Which is the BEST New LASER to Remove BROKEN CAPILLARIES and ROSACEA on the Cheeks/nose? Can I Do CUTERA EXCEL V?

The best laser to get rid of unwanted blood vessels on the face would be the Vbeam.

Every laser system relies on a specific wavelength to perform a specific function.

The Vbeam uses the 595nm wavelength, which is specialized for small blood vessels. In order to see great results, the laser energy needs to be absorbed by a particular target.

The 595nm will be absorbed in an excellent fashion by oxygenated hemoglobin.  It will proceed to destroy the walls of the blood vessels. The body then breaks down this tissue and carries it away from your skin’s surface so that they are no longer visible.

Here is a patient who underwent a Vbeam treatment for chest Rosacea


 

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi Vegansmile.  The first piece of advice we would give you is to not worry so much about finding a "new" laser.  The physical properties of laser light have not changed since they were invented 50-60 years ago.  There are two wavelengths that work very well for small facial veins, the KTP laser (532 nanometer) and the long pulsed Yag (1064 nanometer).  Neither of these are new technologies.  We use the the Sciton Profile (1064).

For Rosacea or general redness, you should look for the Cynosure V-star or Candela V-Beam.  These are 585 nanometer wavelength.

The Fraxel will be useless for facial veins and redness.  As you have stated, it will often make them worse.  The EXCEL V by CUTERA will likely work well as it has the 532 and 1064 wavelengths.-

Hi Vegansmile,
There are definitely new treatments available to help treat rosacea today so you're in luck. 
Your doctor may suggest using a laser, the magic tool of the 21st century, but the use of the wrong tool in the "slightly less experienced hands" of a doctor who may be well meaning, but lacks the years of knowledge and skill to understand and truly treat your underlying problem, may lead you down a very expensive and unhappy rabbit hole. There is no cure, but with consistent use of the right

meds for you, use of sunscreens and possibly the use of lasers for some of the smaller blood vessels that may be bothersome your level of control can be more than satisfactory. Hope this helped!
Dr. S

In Rosacea, we use the Cutera Nd:Yag for physical vessels that track along the surface of the skin. The Limelight IPL works for diffuse redness. Topical creams such as Finacea may also be helpful. Rosacea is an ongoing problem and you will need multiple treatments to get the redness under control. Then on a yearly basis, 1 or 2 treatments may be necessary to keep it under control. Fraxel sessions are not specific for Rosacea.