How Does the Excel V laser Work?

The Cutera Excel V is a state-of-the-art laser system providing treatment for a variety of vascular and benign pigmented skin conditions.

The Excel V uses a unique high power green laser to precisely treat visible vessels and blemishes. The light is specifically absorbed by the blood vessels in the dermis. These blood vessels are coagulated and then re-absorbed by the body during the natural healing process. The Excel V has two wavelengths – there is a KTP (532nm) wavelength that treats the redness, brown spots and broken capillaries at the very surface of the skin. The Excel V also carries an Nd:Yag (1064nm) wavelength laser which can target purple leg veins, periorbital blue veins and deep vascular structures. Its advanced design cools before, during and after each pulse which provides the highest level of control, comfort and safety.

Cutera Excel V

What Conditions Does Excel V Treat?

  1. Angiomas – small “drops of red” that can appear anywhere on the body and are often more common on the chest.

  2. Benign pigmented (brown) skin lesions

  3. Birth marks – congenital red birthmarks – hemangiomas and port wine stains.

  4. Diffuse redness of the face and neck skin

  5. Haemangiomas

  6. Facial telangiectasia (“broken” capillaries commonly found on the nose and the cheeks)

  7. Large pores

  8. Leg veins (small veins on the leg)

  9. Poikiloderma (redish/brown discoloration of the neck and upper chest wall)

  10. Port wine stains

  11. Rosacea – treats diffuse redness to reduce facial flushing

  12. Scars – reduces the redness out of acne scars, traumatic scars or red surgical scars and reduces the thickness of thickened (hypertrophic) scars.

  13. Spider veins on the legs and ankles

  14. Sebaceous hyperplasia (dilated oil glands)

  15. Venous lake (dark blue vascular lesion usually on the lip but sometimes on the face or the ear)

  16. Warts – small growths on the skin.

  17. Toenail fungal infection

Excel V treats mild and severe forms of these conditions. The system may also have a cosmetic benefit to patients who have skin lesions or scars from past injuries or surgeries.

What are the Benefits of Excel V Compared to Other Treatments?

The benefit of Excel V is that the treatment can be highly adjusted to ensure that the dermatologist is delivering a level of treatment that specifically matches the patient’s skin conditions. The system contains various wavelength modes, allowing the delivery of both short pulses for superficial blemishes such as small lesions and skin discoloration and longer pulses for deep vascular conditions such as leg veins and nodular port wine stains. It also offers a wide range of laser spot sizes to ensure that small treatment areas can be targeted at greater precision and larger areas can be treated in a shorter period. This high level of customisation is what makes the Excel V so effective at treating, often in one session, so many different conditions which, in the past, would have required several different systems or procedures.

How is the Procedure Performed?

After an initial consultation with the patient, the dermatologist determines if treatment with the Excel V is appropriate. Unlike other procedures, no local anaesthesia or pain medication is typically required, although some patients may opt to request an anaesthetic cream prior to treatment. Following the procedure, the pain is minimal to non-existent.

How Many Treatments are Needed?

The number of treatments depends on various parameters, including the size, thickness and colour of the vascular lesion. Superficial vascular lesions are usually easiest to treat. Some patients may well see significant improvement after just one treatment.

Since individual results vary, ask your laser dermatologist about your specific condition.

Are There Other Laser Treatment Options Available for these Conditions?

Yes, there are other laser treatments available for skin conditions. The challenge associated with laser treatment is tailoring the treatment to precisely match the patient’s unique skin condition. The Skin Specialist Centre is unique in that it provides the widest range in New Zealand of lasers for management of pigmentation and vascular conditions.

What are the Possible Side-Effects?

Although many patients report few, if any, side-effects, those most commonly noticed are slight reddening and local swelling of the treated skin. Some patients may experience bruising and, in rare instances, blistering may occur.

Pre-Treatment Instructions

  • Do not wear make-up on the day of treatment.

  • No sun-tanning or self-tanners four weeks prior to treatment.

  • Some medications or supplements should be avoided due to increased risk of bruising (Omega-3 fatty acid, flaxseed oil)

  • Avoid treatments that may irritate the skin for 1 – 2 weeks prior to treatment (waxing).

  • History of cold sores may require an anti-viral prescription prior to treatment.

Vascular and Pigmented Lesion Post-Treatment Instructions

Avoid sun exposure and use a broad spectrum (UVA/UVB, SPF50) sunscreen to prevent further sun damage.

Bruising, redness and swelling are common and resolve with time.

Avoid heat and hot tubs for 1 – 2 days.

Avoid irritants a few days post-treatment: products containing tretinoin, retinol, benzoyl peroxide and glycolic/salicylic acids.

Leg vein treatments only: Compression stockings are optional. Avoid high impact for 3 – 5 days. Hemosiderin staining (brown staining) may occur after a treatment and usually resolves with time.