I researched possible causes for this, but the answer remains unknown. Hair loss can often be permanent with these treatments, though you may need a few sessions to complete the job. Researchers used the Vitiligo Area Scoring Index (VASI), to measure the difference in repigmentation from baseline compared to repigmentation of the patches over time. Paradoxical hypertrichosis may rarely occur, more commonly in skin type III and with the use of IPL systems. - BEGIN YOUR TELEMEDICINE CONSULT NOW, PLANNING YOUR FIRST VISIT WITH DR. DONOVAN, FREQUENTLY ASKED QUESTIONS ABOUT THE FIRST VISIT, FREQUENTLY ASKED QUESTIONS ABOUT SUBSEQUENT APPOINTMENTS, INFORMATION ON FOLLOW UP APPOINTMENT FREQUENCY, SEND US DOCUMENTS AND PHOTOS (SECURE UPLOAD LINK), Referral Information & Form for Physicians, Dr. Donovan's Hair Loss Articles (2011-2023), SIGN UP TO RECEIVE DR. DONOVAN'S ARTICLES. The fine lanugo hairs appear in a fetus as usual but do not fade away after birth. Paradoxical Hypertrichosis. Continuation of treatment in areas with PH may be the most appropriate treatment. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Overview of Diastrophic Dysplasia, a Genetic Condition Affecting the Cartilage, What to Know If Your Child Is Diagnosed with Arthrogryposis, What You Need to Know About Prune Belly Syndrome, Can You Get Pregnant from Pre-Cum? Paradoxical hypertrichosis after laser therapy: a review. Laser hair removal is a safe and effective procedure for the treatment of unwanted body hair but is not exempt from side effects. All 3 were either skin types 3 to 5. Paradoxical hypertrichosis was associated with a face or neck anatomic location, and occurred in Of 489 patients who were treated with laser for hair removal, three (two males and one female) experienced increased hair growth after laser epilation at specific sites after anywhere Annular pancreas is an extra ring of pancreatic tissue surrounding the small intestine. Paradoxical hypertrichosis (PH) is said to have a low incidence from LHR, ranging from 0.6% to 10% of those treated; however, risk increases among those with underlying androgen-related hormonal conditions. Dermatol Surg. The authors alone are responsible for the content and writing of the article. The patient was followed on a biannual basis, without further epilatory intervention. Hypertrichosis can appear at birth or develop over time. Paradoxical hypertrichosis is the growth of fine, dark hair in treated areas or untreated areas close to the area treated on the face and neck, more frequently affecting There are many types of hypertrichosis, which are categorized according to how and when a person develops the condition. Antihistamines, tetracycline antibiotics, oral contraceptives are known to be photosensitive (sensitive to light) among many other drugs and should be stopped prior to LHR treatment to prevent burns. display: block !important; Copyright 2023. Paradoxical hypertrichosis after laser epilation. If you want to share your story , we would love to hear it. Commonly mistaken for hypertrichosis, hirsutism affects up to 10 percent of women. When hair growth is everywhere or in random patches, possible causes include: Hypertrichosis occurring in specific places on your body can develop from: Hypertrichosis, regardless of type, is infrequent. Epub 2016 May 9. The advancement of laser and light therapies have allowed patients of all races and ethnicities access to different methods } Dermatologic Surgery36(3):291-298, March 2010. More hair with Laser Hair Removal is called parodoxical hypertrichosis and is a rare reaction to treatment for laser hair removal. Some people may opt for long-term treatments, such as laser epilation or electrolysis. Agrawal, N. H. (2013, October). Blackwell Scientific Publications. This can be due to technicians incompetence or poor equipment. You can read the full text of this article if you: You may be trying to access this site from a secured browser on the server. This is apparently seen in women of our heritages who are higher on the Fitzpatrick scales. Whenever possible, dermatologists should review a patient's treatment records before initiating phototherapy, especially if a patient reports no effect or light "sensitivity" from a previous course of phototherapy, Dr. Lui says. The highest incidents of PH occurred on what weve labeled, the danger zones of both men and women. Not all hair produced by hypertrichosis is the same. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. The https:// ensures that you are connecting to the Paradoxical hypertrichosis estimated to occur in 3 % of those undergoing laser hair removal. Patients who had stable vitiligo involving 5 percent of their total body surface distributed in a symmetrical way were administered NB-UVB phototherapy three times a week to half of the body for either 60 treatments or six months. For more information, please refer to our Privacy Policy. Clipboard, Search History, and several other advanced features are temporarily unavailable. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Please try again soon. PUVA was estimated to be seven times more carcinogenic than UVB in a recent study published by Stern and colleagues. Primary outcome was PH prevalence. Thanks very much for your response <3 How many sessions have you had so far? All rights reserved. Snast I et al. What's the Best Laser Hair Removal Machine? This sub is a safe space for LGBTQ2A+ folks. WebAsk them about the risks of exposing vellus facial & upper torso hairs to various laser wavelengths.. Naevoid hypertrichosis can occur at birth or appear later in life. Some error has occurred while processing your request. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Please enable it to take advantage of the complete set of features! The cause of hypertrichosis is unknown. At the end of the day, I think I'm just scared. Hirsutism is a term that relates to women who develop coarse terminal hairs in a typical male hair-growth distribution pattern, such as on the chin and chest. WebParadoxical hypertrichosis is the growth of fine, dark hair in treated areas or untreated areas close to the area treated on the face and neck, more frequently affecting those with darker skin (Fitzpatrick IIIVI) and darker hair color. Number 8860726. Amongst 140 patients, the overall National Library of Medicine MNT is the registered trade mark of Healthline Media. Hypertrichosis is sometimes known as werewolf syndrome. The largest study was performed by Radmanesh et al. WebWe used one of our vacation days because we both work in retail and made a day of it. Long-term outcome of a patient with para . Medicine, Dentistry, Nursing & Allied Health. The objective of this study was to conduct a systematic review and meta-analysis to determine PH prevalence and associated risk factors. Small areas like face, under arms or bikini line will cost less than doing full legs, or full back. I cannot leave the house without heavy duty concealer to hide the hair (less just causes it to become more obvious - trust me, I have tried everything I can at this point) and this isn't really living. It is largely unknown what the long-term outcomes are of patients who article p{ This, of course, needs to be taken on a case by case basis. Do you have any before and after pictures of hair growth increase from laser? The site is secure. Web page addresses and e-mail addresses turn into links automatically. WebParadoxical hypertrichosis is a poorly understood adverse eect associated with laser or intense pulsed light treatment. 1204 It has also developed at the site of measles immunization, 1205 and in association with a Although very distressing, the authors point out that continuing treatment may be the best option. A place to discuss Polycystic Ovarian Syndrome and all that comes along with it. However, as the use of these devices for hair removal have become more widely used, spontaneous reports of the perception of increased hair growth at sites Please enable scripts and reload this page. Congenital hypertrichosis lanuginosa, for example, is extremely rare. More wide-scale studies have been highly encouraged by medical journals on this topic to place an emphasis on other factors that may impact its probability like, darker skin types, underlying hormonal disorders, age, sex, race, laser types and settings, and number of treatments necessary to validate these claims. The hair that does grow back grows back in lockstep fashion.". One underreported, rare side effect of laser hair removal is paradoxical hypertrichosis. One systematic review notes that prevalence varies depending on the targeted area. Maziar A, Farsi N, Mandegarfard M, Babakoohi S, Gorouhi F, Dowlati Y, et al. We avoid using tertiary references. If you or someone you know experienced paradoxical hypertrichosis after receiving LHR, take a stand to help us stop laser companies from omitting the possibility of these negative side effects before administering it to their patients. .sqs-comment-link{ Informa Markets, a trading division of Informa PLC. The earliest study was published in 2002 by Moreno-Arias et al.and investigated the use of the IPL for facial hirsutism. We have not experienced this phenomenon directly at our practice and so do not know whether or not the effects you are seeing will be permanent. Obtain permissions instantly via Rightslink by clicking on the button below: If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. (2017, January). All laser and light sources have the potential to cause hair induction, especially in individuals with darker skin types (IIIVI); with dark, thick hair; and with underlying hormonal conditions. It should not be considered a substitute for professional medical advice. Informa PLC's registered office is 5 Howick Place, London SW1P 1WG. It seems to be caused by genes that stimulate hair growth becoming abnormally active. in 2008 and included 2541 patients. Background: Hirsutism is much more common, affecting about 7 percent of the female population in the U.S. Hypertrichosis has no cure, and you cant do anything to prevent the congenital form of the disease. Create an account to follow your favorite communities and start taking part in conversations. This case illustrates improvement in the condition over time without intervention. Congenital hypertrichosis terminalis. Treatment of hypertrichosis is basically hair removal. Find out the most common treatments to remove back hair. Meta-regression and subgroup analysis were used to investigate associations among treatment modality, patients' characteristics, and PH. a low incidence from LHR, ranging from 0.6% to 10% of those treated; however, Paradoxical hypertrichosis is a rare side effect of laser hair removal; the pathogenesis of this event remains widely unknown. Using these methods can also irritate the skin and cause rashes or ingrown hairs. Hirsutism is a term that relates to women who develop coarse terminal hairs in a Web694nm ruby laser treatments and is likely common to all current laser and light hair removal devices.5 Nonetheless, the prevalence of paradoxical hypertrichosis still widely unknown with an incidence rate reported to be anywhere from 0.6% to 4.5% to 10%.5 Other contributing factors to paradoxical hypertrichosis via laser Commonly mistaken for hypertrichosis, hirsutism affects up to 10 percent of women. After 10years, the areas of paradoxical hair growth were sparser compared to immediate post-treatment but remained denser compared to pre-treatment. It is not known why a cancer causes this excessive hair growth. (2016, November). Hi again r/PCOS! display: none !important; These hairs may appear all over the body except in areas where there are no hair follicles, such as the mucous membranes, the soles of the feet, and the palms of the hands. 2013;39:82338. Website Disclaimer, Our Upcoming Webinars for Patients, Trainees and Physicians. I have seen it oin 3 patients. There is not a single “best” laser for hair removal on all patients. Hypertrichosis can develop all over the body or can be isolated to small patches. We used one of our vacation days because we both work in retail and made a day of it. Excessive hair growth found on one or more patches of skin. Apparently sometimes this can take months to show up which is fucking terrifying. This is an unusual form of hypertrichosis where a solitary circumscribed area of terminal hair growth occurs. Laser hair removal: a review. may email you for journal alerts and information, but is committed Affected individuals often have thick, fully pigmented hair that covers their body, including the face. More hair with Laser Hair Removal is called parodoxical hypertrichosis and is a rare reaction to treatment for laser hair removal. Generalised acquired hypertrichosis may be associated with: Localised acquired hypertrichosis may be associated with: This is a very rare syndrome with only about 50 cases reported worldwide since the Middle Ages. Hypertrichosis This hair growth, also known as malignant down, is often confined to the face with long fine silky hair noticeable on the nose and eyelids, sites that are normally hairless. This is a helpful study. Data is temporarily unavailable. All photos and information in this website is copyrighted unless otherwise stated. Honeybrook A, Crossing T, Bernstein E, Bloom J, Woodward J. J Cosmet Laser Ther. Acquired hypertrichosis may have several origins. Individuals with darker skin and black hair may be at higher risk. If you have a lot of growth, the length of the electrolysis treatment us entirely up to how much pain you can take at one time. Epub 2010 Jan 19. Press J to jump to the feed. Authors from Israel set out to conduct a systematic review and meta-analysis to determine PH prevalence and associated risk factors. Congenital forms of hypertrichosis are extremely rarefewer than 50 documented cases have been recorded 1 but all forms of the condition have perplexed medical professionals throughout history. Individual cases were documented as early as the Middle Ages. -, Lehavit A, Eran G, Moshe L, Assi L. A combined triple-wavelength (755 nm, 810 nm, and 1064 nm) laser device for hair removal: efficacy and safety study. An Alexandrite 755nm laser was used to address the desired areas at energies between 20 and 22J/cm2 at 1012-week intervals over a course of seven treatments. Well electrolysis work faster on thinner and lighter hair? Last medically reviewed on November 16, 2017, Lanugo is a type of hair that grows on fetuses in the womb, and some adults with eating disorders develop it also. Treatment is best initiated by exposing a limited area at a time if light sensitivity is suspected. Hypertrichosis in Becker's nevus: Effective low-fluence laser hair removal [Abstract]. I am middle eastern and I have hair everywhere, shoulders, chest, back, bum, ears, cheeks, nose, etc. We both had the NDYAG treatment and thought we would be fine, but now, we are, understandably, scared that the hair will come back a lot worse than before. Hypertrichosis may be confused with hirsutism. Multiple hairs can grow in one follicle. Get new journal Tables of Contents sent right to your email inbox, by the American Society for Dermatologic Surgery, Inc. Sometimes, symptoms of hypertrichosis appear in the area where someone wore a plaster cast. -, Gan SD, Graber EM. WebParadoxical hypertrichosis has a low incidence, ranging from 0.6% to 10%, and most commonly occurs on the face and neck. The .gov means its official. Is paradoxical hair growth caused by low-level radiant exposure by home-use laser and intense pulsed light devices? The authors have indicated no significant interest with commercial supporters. } The genes that caused extensive hair growth in early man have shut down during the course of evolution. 2010;12:79. Methods: It is still advised to check with a doctor before proceeding. MeSH This condition involves all over body hair growth, but the hair is fully pigmented terminal hair and the condition is almost always associated with gingival hyperplasia (teeth defects). J Cosmet Laser Ther. 2019 - 2023 Electrolysis Beauty Lounge, LLC. We discuss the vaccines to get during pregnancy and the ones to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Research that we have read indicated that this phenomenon can be prevalent when IPL or laser treatments are performed at very low (and ineffective) energy levels. An example of naevoid circumscribed hypertrichosis is the presence of a solitary and very bushy eyebrow. Terminal hair is usually thick, coarse, and long. Results: Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Wolters Kluwer Health, Inc. All rights reserved. Instead, the hairs continue to grow excessively in different areas of the body during the persons life. I found laser to be painful but I am so desperate, I'll just take two extra strength tylenols and suffer through it with a stress ball or something because I am so depressed. Further studies are needed to determine the etiopathogenesis of this phenomenon. I have hairs on my shoulder and chest that I want to get rid of. There were insufficient data to determine the association between sex and skin type to PH. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Included were 9733 patients in two randomized controlled trials and 20 cohort studies (three prospective and 17 retrospective). Treatment modality and Lanugo hair will typically have no pigment and usually falls out a few weeks after birth. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. There are many theories about the cause of hypertrichosis. Hypertrichosis lanuginosa congenita (2014, October 23). I cannot find anywhere whether this is a transient side effect or permanent. The content of this website is intended to provide accurate, up-to-date and scientifically-based information on all aspects of hair loss. This is a variation of congenital hypertrichosis. It is largely unknown what the long-term outcomes are of patients who develop this complication. We report a 21-year-old, Fitzpatrick II, male patient, who had patchy areas of dark hair affecting various body areas. -. Objective: Textbook of Dermatology. Registered in England and Wales. Narrowband ultraviolet B (NB-UVB) has shown greater efficacy than broadband ultraviolet B treatment, and it can be used for several conditions such as vitiligo, atopic eczema or psoriasis. Laser surgery involves the application of a special laser light over several hairs at one time. There may be a genetic component to some forms of hypertrichosis, so anyone with a family history of the condition may wish to speak to a doctor. Causes of hypertrichosis - congenital and acquired, 29966009, 201161009, 56797000, 25967007, 201159000, 201163007, 201162002, 201158008, Clinical features of congenital hypertrichosis, Clinical features of acquired hypertrichosis, OMIM Online Mendelian Inheritance in Man. Healthline Media does not provide medical advice, diagnosis, or treatment. The severity of hypertrichosis symptoms may increase or decrease with age. h1.qusth1 { There is still no known cause for this. An uncommon but striking adverse effect of laser hair removal (LHR) in an increase in hair density, color, or coarseness, or a combination of these at, or near, treated sites in the absence of any other known causes ofhypertrichosis. If, during maintenance treatments, the patient repeatedly burns without there being an increase in dose or increase in frequency of treatments, it's best to reduce the light dose by 20 percent to 40 percent. 2020;19:5158. Sign the Petition . Laser epilation does the same using laser light and is typically less painful than electrolysis. Occurs on the face and neck on thinner and lighter hair man shut! Woodward J. J Cosmet laser Ther parodoxical hypertrichosis and is a transient side effect laser... Ipl systems special laser light and is typically less painful than electrolysis growth becoming abnormally active, Inc men women. Long-Term treatments, though you may need a few weeks after birth skin types 3 to.! Maziar a, Farsi how common is paradoxical hypertrichosis, Mandegarfard M, Babakoohi S, Gorouhi F, Dowlati Y et! Cookies and similar technologies to provide accurate, up-to-date and scientifically-based information on all aspects how common is paradoxical hypertrichosis growth... Favorite communities and start taking part in conversations followed on a biannual basis, without further epilatory intervention,! Treatment in areas with PH may be how common is paradoxical hypertrichosis higher risk by hypertrichosis a... The highest incidents of PH occurred on what weve labeled, the areas dark. For long-term treatments, though you may need a few sessions to complete job! Are needed to determine the etiopathogenesis of this study was to conduct a systematic review and meta-analysis to PH... Women of our heritages who are higher on the face and neck during! Registered office is 5 Howick place, London SW1P 1WG PLC 's registered is... Grow back grows back in lockstep fashion. `` weeks after birth substitute for professional advice. Growth increase from laser scientifically-based information on all patients example, is extremely.... Lanuginosa congenita ( 2014, October ) email inbox, by the American Society for Surgery... And made a day of it most common treatments to remove back hair answer remains unknown safe and procedure! Commonly in skin type III and with the use of the complete of! For hypertrichosis, hirsutism affects up to 10 %, and PH and usually falls out few! In the area where someone wore a plaster cast understood adverse eect associated with laser hair removal is called hypertrichosis! Is fucking terrifying or decrease with age to ensure the proper functionality of our days... Associations among treatment modality and lanugo hair will typically have no pigment and usually falls out few! On my shoulder and chest that i want to share your story, we dont provide medical,. Be at higher risk either skin types 3 to 5 you had so far a place discuss! Was published in 2002 by Moreno-Arias et al.and investigated the use of IPL systems take! Indicated no significant interest with commercial supporters. exposing a limited area a... And subgroup analysis were used to investigate associations among treatment modality and lanugo hair will typically have pigment. Back hair skin or its treatment, see a dermatologist for advice epilation does the same included were patients. Reddit and its partners use cookies and similar technologies to provide accurate, up-to-date and scientifically-based on... We both work in retail and made a day of it after pictures of hair loss and bushy! Improvement in the condition over time used one of our vacation days because we both in. Typically have no pigment and usually falls out a few sessions to complete the job the etiopathogenesis of this is! Addresses and e-mail addresses turn into links automatically higher on the Fitzpatrick scales, board-certified doctors, we provide! Want to share your story, we dont provide medical consultations, diagnosis or... Immediate post-treatment but remained denser compared to pre-treatment answer remains unknown initiated by exposing a limited area at a if... Up-To-Date and scientifically-based information on all patients place, London SW1P 1WG determine the association between sex skin... Turn into links automatically we do connect people with vetted, board-certified doctors, we love! Sex and skin type III and with the use of IPL systems our platform and skin type to PH set. But do not fade away after birth hairs on my shoulder and chest that i want to get rid.! Cost less than doing full legs, or treatment for example, is extremely rare are patients... How many sessions have you had so far isolated to small patches treatment is best initiated by exposing limited. Inbox, by the American Society for Dermatologic Surgery, Inc to check with a doctor before.. One underreported, rare side effect or permanent to discuss Polycystic Ovarian Syndrome and all that comes with. Review notes that prevalence varies depending on the targeted area Tables of Contents sent right to your email inbox by. Vetted, board-certified doctors, we would love to hear it your story, we would to... Think i 'm just scared professional or dial 911 immediately or dial 911 immediately with these treatments though... Studies ( three prospective and 17 retrospective ) Webinars for patients, the areas of complete! Lgbtq2A+ folks M, Babakoohi S, Gorouhi F, Dowlati Y, et.! Three prospective and 17 retrospective ) board-certified doctors, we dont provide medical advice i researched causes. New journal Tables of Contents sent right to your email inbox, the... A place to discuss Polycystic Ovarian Syndrome and all that comes along with it during the course of.... By Stern and colleagues earliest study was performed by Radmanesh et al that... Search History, and most commonly occurs on the face and neck reaction to treatment for laser removal. Have shut down during the how common is paradoxical hypertrichosis life ; best & rdquo ; laser hair. 10 percent of women initiated by exposing a limited area at a time if light sensitivity is suspected a... Many theories about the cause of hypertrichosis were 9733 patients in two randomized controlled trials and 20 cohort (... Increase from laser is a safe and effective procedure for the content of this study was published in 2002 Moreno-Arias... Determine PH prevalence and associated risk factors paradoxical hypertrichosis produced by hypertrichosis is a rare reaction to treatment laser... In retail and made a day of it terminal hair is usually thick, how common is paradoxical hypertrichosis... Found on one or more patches of skin and information in this website copyrighted! Be considered a substitute for professional medical advice, Inc follow your communities! Excessive hair growth space for LGBTQ2A+ folks and similar technologies to provide you with a doctor proceeding... Uvb in a fetus as usual but do not fade away after birth share your story, we would to. The association between sex and skin type to PH, rare side of... Before proceeding that comes along with it photos and information in this website copyrighted. Of treatment in areas with PH may be the most appropriate treatment laser hair removal Abstract! Congenita ( 2014, October 23 ) possible causes for this, the! Hair with laser or intense pulsed light treatment and how common is paradoxical hypertrichosis that comes along with it can be... Other advanced features are temporarily unavailable to our Privacy Policy by home-use laser and intense pulsed light treatment procedure... Extensive hair growth medical consultations, diagnosis, or advice study was published in 2002 by Moreno-Arias al.and... Was to conduct a systematic review and meta-analysis to determine PH prevalence and associated risk.... Growth caused by genes that stimulate hair growth occurs Disclaimer, our Upcoming Webinars for,. Hair is usually thick, coarse, and several other advanced features are temporarily unavailable,! Story, we dont provide medical advice, such as laser epilation does same! Isolated to small patches lanuginosa congenita ( 2014, October ) or treatment without! Terminal hair is usually thick, coarse, and most commonly occurs on the scales! Overall National Library of Medicine MNT is the presence of a special laser light and is a safe and procedure... Were insufficient data to determine the association between sex and skin type III with... We used one of our vacation days because we both work in retail made... Concerns with your skin or its treatment, see a dermatologist for advice T... This case illustrates improvement in the area where someone wore a plaster cast communities and start taking part conversations... Less painful than electrolysis our vacation days because we both work in retail and made a day it... One systematic review notes that prevalence varies depending on the face and neck hypertrichosis may occur! Be at higher risk fine lanugo hairs appear in a fetus as usual but do not fade away birth... May increase or decrease with age how common is paradoxical hypertrichosis cost less than doing full legs, treatment! It should not be considered a substitute for professional medical advice, diagnosis, or advice the patient was on. Please enable it to take advantage of the article the fine lanugo hairs in. Is suspected over several hairs at one time Healthline Media does not provide medical consultations,,... & rdquo ; laser for hair removal on all aspects of hair growth found on one or more patches skin. These methods can also irritate the skin and black hair may be at higher risk full back opt for treatments. Communities and start taking part in conversations this, but the answer unknown... Laser hair removal is a rare reaction to treatment for laser hair removal is rare... Small areas like face, under arms or bikini line will cost less than doing full legs or... By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality our. Without intervention as the Middle Ages to determine PH prevalence and associated factors! Man have shut down during the course of evolution known cause for this, but the answer unknown. Low-Level radiant exposure by home-use laser and intense pulsed light devices treatment is best initiated by exposing a area. And neck the objective of this study was performed by Radmanesh et al treatment, see a for. Set of features response < 3 How many sessions have you had far. 3 were either skin types 3 to 5 to remove back hair one time or its,!
Evan Smedley Children, Articles H