Candela V Beam Perfecta vs Cultera Excel V Laser for redness on scar?

Question

I got a scar from a botched procedure 2 years ago and I've had around 7 Excel V treatments. It has helped me marginally, but I'm really fair skin and the redness from the scar is still quite dark. Do you think the VBeam might help? I've read the VBeam has settings where you can bruise the surface area for a stronger healing process. It seems the Excel V can't break down the blood vessels in my scar. Seeing if VBeam or a Q-switch laser could make a bigger impact on the redness. Thoughts?

Raffy Karamanoukian, MD, FACS · Answer

In our office, we have several treatments that can help improve common vascular skin issues, including rosacea, post-inflammatory erythema, red scars, facial blushing, and spider veins. The Vbeam laser continues to be the gold standard for redness, including rosacea and post-inflammatory erythema. In some cases, we add Venus Viva RF coagulation to help improve redness on the skin from spider veins, inflammation, and rosacea. 
  
Generally, several sessions are required to improve redness on the skin. Vbeam laser, IPL Limelight, and Venus Viva all work very well with minimal downtime. 
  
Patients with rosacea may benefit from topical creams to help soothe inflamed skin. We recommend Elevase Moisture Booster. For Post-inflammatory erythema, Plato’s Scar Serum is recommended twice daily. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Edward J. Gross, MD · Answer

For red scars the Candela V Beam Perfecta does a great job. If your scar is "dark" then you should be using other treatment modalities. It is difficult to provide recommendations without a photo.

Jason Emer, MD · Answer

If the scar is pigmented it needs to be treated very different than if it is red. I suggest you see an expert.  Best, Dr. Emer.

Candela V Beam Perfecta vs Cultera Excel V Laser for redness on scar?

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Candela V Beam Perfecta vs Cultera Excel V Laser for redness on scar?

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