V-beam laser settings for small red surgical scar.

Question

I've had a red small surgical scar for 3 years already on my face. I've had 5-vbeam laser settings at 10.5joules 10ms 10 with no bruising and no results. I've also had 2 Excel-V laser at settings: 1. 7mm 8ms 5.6j 2. 7mm 4ms 5.6j No results and no bruising. It seems like doctors do not understand the settings of their lasers. Can any doctor recommend the correct settings? I know some pin point bruising will be the correct settings to burst the blood vessels.

Raffy Karamanoukian, MD, FACS · Answer

Our protocol for hyper-erythematous redness uses a combination of lasers and Nanofractional RF to help reduce localized and perfuse hypervascularity in the skin. We begin with an evaluation of the redness and evaluate the cause of the hypervascularity. Treatments with Limelight IPL, Vbeam Perfecta, and Nanofractional RF are then used to reduce the blood vessels and telangiectasia within the skin. Patients benefit from post-treatment application of Elevase Moisture Booster with ceramides. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Stephen P. Smith, Jr., MD · Answer

Thank you for your inquiry. Pulse dye laser is an excellent strategy to optimize the appearance of scar, but it is typically best used during early wound healing physiology. More mature scars are less apt to respond. Limitations of the Vbeam are usually related to depth and caliber of the target vessels. A surgeon with extensive laser experience should be able to adjust laser parameters to optimize your outcome, and advise you with regards to other options for scar management.

V-beam laser settings for small red surgical scar.

Answers (2)