treat with the electrolysis current within the vagina.
6. WHEN HAIRS POST SURGERY CANNOT BE TREATED VIA ELECTROLYSIS
Hairs that are growing from the urethra that cannot be reached via an electric current from electrolysis must be removed through surgery. This is why it's important to have enough time to remove the hairs sooner than later. See "YOUR ELECTROLYSIS SCHEDULE" for more info.
ELECTROLYSIS VS. LASER HAIR REMOVAL FOR (PRE/POST) SURGERY
Clients have asked me if Laser Hair Removal would be a good option instead of Electrolysis for (pre/post) surgery.
Everyone responds differently to Electrolysis & Laser Hair Removal. It’s important to note that individuals with light-colored hair do not respond well to Laser Hair Removal. Individuals with darker skin will need additional Laser sessions. Electrolysis is more thorough at permanently removing hairs. It's slooooooow and tedious. Again, it requires many, many hours of treatment every week or every other week over a period of many months.
Laser Hair Removal has very short sessions & is done every 4-6 weeks. Is this reliable & enough time to clear the necessary hairs before surgery? Maybe/Maybe not. If you’re a good candidate for Laser Hair Removal & decide to go with this method, I recommend you have enough time to start with this & then finish the remaining hairs with Electrolysis.
Laser Hair Removal is allowed to claim hair reduction and is not FDA approved to claim permanent hair removal. Oftentimes, clients who have had at least 8 sessions of Laser, have hairs growing back months & years later.
Please do your research on choosing which method you think will be most effective for you.
I WISH YOU THE BEST!
I wish you great success in your surgery. This is MAJOR! Unless someone is actually going through the surgery, they will not completely comprehend how drawn out & difficult this process is (understatement), mentally, emotionally, & physically.
You have made it this far which takes a ton of courage & perseverance! Remember, that life challenges are temporary & that things get better over time.
Much 💗, Kalani