V beam spot size vs power? Had test are done 12 days ago and it is not significantly darker red then it used to be.

Question

12 days ago I had a vbeam test area done. The area is now a significantly darker red than it used to be. I didn't have pupuric bruising after - this crept up a few days after the procedure. Pre-op, the doc told me that a smaller spot size will result in a higher power needing to be used. I'm just curious how this works? I chose a smaller spot size of around 5-6mm because I didn't want to vbeam healthy areas of skin - only the specific area that is red.

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

This is difficult to answer without pictures. I recommend following up with your Doctor for after care recommendations. PDT therapy can improve inflammation. I always combine lasers with microneedling/prp to get the best outcomes. Best, Dr. Emer

Michele S. Green, MD · Answer

V-beam is the most popular laser that I perform in the office.  It is not a laser that requires a test spot or having the patient choose the spot size.  If you could re-post your question with photos and include what you are specifically treating perhaps I can be more helpful.  You should not have down time with the V-Beam since it is designed that way.  The old pulsed dye lasers all bruised patients and is no longer in use.  Please consult an expert in lasers and V-Beam for the best cosmetic results. Best, Dr. Green

V beam spot size vs power? Had test are done 12 days ago and it is not significantly darker red then it used to be.

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