Your question is an excellent one. Most people have sun damage and have a combination of red and brown spots. I would suggest the Fraxel laser for the pigmentation and the V-Beam laser for the broken capillaries. I have the IPL but do not find it as effective as either in treating the brown or the redness.
What laser is better for brown spots and broken capillaries on face, Fraxel Dual or IPL?
Doctor Answers 6
I Would Suggest IPL Treatment
In your case IPL probably a better option
Fraxel, a true laser, will offer a faster and more dramatic result when addressing your hyperpigmentation. Fraxel also stimulates and rebuilds collagen in the skin.
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Fraxel v. IPL
If you are treating brown spots AND small veins IPL will address both. If the goal is to treat brown spots and sun damage then Fraxel Dual is the best. Fraxel Dual does not address superficial veins on face.
Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute
Fraxel Dual vs IPL
Fraxel Dual Laser uses microscopic laser columns that penetrate deep into your skin to stimulate your body’s remodeling of collagen. Fraxel Dual treatment resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out.
Both will treat brown spots however only the IPL will treat both. It’s important to keep in mind that an IPL treatment is a superficial treatment. If the pigmentation or broken capillaries are mild then you might be happy with the improvement from an IPL. If it is more severe then I recommend treatment with Fraxel Dual for pigmentation and Vbeam Perfecta for broken capillaries. Consult with a Board Certified Dermatologist to see what treatment is best for your concerns.
Radiowaves Work Well For Lightening Brown Spots And Clearing "Broken Blood Vessels."
Brown spots (liver spots) or more precisely solar lentigines and "broken blood vessels" on the face (telangiectasias) respond will to radiowave treatments. I have not been impressed by the results of many of the lasers currently available, including fraxel lasers, nor by the results of many of the other current energy-based therapies, such as IPL.
Unfortunately, there seems to be more marketing hype to these machines than rigorous scientific substance. One need only contemplate the fact that in the laser field every day seems to bring with it claims for the "next greatest thing" with a new set of bells and whistles.
When it comes to treating common problems like brown spots and broken blood vessels, the KISS principle ("keep it simple) is a worthwhile approach. For years I have been successfully fading face and hand brown spots and facial broken blood vessels using a simple radiofrequency device. The treatment area is numbed to make the procedure painless and then the desired area is given a few tiny bursts of energy and the brown spot is wiped away with a gauze pad or the broken blood vessel sealed off. Treatment takes only a few seconds for treating brown spots and just a few minutes for treating a faceful of telangiectasias.