BBL vs Excel-V for sun spots on my face and chest?

Question

Hi and thank you for your time. I want to get rid of some sun spots on my face & chest. One doctor said BBL another doctor said Excel-V laser. I am fair skinned Eastern European descent, prone to hyperpigmentation and very mild sun induced melasma. Is either one OK or better or worse for that skin type? Thank you so much

Thomas D. Griffin Jr., MD · Answer

Having a lot of experience with both devices, I am partial to BBL over the excel v for brown spots. On the other hand, I greatly prefer the excel v for blood vessels. The reasons are this: the BBL technique is a multi pass technique which helps to avoid what we call stamping ( areas of untreated skin between laser marks). BBl Is also a no downtime procedure while excel v will definitely cause swelling on the face. Lastly, BBL is a more comfortable procedure to go through than excel v, it has a larger spot size and uses less energy. I think they both work for brown spots but for these reasons I prefer BBL. Hope this helps.

Michele S. Green, MD · Answer

Photos would help the most but I would not advise you to have lasers if you have melasma.  Cosmelan is the best treatment for melasma.  The Alex-trivantage is the best laser for individual sun spots.  I treat a lot of patients who had BBL for sun spots and it made their melasma worse.  Please consult an expert in lasers for the best cosmetic results.  Best, Dr. Green

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BBL vs Excel-V for sun spots on my face and chest?

Answers (2)

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