Skin conditions are a common occurrence, and although most are relatively benign, they can have a profound effect on an individual’s self-confidence and self-esteem. Some common benign skin conditions include pigmentation issues such as freckles and age spots, as well as vascular issues, like facial veins, leg veins, spider angiomas, and rosacea. Many of these conditions occur due to sun damage, aging, environmental and genetic factors, such as Poikiloderma of Civatte and photoaging.

Cutera’s excel V+ is among the most advanced vascular lasers on the market. By delivering two clinically proven laser wavelengths, 1064 nm and 532 nm, excel V+ can address more than 20 treatment indications.

The versatility of excel V+ is demonstrable. It features both a large 16 mm spot size, 50% more power relative to its predecessor, and allows for faster treatments on the face and chest. excel V+ also features the Dermastat handpiece, a small 2 mm spot size handpiece, that facilitates the tracing of small vessels and lesions, especially around the nose for targeted treatments.

Cutera’s signature Laser Genesis™ procedure delivers a non-ablative, no-downtime treatment to address skin revitalization concerns, textural impurities, and scarring. Laser Genesis is safe for all skin types and serves as an excellent ‘gateway’ procedure for practices. New to the excel V+ is also the Green Genesis procedure, providing a more targeted approach to resolving erythema and diffused redness.

The 532 nm wavelength is a primary choice for the treatment of superficial vascular lesions. Research shows that the 532 nm wavelength is at least as effective, if not more, than pulsed dye lasers in the treatment of facial telangiectasias¹. The 532 nm wavelength can also be used to remove unwanted pigment on the face and body.

Another advantage of the 532 nm wavelength is the ability to address both hemoglobin and melanin (reds and browns) at the same time. This is increasingly beneficial for treating indications that present with both chromophores, such as Poikiloderma of Civatte or photodamage.

The 1064 nm laser, pioneered by Cutera, is particularly effective in the treatment of deeper blood vessels and vascular concerns that are blue or purple. This includes veins in the legs, venous lakes, venous malformations, and port-wine stains. The 1064 nm laser is also capable of treating hemangiomas and bruising, laser hair removal, active acne, and acne scarring.

excel V+ was designed to address the needs of dermatologists, with a focus on ensuring flexibility, ease-of-use, precision, and safety. According to renowned dermatologist, E. Vic Ross, MD., “The enhanced excel V+ offers a greater range of spot sizes and versatility. These advances allow for a speedier and more comfortable experience for our patients. The new pencil-sized tip allows for more precise beam delivery for smaller lesions. The combination of the 532 nm and 1062 nm wavelengths allows for the treatment of vascular and pigmentation conditions, whether superficial or deep, with a single device. It’s a reliable, stable, and a system I use every day in my practice.”

1.Uebelhoer NS, Bogle MA, Stewart B, Arndt KA, Dover JS. A split‐face comparison study of pulsed 532‐nm KTP laser and 595‐nm pulsed dye laser in the treatment of facial telangiectasias and diffuse telangiectatic facial erythema. Dermatologic surgery. 2007 Apr;33(4):441-8.