To ice or not to ice?
By Julia Wallis : January 2025
Why I believe icing before or after Electrolysis permanent hair removal should not be recommended, liken it to, would you block the road so the ambulance can’t get to the scene?
Electrolysis is a widely recognised method of permanent hair removal that involves the application of current to destroy hair follicles. While many clients seek out this procedure from a skilled Practitioner the prep and post-treatment care plays a crucial role in the overall healing and comfort of the process.
Actions of the skin; is to have a balanced microbiome which is the first line of defence, keep blood supply flowing to allow everything the skin needs to be transported to and from the area. Inflammation (Angiogenesis) is a key part of the healing process; it is a necessary response and sets the scene for tissue to repair. If we reduce the inflammatory process before its ready, the area heals slower.
Effects of Ibuprofen and Antihistamines
In addition to icing, some clients consider taking over-the-counter medications like ibuprofen or antihistamines to manage discomfort and swelling after electrolysis. However, these medications can also hinder the healing process and may be detrimental. (Dr. Gabe Mirkin), (Thompson, 2022)
- Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that works by blocking certain enzymes in the body to reduce pain and inflammation. While it may provide temporary relief, it can interfere with the natural inflammatory response that is crucial for healing. Inflammation is a natural and necessary part of the body’s healing process, as it helps to deliver histamine and immune cells to the affected area. By suppressing this response, ibuprofen might prolong recovery and increase the risk of complications.
- Antihistamines are used in the treatment to relieve allergy symptoms by binding to cellular H1-receptors that release a chemical substance called histamine released by the Mast cells which are part of the immune system. Histamine causes blood vessels to expand and skin to swell, which helps protect the area within the body. Antihistamines can dry out the skin and may lead to increased irritation or discomfort. Moreover, antihistamines can affect circulation and the body’s ability to respond to inflammatory signals, potentially delaying healing. Individuals using these medications might not be aware of their detrimental effects on post-treatment recovery. However, antihistamines may be needed if a client is having an allergic reaction to a trigger, it is then advised to seek medical attention.
Icing, I have seen one practice some individuals employ before and or after their electrolysis sessions is icing the treatment area. Icing may help reducing discomfort by only giving temporary numbing. However, in my opinion this practice is not advisable for several reasons.
Risk of Skin Damage and Making Treatment More Difficult
Applying ice directly to the skin can lead to potential frostbite, particularly on sensitive areas that have just undergone a procedure like electrolysis. The skin is already in a compromised state after treatment; it may be red, swollen, or irritated. Introducing extreme cold can exacerbate these symptoms, potentially leading to skin damage. Instead of soothing the area, icing can contribute to longer healing times and increase the risk of complications.
Impaired Healing Process
After electrolysis, the skin requires time to heal and recover, the whole process takes around 18 months. The application of ice can constrict blood vessels and impede circulation, (Shepherd and Dawber, 1984).
Good blood flow (Angiogenesis) also brings heat which is essential for the healing process and delivers necessary nutrients and oxygen to the affected areas. When blood flow is restricted, healing may be delayed, and unnecessary inflammation can be resulting in a prolonged post-treatment recovery period.
Altered Sensation
After Electrolysis, clients often experience varying degrees of sensitivity in the treated area. Icing can dull the sensation temporarily, leading to a false sense of comfort. This lack of sensitivity can result in individuals unknowingly aggravating the area, either through scratching or applying pressure, which can lead to further irritation or even infection. It is essential to listen to your body and understand its responses after treatment, and icing can mask these signals.
Ineffectiveness for Reducing Swelling
While icing used to be a common method for reducing swelling in various injuries, its effectiveness post injury including electrolysis where micro-injury is caused as part of the treatment is questionable. The swelling that may occur after electrolysis is typically mild and temporary. Utilising ice may not provide the relief one hopes for and could instead cause more discomfort. Instead, using a natural, non-irritating aftercare with a rainbow of ingredients and tailored sunlight dosing especially near infrared (NIR) in the morning and evening to support the skin and promote healing without the risks associated with icing.
Potential for Infection
The risk of infection is a genuine concern after any hair removal procedure, especially one involving electrolysis. The skin’s barrier may be compromised, making it more susceptible to bacteria. Applying ice, particularly if it is not sterile or if it encounters other surfaces, can introduce harmful bacteria to the treated area before the crust which is the skins natural plaster has formed. Keeping the area clean is paramount for preventing infection, and icing can inadvertently contribute to this risk.
Summary
While the intention behind icing on muscles post injury to reduce swelling has now been disproved and shown not to be effective and prolongs the recovery process, (Dr. Gabe Mirkin), (Thompson, 2022). I see the same with skin prep and post electrolysis treatment. Icing may stem from a desire for comfort and reduced swelling, and the use of pain relievers like ibuprofen or antihistamines might seem appealing for managing discomfort, the potential risks far outweigh any perceived benefits. Instead of resorting to these methods, individuals are advised to focus on tailored preparations, aftercare using alcohol-free, natural ingredients, appropriate sunlight dosing, balancing circadian rhythm, reduce overall stress and improving sleep quality which all are an extension of the treatment by supporting optimal skin healing and to minimise discomfort.
Our bodies know what to do and will respond accordingly to signals it is given.
References:
Dr. Gabe Mirkin Scialoia, D. and Swartzendruber, A. (2020). The R.I.C.E Protocol is a MYTH: A Review and Recommendations. [online] The Sport Journal. Available at: https://thesportjournal.org/article/the-r-i-c-e-protocol-is-a-myth-a-review-and-recommendations/.
Thompson, D. (2022). Sports medicine monday: The efficacy of ice on acute injuries. [online] advance.muschealth.org. Available at: https://advance.muschealth.org/library/2022/september/ice-on-acute-injuries.
Shepherd, J.P. and Dawber, R.P.R. (1984). Wound healing and scarring after cryosurgery. Cryosurgery, 21(2), pp.157-169. Doi:https//doi.org/10.1016/0011-2240(84)90202-4.