Which Laser is Best for Broken Capillaries? PDL or Iriderm?

Question

I am having laser treatment for broken capillaries around my nose and cheeks. I have seen two dermatologists, one wants to use a PDL and the other wants to use the Iriderm laser. Which one is better to use on capillaries and general uneven skin tone? Thanks in advance.

Michael I. Echavez, MD · Answer

There are several different types of lasers that can help with redness, like that caused from broken capillaries. Different physicians may have a preference of one over the other. I personally prefer the PDL laser for treating broken capillaries and feel this works better than the other ones.

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Stuart H. Bentkover, MD (retired) · Answer

I have been using a PDL for many years. The 595 nm wavelength is more specific than the YAG 532 wavelength of the other laser. This means that treatments should go faster and be less painful. I use 532 for some tattoos. Added a video below.

Which Laser is Best for Broken Capillaries? PDL or Iriderm?

Answers (3)