Would a different laser other than V Beam be better, or is this just expected maintenance? (Photos)

Question

I've had several sessions of V Beam at purpuric levels on my chest and arms (pictures included) over the years (usually 2-3 times/year). It's made an improvement in the overall redness of my skin, especially on my chest. But some time after I always end up reddish/blotchy/splotchy again - it's more visible when I get hot, like when exercising. Is it time to try a laser other than V Beam that would be better to rid of this? Or different settings? Or is this just "the way it is"? Thank you.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. I recommend a combination of lasers (ProYellow, Excel V, VBeam) and microneedling/prp. See an expert. Best, Dr. Emer

Steven F. Weiner, MD · Answer

VBeam shouldn't leave you with that much purpura these days. I don't know if this is an older version or the wrong settings. I use the Excel V laser on reds and have great results. You might need to have a resurfacing laser too, such as the Fraxel 1927. I would seek another opinion.

Would a different laser other than V Beam be better, or is this just expected maintenance? (Photos)

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