Your Name

Street Address

City, State Zip

Phone Number(s)

E-mail

What body area(s) are you considering for Laser Hair Removal?

What have you used in the past to remove your unwanted hair?
Nothing
Shaving
Waxing
Tweezing
Epilstop
Nair

What color is the hair in the area that you want to be treated?
Select Color
Black
Brown
Red
Blonde
Grey

What color is the skin in the area that you want treated?
White
Light Brown
Brown

Do you have a suntan?
Yes    No   

What is your skin type in the area you are considering for laser hair removal?
Burn always
Burn sometimes
Seldom burn
Moderately pigmented
Tans profusely
Deeply pigmented
Never burn

Have you been on Acutane in the past 6 months?
Yes
No

Are you currently on any medications?
Yes
No   

Is it photosensitive?
Yes    No   

What is the name of the Medication?

Would like us to call or email you?
Call    Email    Either One   

Who should we thank for referring you?

(or if it was Google, Yahoo, ...)

IPL & Vortex hair removal

Color Blind Hair Removal using IPL/Laser Hair Reduction
The RF of elos™ technology (RF and Light) featured in all Syneron Hair Removal systems. Safe hair removal of all colors (including white, grey, red and blonde) - from all skin types, including tanned skin - is now a reality.

The number of necessary treatments depends on hair color and skin type, and the part of the face or body to be treated. Usually, four to six treatments are required for substantial hair reduction. Light hair will require a higher number of treatments.

Vortex Heating
Vortex Heating targets and damages the hair follicle. The Vortex is created when the RF current - the destructive energy - encircles and heats the hair follicle damaging the follicle itself not just the hair shaft.

Safest
elos requires lower overall energy levels for superior results and maximum safety. Most people experience no side effects at all, though a few exhibit some short-term local reddening of the surrounding skin. Treatments require no patient downtime.

White hair removal made possible by elos technology. Hair follicle is destroyed by Radio-Frequency current.

Excellent hair removal results after two treatments with the elos technology.