Best Laser Treatment for Broken Capillaries and Brown Spots?

I think that the best choices for your problem are either IPL (with post-procedure redness for about 1-4 days) or Pearl Laser (with post-procedure redness, scaling and mild swelling for 3-8 days). Both treatments will take care of your brown spots and skin discolorations. The Pearl Laser may add some improvement in fine lines and possibly some very mild skin tightening.

For the face: We get excellent results treating telangectasias ("Broken capillaries) with the Diolite Laser (A 532 nanometer diode laser) and very good results treating the brown spots with an Intense Pulsed light Machine (Elos by Syneron) For the legs: For small telangectasias (broken capillaries), we use the Osyris Exotherme with very good results. The brown spots are more difficult to treat, but we also use the Elos for actual freckles. If... more

I routinely treat both red vessels and brown spots at one session with a green light Laser ( Versapulse) with contact skin cooling (for safety and comfort), and a Q-switched Laser (Trivantage Alexandrite).      I find that most people get optimal results in just one or two sessions with the combination Laser technique as opposed to up to 3 sessions with an Intense Pulsed Light (IPL)source.There is a bit more swelling and some light crusting for a few more days... more

Two different lasers are needed to treat both vessels and pigment. IPL, Intense Pulsed light, also called Photofacial, can be used to treat both pigment and vessels. Generally, pain and recovery are less with IPL than with lasers. usually three IPL treatments spaced 6 weeks apart are required.

In general, lasers that are used for redness are not ideal for brown spots. A non-laser light source such as an intense pulsed light source (IPL) can be used to treat both of those problems. Using an intense pulsed light source generally requires multiple treatments but there is no downtime associated with it. The Fraxel laser is a wonderful laser to improve the quality of skin and fine lines, but it does not necessarily work well on brown spots and it is generally not effective in treating... more

The right answer is that there is no right or wrong laser, and depends on the experience of the laser center and the array of lasers they have to treat all of the conditions you mention. You are describing, "matting" with telangiectasias and hyperpigmentation from treatment failure or underlying associated venous reflux disease - that is if these are in your legs. You don't specify in your question where these lesions are (legs, face). If it is in your legs, you need to be... more