IPL vs Laser Genesis vs BBL Laser for Broken Capillaries

Question

Hi, hope someone can help. I just paid $1500 for one treatment of Fraxel and I wanted it to get rid of my red broken capillaries and red in my cheeks and chin. It's not gone. My doc said it won't go away from Fraxel (wish I knew that earlier). WHAT is the best laser out there that will get rid of it?? I feel I'm spending too much money and not getting the results. PLEASE HELP :o( BBL???? IPL???? Laser Genesis ????

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Peter L. Kopelson, MD · Answer

There are many lasers that are effective for vascular abnormalities and overall redness. In The Kopelson Clinic we use the ND:Yag laser for discrete capillaries and the PDL for overall redness. Genesis can also be effective for overall redness. The IPL is typically more effective for the treatment of brown spots.

Anne Marie McNeill, MD, PhD · Answer

Candela V-beam or the Cutera CoolGlide Xeo are 2 of the best for broken capillaries.  In general there is a noticeable, dramatic improvement from just one treatment, although it is often 2 or 3 treatments before the blood vessels are completely gone.  You may have some bruising from the procedure, but often there is minimal bruising.

	Fraxel doesn't help redness as you have learned.  Broadband light or Intense Pulsed Light will help minimally.  Laser Genesis also may help but it is also a more subtle improvement.

	Good luck!

Edward Lack, MD (retired) · Answer

Several lasers including IPL, KTP, and pulsed dye laser are excellent to remove red vessels from the skin. It is best to consult with your dermatologist.

IPL vs Laser Genesis vs BBL Laser for Broken Capillaries

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