Excel V Laser System
The Excel V Laser System is a new and state-of-the-art laser technology for treating vascular skin conditions such as Rosacea, spider veins and Telangiectasia and pigmented lesions including sunspots.* The Excel V Laser System uses a high power green laser to target abnormal blood vessels and pigment in the skin. As these vessels or pigment cells are targeted, the skin is returned to a more natural color and tone.* Excel V is can be altered to be compatible with each patient’s skin condition. Excel V also has an adjustable spot size which allows for precise treatment of both superficial and deeper problems.* To ensure patient comfort, Excel V uses new cooling technologies which produce continuous cooling before, during and after the laser pulse.
The vast majority of people are affected by some kind of skin condition, either chronic or cosmetic, which cause unsightly broken blood vessels, discoloration and lesions to appear on the face and leg. The reality is that these conditions can have a serious impact on quality of life, causing embarrassment, self-consciousness or even depression.
The good news is that doctors at California Skin Institute are among the first in California to offer treatment of patients’ facial and leg vascular skin conditions with Excel V, a new noninvasive laser system designed to deliver customized treatment.*
Excel V is a new approach to treating skin conditions designed to enhance patient safety and comfort. The system uses a unique high power green laser that is absorbed by abnormal blood vessels in the skin. This laser heats the abnormal vessels, ultimately restoring normal skin tone and color.* The system, designed by Cutera in San Francisco, CA, incorporates the latest innovations in cooling technologies to ensure patient comfort, and there are no long-term side effects or downtime.
Traditional approaches to treating these conditions are largely limited to electrosurgery, sclerotherapy and surgical destruction of veins and vessels, each of which pose significant disadvantages. For example, electrosurgery, a procedure in which an electrode needle is used to target skin lesions, is rather painful and may cause craters in the skin. Similarly, sclerotherapy, commonly used to treat spider veins, is an invasive procedure that requires patients to wear compression stockings after treatment and includes an injection.
Conditions Treated with Excel V*:
- Leg Veins
- Facial Veins (red and blue)
- Venous lake (purple lesions on lips)
- Diffuse redness of the face and neck skin
- Scars and keloids
- Sebaceous hyperplasia (dilated oil glands)
- Port Wine Stain
- Cherry Angioma
- Sun damage pigmentation
Frequently Asked Questions
Q: How does Excel V work?
A: Excel V, which was developed by Cutera, is a new laser system for providing treatment of a variety of vascular skin conditions.* Many skin conditions manifest in the form of broken or abnormal blood vessels in the skin, such is the case with rosacea, in which the facial blood vessels dilate excessively causing redness and flushing. Excel V treats these conditions by administering a unique high power green laser that is absorbed by the abnormal blood vessels in the skin.* The laser heats the abnormal vessels. At the end of treatment, the patient’s natural skin tone and color are restored.*
Q: What specific conditions does Excel V treat?
A: Excel V has been shown effective at treating a number of conditions, including rosacea, telangiectasias, leg veins, port wine stains, and cherry angiomas.* Excel V treats mild and severe forms of these conditions.* The system may also have a cosmetic benefit for patients who have skin lesions or scars from past injuries or surgeries.*
Q: What are the benefits of Excel V compared with other treatment options?
A: The benefit of Excel V is that the treatment can be highly adjusted to ensure that the physician is delivering a level of treatment that specifically matches the patient’s skin condition. The system contains various wavelength modes, allowing the delivery of both short pulses for superficial blemishes, such as small lesions and skin discoloration, and longer pulses for deeper vascular conditions, such as leg veins and nodular port wine stains. It also offers a wide range of laser spot sizes to ensure that small treatment areas can be targeted at greater precision and larger areas can be treated in a shorter period. This high level of customization is what makes Excel V so effective at treating, often in one session, so many different conditions, which, in the past, would have required several different systems or procedures.*
Q: Are there other laser treatment options available for these skin conditions?
A: Yes, there are other laser treatment options available for skin conditions.* The challenge usually associated with laser treatment is tailoring the treatment to precisely match the patient’s unique skin condition. Some existing lasers may be effective for treating a condition at one size and depth, but may not work effectively on conditions that affect a larger area.
Q: What is the level of demand for treatment of skin conditions?
A: The prevalence of vascular skin conditions varies greatly. Rosacea is one of the most common conditions, affecting about 14 million Americans. Many people with Rosacea may not even realize they have it even when common symptoms are present such as redness in the face and flushing after consumption of alcohol, caffeine or spicy foods. Another fairly common condition is cherry angiomas, which are small red bumps that spontaneously appear on the skin. These kind of lesions are commonly found in middle-aged populations—more than 85% of people over 45 years of age have several cherry angiomas. Spider veins also is a fairly common condition although the exact prevalence varies according to different sources. Port wine stains, another condition which Excel V treats*, is a more rare condition, occurring in about 3 out of every 1,000 people. These are a type of birthmark often appearing on the face in which swollen blood vessels cause a reddish-purplish discoloration of the skin.
Although these conditions represent some of the most common cases for which the Excel V laser system provide treatment, the robust customization of the system makes it ideal for also treating more general cosmetic problems such as superficial blemishes, discoloration and even scars.* Given that the large majority of people have one or more of these conditions to varying degrees, almost anyone could potentially benefit from treatment with Excel V.*
Q: How is the procedure performed?
A: After an initial consultation with the patient, the physician determines if treatment with the Excel V is appropriate. Unlike other procedures, injections or topical anesthesia are not required throughout the duration of the 15 – 30 minute procedure. Depending on the condition, the physician places the Excel V hand piece over the affected areas of the skin until the abnormal vessels diminish.* To minimize discomfort and protect the patient’s skin, the Excel V uses a proprietary cooling mechanism.
Q: What skin types does Excel V treat?
A: All skin types indentified in the Fitzpatrick skin type classification can be treated with the Excel V system.* This classification denotes 6 different skin types, ranging from very light (type I) to very dark (type VI). The 532nm wavelength is ideal for treating skin types I – IV and the 1064nm mode can be used on all skin types I – VI.
Q: How many treatments are needed?
A: The number of sessions depends on various parameters, including the size, thickness and color of the vascular lesion.* Superficial vascular lesions such as small telangiectasia and diffused redness are easiest to treat; some patients might see improvement after just one treatment.*
Q: What are the costs of treatment?
A: As with any procedure, the costs depend on the specific condition for which treatment is being provided. For minor conditions only requiring a single cycle of treatment, the cost generally ranges between $250-$1,000. For conditions that affect a large portion of the skin and require additional treatment sessions, the price increases proportionally.
Q: How can I find more information about Excel V laser treatment?
A: More information is available at www.excelv.com
 Current Concepts: Laser Treatment of Adult Vascular Lesions. Tomi L. Wall, M.D. 2007