Excel V or V Beam for very very thin veins? (0.1mm or less)

Question

I have a number of veins on my nose that are extremely thin (0.1mm or less), but are arranged in a way that makes up a long line, so that makes it pretty noticeable. They have been treated before and went from thicker and darker to more faded and thin, but I want them completely gone. Which laser does the best job targeting veins like that?

Kevin Haney, MD · Answer

I would recommend Excel V for the veins on your nose, and most patients see results after one or two treatments. Most patients experience a stinging sensation as the pulses of energy are delivered through the handpiece. It is very safe, and following the treatment, the pain is minimal to nonexistent.

Jason Emer, MD · Answer

Both of these can be used for nasal veins, in addition to ProYellow laser. It may take a series of treatments. See an expert. Best, Dr. Emer

Tracy Leong, MD · Answer

Thank you for your question! For telangiectasias (spider veins) around the nose, both the VBeam laser or Excel V laser work very well. There will not be a significant difference between the two for treatment of your telangiectasias.I hope this answer is helpful! Best of luck.

Steven F. Weiner, MD · Answer

I have had both lasers and believe the Excel V laser is better for this problem. It takes several treatments to be successful and they all come back over time. Remember that the smaller a vessel is, the harder it is to treat.

Thomas D. Griffin Jr., MD · Answer

Both of these lasers will provide excellent results for these veins. That being said, the Excel V is certainly the better of the two options for visible veins whereas the PDL does a better job for generalized redness. Both treatments are roughly equivalent in both pain and in cost. No matter which treatment you choose, you should expect that over time these small veins will likely re-appear and need touch up treatments.

P. Alexander Ataii, MD- Account Suspended · Answer

Excel V Laser is the new gold standard – while most lasers take multiple sessions to achieve noticeable results, many procedures performed with the Excel V will require the least number of  treatments, and results are visible almost immediately. Dual wavelength technology make it not only more effective, but also efficient in treating a wide range of aesthetic flaws.
The 532 nm wavelength is most effective in treating superficial vascular and benign pigmented lesions, since it is absorbed at a high rate by oxyhemoglobin and melanin. The 1064 nm wavelength laser’s lower absorption by melanin make it a safe and effective option for treating deep vascular and cutaneous lesions.
I hope this helps.
Sincerely,
P. Alexander Ataii, M.D.

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