Remove Body and Facial Hair

Ladies—Do you suffer from uncomfortable red bumps and irritation caused by shaving in your delicate bikini area? Are you tired of enduring the pain of waxing? Are you concerned about its long-term effects on your skin?

Hairless legs would, of course, be heaven! Start counting the minutes of extra sleep you’ll be getting because you don’t have to waste time shaving in the shower. Start small if you wish, with just your underarms. The gratification you get from treating this area confirms it’s definitely worth doing bikini and legs.

It’s so liberating for women not to have to worry about shaving or waxing discomforts, or spending the money and time doing it. This means almost every woman of any age is a great candidate for laser hair removal.

Men—Is your facial skin super sensitive and always irritated from shaving? Have you endured the pain and ugliness of ingrown hairs, particularly in your neck and jawline areas? Do you have hair on your back or the back of your neck? Give yourself a break and endure no more. 

Science Behind BBL™ for Hair Removal

BBL™ (broadband light) laser energy is selectively absorbed by the melanin (color) in your hair follicles. It’s then converted to heat energy, which destroys the stem cells in the bulb and bulge of your follicles.
BBL™ also heats the full length of imbedded hair follicles, cutting off supply of nutrients, thereby disabling growth. Effective hair reduction can only be achieved during the anagen active growth phase of your hair’s growth cycle.

Hair reduction is considered permanent when a significant amount of hair does not return for a period of time longer than the complete growth cycle.

BBL™ for Hair Reduction

Say hello to the magic of BBL™, and say goodbye to shaving, depilatory creams, or even electrolysis—which can be time-consuming and painful.

Innovative broadband light technology significantly reduces unwanted hair. Areas commonly treated for hair reduction include:

  • Legs
  • Bikini area
  • Underarms
  • Arms
  • Back
  • Neck/Chin
  • Face

How Do I Prepare for BBL™ Hair Removal?

It’s important to learn how things you do before treatment impact your desired results. The number one tip to remember is to not have a suntan at the time of your treatment.

The pigment in your skin from a suntan gets in the way of the laser's targeting of color in your hair follicles. This is true whether your tan is from the sun, from a bottle or from a tanning bed.

What Happens During Treatment?

  • You wear protective eyewear throughout the procedure.
  • Topical anesthetic is usually not necessary, although in more sensitive spots (i.e., along jawline or bikini area) you may want its relief.
  • A clear water-soluble, hypoallergenic ultrasound gel is applied to the areas being treated.
  • You should experience only mild discomfort. The sensation most described by patients is a feeling of warmth on the skin and a slight stinging or snapping effect like a rubber band.
  • Treatment time varies based on the areas selected, but your appointment can last anywhere from 10-60 minutes.

What to Expect After BBL™ Hair Removal?

After each treatment, you can expect to experience a hair-free period. It’s very important to track the length of this period following each treatment session.

Your observations help us to determine how effective the treatment approach is for your body. If appropriate, we may use this information to adjust the interval period between treatments in order to achieve optimum results.

When Do I See Hair Reduction Results?

You often see some results within a week or two, as you notice the need to shave less frequently. Hair that grows back is softer, finer, and less noticeable. The quantity of hair reduction builds over time.

As your treatments progress, your hair-free period gets longer and longer. When you reach your fifth and sixth treatment, you can expect to have a hairless period of up to 3-4 months. You achieve the greatest effectiveness in the shortest number of sessions when treatments are spaced out over intervals of time that appropriately match your hair’s growth phase and cycle.

Generally, depending on skin type and areas treated, we recommend a package of 6-8 treatments, spaced 4-8 weeks apart, depending on the stage within your treatment series and your hair growth cycle.

Precautions are taken for darker skin types as BBL™ settings are set at lower heat and intensity for increased safety. If you are a darker-skinned patient, you are likely to require more treatments, perhaps 8-10, to achieve your desired result.

Michael R. Macdonald, M.D.

Facial Plastic Surgeon located in San Francisco, CA

Michael R. Macdonald, M.D., is a skilled facial plastic surgeon with significant experience in the most advanced cosmetic procedures, including facelift and neck lift surgery, brow lift surgery, blepharoplasty (eyelid surgery), rhinoplasty, BOTOX® injections, microneedling, liposuction, and chemical peels to help women and men look and feel their best at every age. At the Aesthetic Surgery Center in San Francisco, California, Dr. Macdonald uses state-of-the-art techniques and technology to achieve customized results focused on each patient's unique goals and needs.

After earning his medical degree at Queen's University, Dr. Macdonald completed an internship at New York General Hospital followed by residencies at Dartmouth-Hitchcock Medical Center and University of Toronto and a fellowship at the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). As a board-certified plastic surgeon, Dr. Macdonald is dedicated to providing patient-centered care that draws from both his surgical and artistic skills to achieve optimal results focused on each patient's facial anatomy, needs and treatment objectives.

Dr. Macdonald and the Aesthetic Surgery Center welcome new patients from throughout the San Francisco region. Dr. Macdonald speaks both English and French.

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Aesthetic Surgery Center

Michael R. Macdonald, M.D., is a skilled facial plastic surgeon with significant experience in the most advanced cosmetic procedures, including facelift and neck lift surgery, brow lift surgery, blepharoplasty (eyelid surgery), rhinoplasty, BOTOX® injections, microneedling, liposuction, and chemical peels to help women and men look and feel their best at every age. At the Aesthetic Surgery Center in San Francisco, California, Dr. Macdonald uses state-of-the-art techniques and technology to achieve customized results focused on each patient's unique goals and needs.

After earning his medical degree at Queen's University, Dr. Macdonald completed an internship at New York General Hospital followed by residencies at Dartmouth-Hitchcock Medical Center and University of Toronto and a fellowship at the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). As a board-certified plastic surgeon, Dr. Macdonald is dedicated to providing patient-centered care that draws from both his surgical and artistic skills to achieve optimal results focused on each patient's facial anatomy, needs and treatment objectives.

Dr. Macdonald and the Aesthetic Surgery Center welcome new patients from throughout the San Francisco region. Dr. Macdonald speaks both English and French.


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  • Jodi   Landi
    Jodi Landi
    Practice Manager, Patient Coordinator
  • Lamai  Walker
    Lamai Walker
    LVN, Medical Esthetician
  • Erica  Shelton
    Erica Shelton
    Aesthetic Laser Specialist, Registered Nurse
  • Thao  Duong
    Thao Duong
    Semi-Permanent Cosmetics, Skin Artist
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Words from our patients

  • Yelp

    "He has a calm bedside manner, with genuine concern for his patients and goes above and beyond to keep you as informed, relaxed and comfortable and possible."

    Dena M.
  • Yelp

    "Dr. Macdonald's been my doctor now for two years and I couldn't be happier. I trust him to do any procedure. Hands down, one of the best doctors I've had."

    Jodie M.
  • Yelp

    "I've never experienced a more calming, professional and helpful Doctor's office in my life of 46-years. I'm so thankful and lucky to have found Dr. Macdonald!"

    Leah J.
  • Yelp

    "Dr. MacDonald is truly the 'plastic surgeon's plastic surgeon'. Totally professional, great listener, and the ultimate Artist."

    Richard L.
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Michael Macdonald, M.D.
500 Sutter Street
Suite 430
San Francisco, CA 94102