V Beam for resistant capillaries: In your experience what settings have you found optimal? (Photo)

Question

I’ve had several VBeams, my current setting for my cheeks is 7.5j, 7mm, 3ms, except under my eyes which is reduced to 7.25j, 7mm, 3ms. Both done on single pass only. I don’t get any bruising at these levels, I have skin type 1-2. I have stubborn capillaries, visible but very small, that are now slow to respond at the above settings. In your experience what settings have you found optimal? Is it generally beneficial to increase the spot size to 10mm to allow better penetration? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

In our office, we have several treatments that can help improve common vascular skin issues, including rosacea, post-inflammatory erythema, red scars, facial blushing, and spider veins. The Vbeam laser continues to be the gold standard for redness, including rosacea and post-inflammatory erythema. In some cases, we add Venus Viva RF coagulation to help improve redness on the skin from spider veins, inflammation, and rosacea. 
  
Generally, several sessions are required to improve redness on the skin. Vbeam laser, IPL Limelight, and Venus Viva all work very well with minimal downtime. 
  
Patients with rosacea may benefit from topical creams to help soothe inflamed skin. We recommend Elevase Moisture Booster. For Post-inflammatory erythema, Plato’s Scar Serum is recommended twice daily. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jason Emer, MD · Answer

The best treatments for capillary issues are vascular lasers such as pulsed dye laser,  Excel V, aerolase, laser genesis or yellow laser. Settings are determined on a per case basis, it is best to consult with an expert to determine the best settings for you. I suggest discussing this with the physician performing the treatment. We often combine vascular lasers with non ablative fractional lasers such as clear and brilliant or venus viva for better results.  Best, Dr. Emer.

V Beam for resistant capillaries: In your experience what settings have you found optimal? (Photo)

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