How to get best results with Cutera 532 ktp

I'm getting Cutera excel v 532 for Rosacea flushing and redness. I asked my doctor if I needed to be very red for my appt to have the best results and he said no. I had another consultation with another dermatologist and she said yes, that I need to be very flushed and red. Is there any concensus on this?

Doctor Answers 4

Rosacea -- Yellow Laser , Pulsed Dye, Excel V

There are many treatments for redness, I suggest you see an expert who uses these lasers frequently.  The amount of redness won't matter for the ultimate results if you have the condition.

Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews

Laser treatments for rosacea

Thank you for your question super85. Rosacea is a common condition characterized by redness or flushing typically in the central face that may have specific triggers. The first step in rosacea treatment is using an appropriate broad spectrum sunscreen SPF 30 or more daily. Topical products such as niacinamide are helpful as well. Lasers that target redness include KTP (532 nm), pulsed dye (585-595 nm), IPL, and Nd:YAG (1,064 nm). Some people take niacin by mouth prior to a treatment. Niacin is a vitamin B3 analog that brings blood to the surface of the skin. Since the target of the laser is blood there will be more of a target so theoretically it may lead to improved results. However there have been studies comparing the two so we do not know the answer to your question. Combining an Nd:YAG treatment using laser genesis settings (0.3 msec pulse width) with either KTP, pulsed dye, or IPL treatments will lead to further improvement. A series of three to six treatments are recommended. Treatments can be done at 4-8 week intervals. After the initial series, maintenance treatments are recommended once every three months. Please consult a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 1 review

Excel V for rosacea and redness

I would agree with Dr. Elias. It works very well and does not need to have redness. I also will combine with Laser Genesis for optimal results. You have one of the best lasers on the market and should have great results.

Excel V and redness...

Thank you for your question.  Lasers work on the principle of photothermolysis, meaning the need a target (chromophore) for the laser to work.  In the case of the Excel V, if you are red and flushed you will likely see faster results, however you do not need to be flushed for it to work.  The laser typically takes 3 treatments to see really good results, the reason being is that it may not destroy all the red at one time.  To get the best results with the Excel V for redness we combine immediately with Laser Genesis which destroys microvasculature.  You typically still need 3 treatments however the clearing is remarkable.  Regards, Dr. Matt Elias

Matthew Elias, DO, FAAD
Fort Lauderdale Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.