Category Archives: LLLT

HairMax LaserComb 9 vs LaserComb 12

When it comes to the best laser hair growth devices, the HairMax LaserComb is the oldest well known product on the market. And it is a lot cheaper than laser helmets and laser caps. I briefly covered Lexington International (the company that owns Hairmax) a few years ago when its president Leonard Stillman commented on this blog.

HairMax (part of Lexington International) currently has two laser comb models on the market. The Ultima 9 Classic LaserComb and the Ultima 12 LaserComb.

HairMax LaserComb

HairMax LaserComb
HairMax LaserComb.

The LaserComb’s inventor and CEO is David Michaels. The first LaserComb device obtained US FDA 501(k) clearance to market for use in balding male androgenetic alopecia sufferers in 2007.

Approval for female pattern hair loss patients came in 2011. At the time, they had three devices: HairMax LaserComb Advanced 7; HairMax LaserComb Lux 9; and HairMax LaserComb Professional 12.

A study in 2009 concluded that:

“HairMax LaserComb is an effective, well tolerated and safe laser phototherapy device for the treatment of AGA in males.”

Another study from 2014 found “a statistically significant difference in the increase in terminal hair density” between lasercomb-treated versus sham-treated subjects.

HairMax currently has two laser comb models on the market. The Ultima 9 Classic LaserComb and the Ultima 12 LaserComb. Both products come with money-back guarantees and warranties. A directly competing product is the NutraStim Laser Hair Comb, although it seems to have become unavailable in recent years. Other more expensive (non-comb) low-level laser therapy (LLLT) products for hair growth include Theradome and Revian Red and iRestore. HairMax itself also sells two different laserbands.

Dateline covered the LaserComb quite favorably in 2011, with before and after photos and patient feedback included. I even mentioned that story in a post in 2014. Thereafter, a whole bunch of new companies have come out with FDA-cleared low-level laser devices to grow hair. None are laser comb or brush type products that entail combing one’s hair daily or several times a week.

HairMax Ultima 9 Classic LaserComb

HairMax Ultima 9 Classic LaserComb.
HairMax Ultima 9 Classic LaserComb.

On Amazon, the price of the Ultima 9 is currently $175 after a discount. They sometimes also offer a bonus coupon available as an add-on. The Hairmax Ultima 9 Classic LaserComb currently has an average rating of 3.9 out of 5 stars, based on 1,700 customers. On the manufacturer HairMax International’s own site, 419 customers have rated the product at 4.4 out of 5 stars as of today based on 395 reviews.

Of the numerous well known brand name low-level laser therapy devices on the market, this is by far the best price. You can purchase lesser known unproven brands at lower prices.

The HairMax Ultima 9 Classic LaserComb comes with the following features and properties:

  • FDA Clearance.
  • 9 Medical grade lasers (but no LEDs).
  • Cordless with rechargeable battery.
  • Power cord also available.
  • 11 minute treatment time.

On the Best Buy, Costco and Macy’s websites, the price of this Ulima 9 product is currently $190-$200 (Edit: no longer available for sale on those sites). Walmart currently has a refurbished Hairmax Prima 9 Classic LaserComb for sale at just $145.

Make sure to also see this official Lexington video on how to use the HairMax Ultima 9 Classic LaserComb.

HairMax Ultima 12 LaserComb

HairMax Ultima 12 Laser Comb.
HairMax Ultima 12 Laser Comb.

HairMax’s newer LaserComb model is the Ultima 12. On Amazon, the product has an average rating of 3.9 out of 5 stars, based on 1,700 customer reviews. The Ultima 12 is currently priced at $303 after a discount.

The average rating on Walmart’s website in the past was a much better 4.4 out of 5 stars, based on far fewer customer reviews. An even higher 4.5 star rating can be seen on HairMax’s Ultima 12 product page.

The main advantage of Ultima 12 over Ultima 9 is that while the former has 12 lasers, the latter has 9. Treatment time is just 8 minutes with the Ultima 12, versus 11 minutes with the Ultima 9.

Laser Comb Reviews and Ratings

I am quite surprised to see so many positive HairMax LaserComb reviews considering its weaker strength compared to more expensive LLLT devices such as laser caps and laser helmets. An average of 4.0/5 across the diverse list of vendors and retailers that I listed above is quite impressive for a laser comb product.

In online hair loss forums, a large number of people seem to conclude no significant hair growth benefit from using laser combs for hair growth.

Safety and Side Effects

In 2012, Lexington released the results of its sponsored clinical study on the efficacy of the LaserComb 7 beam model. Laser combs are safe and well tolerated phototherapy devices used to treat androgenetic alopecia (male pattern baldness). I have never heard of anyone complaining about major side effects upon using these products to promote hair growth. However, lasers and light can be dangerous to the eyes, so do not do this type of thing.

Note that almost no-one claims that lasers will regrow hair follicles on totally bald regions of the scalp. At best, they can make existing thinning hair stronger via photo-biostimulation and light energy. And possibly regrow recently miniaturized hair follicles.

Some studies suggest that laser light energy stimulation of the mitochondria and cells can also promote new hair growth. At least in modest quantities. However, some of these same studies are sponsored by laser device manufacturers. Hopefully this does not bias results, but one needs to be careful when analyzing findings in support of LLLT.

Frequently Asked Questions

Below are some frequently asked questions about the HairMax LaserComb.

Is HairMax FDA approved?

In 2007, HairMax was granted the first ever FDA clearance as a laser phototherapy device for home use to treat hair loss. Since then, Hairmax devices have received a total of 8 FDA Clearances.

What is the side effect of using laser combs?

Laser combs generally cause no major side effects if used correctly as instructed. In some cases, you can get mild scalp redness and itching. As with all laser devices, a mild burning sensation and smell is also possible, although this is never dangerous. Do not use the device on wet hair.

Does HairMax work for hair loss?

While the HairMax laser comb can improve your hair quality and thickness and even regrow some hair, it is not a cure for androgenetic alopecia (male pattern hair loss).

How often should you use the lasercomb?

According to the manufacturer of the device, the HairMax LaserComb needs to be used 3 times a week per the recommendation from clinical trial findings. Each treatment session lasts for 8-15 minutes. Overuse will not garner any further hair growth benefits.

StimuSIL SAGA-001 Precision LLLT

In my last post on pulsed electromagnetic field therapy (PEMF), I mentioned a recent August 2024 paper funded by StimuSIL (US). In there, the authors describe in detail a new hair growth technology and device from StimuSIL that combines laser and microneedling. It is supposed to be significantly superior to traditional low-level laser therapy for hair growth.

StimuSIL SAGA-001: Combined Laser and Microneedling

The new StimuSIL (US) hair growth device is called SAGA-001 and is only meant for in-clinic use. Most hair loss treatments entail daily usage (e.g., pill, topicals or laser caps/helmets/combs). In contrast, SAGA-001 treatments are only required once every two weeks. StimuSIL was co-founded by CEO Ana Villalba and Chairman Pablo Villalba.

StimuSIL’s initial SAGA-001 clinical trial was just completed in Turkey on September 1, 2024. The purpose of the 24-week study was to see if the SAGA-001 device is safe and effective at treating male pattern hair loss.

The original 2023 trial commencement announcement calls the product a “novel microneedling and laser device for male pattern hair loss”. The SAGA-001 device combines microneedling and laser light delivery for hair growth. The manufacturer calls this patented technology “precision low-level laser therapy (LLLT)”. StimuSIL does not have much on its website regarding the exact nature of this subdermal laser process.

StimuSIL SAGA-001
StimuSIL SAGA-001 precision LLLT. Combining laser energy and microneedling for hair growth.

The device uses lasers that are first inserted into the skin’s dermis in order to avoid loss at the melanin level. According to the new paper’s authors:

“Precision LLLT utilizes a novel approach to photobiomodulation delivery, which is intended to reproduce the success of combining minoxidil with microneedling.”

The SAGA device pierces through the skin’s epidermis layer using novel optical microneedles. These needles bypass the melanin layer in order to safely and efficiently deliver more energy to the hair follicles.

On StimuSIL’s website, they state that when conventional laser hair growth devices shine light over the epidermis, most of it is blocked due to the melanin layer. Per the image above from their study, a staggering 80% of the low-level laser’s light energy is blocked by the skin’s melanin. And another 5% is reflected of the surface. So only 15% gets down to the dermis layer from where the hair follicles arise. Quite hard to believe.

The company’s proprietary technology:

“Aims to deliver PBM across the melanin layer of the skin in order to enhance this treatment’s biostimulatory effects.”

StimuField

Also significant, On August 2, 2024 StimuSIL announced plans to launch StimuField, a new wearable product entering their biomedical device pipeline. StimuField uses pulsed electromagnetic field therapy to improve hair and scalp health in men and women. I discussed this development in my earlier mentioned PEMF and hair growth post.

Below is a comparison image of the various treatments from the StimuSIL’s new paper:

StimuSil Precision LLLT
StimuSIL Precision LLLT. Source: Journal of Clinical Medicine, August 2024.