Which Laser is the Best for Broken Capillaries? Vbeam, Cynergy, or Excel V?

Question

Which laser is the best for broken capillaries? Vbeam, cynergy, or excel V?

Harold J. Kaplan, MD · Answer

Hi PM.  If we could, we would suggest that instead of focusing on the brand of the laser, you focus on the TYPE of the laser and the experience of the person using it.  In the past 10 years we have done over 100,000 laser procedures and our recommendation for small facial veins would be a KTP laser (example, Lasersope Lyra, 532 nm wavelength) or a long pulsed Nd:Yg laser (examples Sciton profile or Laserscope Lyra, 1064 nm wavelength).  While the pulsed dye lasers may help (VBeam and VStar, 585 nm wavelength), they are not as effective at getting rid of visible blood vessels that can be seen and traced as the other types of lasers are.  They also have the effect of bruising the skin after treatment and these bruises can last up to 10 days.

	In addition, the person doing the treatment will make a big difference in your result.  Even if you find the right type of laser, if the person doing the treatment does not understand the correlation between pulse width of the laser and the size of the vein, they may fail to produce the results you desire.  Hope this helps and good luck.

Sabrina Fabi, MD · Answer

There are not many studies comparing one laser versus the other for its efficacy in treating broken capillaries, but studies on each one have shown excellent efficacy. All of these lasers can be very effective in experience hands with the correct settings.

Dennis Gross, MD · Answer

I find that the VBeam is the best laser when it comes to treating broken capillaries. VBeam is the most advanced Pulsed Dye Laser Technology, it treats red skin, broken blood vessels, rosacea, and birthmarks. This laser targets the selected area with an intense yet gentle burst of light. This laser is so safe that it’s used for the treatment of port wine stains on infants and young children. It also treats photoaging and sun damage with no downtime.

Richard Ort, MD · Answer

There are many different lasers that can be used to treat broken capillaries on the face. The V-Beam and Cynergy are both pulsed dye lasers. Pulsed dye laser is effective but it does leave bruising afterwards which lasts for a few days. In my practice, we usually start with the Iridex Varilite laser or intense pulsed light (we have the BBL) since these do not leave bruising. We do sometimes use pulsed dye laser for stubborn vessels on the face, as long as the patient is willing to have bruising afterwards. You should not focus on individual laser brands but instead focus on choosing the right doctor who has the training and experience to give you good results.

Hratch Karamanoukian, MD, FACS · Answer

There are no practices that have every laser system. Every practitioner who deals with telangiectasias has an 'armamentarium' of machines with different capacities, wavelenghts that are used to treat differnet types of problems - birth marks, telangictasias on the legs, face, eyes, etc ... so, find someone or some practices that can deal with your problem - don't shop for laser brands - we use the Palomar 500 ICON system ..

Michael Contreras, MD · Answer

First, I'll assume you are referring to facial vessels. All three devices can be effective in treating broken capillaries on the face. Facial vessels come in different sizes and colors from tiny pink vessels to linear purple vessels around the nose. A physician experienced with any one of these devices will know the appropriate settings for treating your particular types of vessles. At my office we have both the Vbeam and the Cynergy lasers. I use both lasers mostly interchangeably. There are some cases where the Cynergy is useful to treat stubborn vessels because it combines 2 lasers in one (PDL and Nd:YAG) which adds to it's versatility. Know that most patients require 2-3 treatments spaced 4-6 weeks apart for optimal results. Getting test spots before full treatment can be helpful to determine the most effective settings from the start. See an experienced physician.

Which Laser is the Best for Broken Capillaries? Vbeam, Cynergy, or Excel V?

Answers (6)

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