No improvement on telangiectasia after 1 BBL and 4 Excel V treatments, why? I had swelling/bumpy reaction (Photo)

Hello, I'm hoping someone can help. I have broken capillaries on my cheeks and one on my nose. The ones on my face are matted. I went to a dermatologist and her medical aesthetician did a BBL treatment. I returned 3 weeks later for a 2nd treatment, but since no improvement, went with Excel V. Then 6 weeks later had ExcelV #2 (7J, 10mm, 10ms), then #3 (7.4J, 10mm, 8ms), then #4 (8.4J, 10mm, 8ms). Don't know settings for #1 or 2. Med aesthetician did all treatments. Has over 20yrs exp.