The Cutera Excel V laser system combines 532 nm KTP and 1064 nm Nd:YAG wavelengths to address a wide range of vascular and pigmented skin concerns, including facial veins, rosacea, melasma, and lentigines, with clinical evidence supporting its safety and efficacy across diverse skin types. All laser procedures at Cosmetic Injectables Center Medspa are performed by certified providers under the direct supervision of Dr. Sherly Soleiman, MD, a board-certified physician and national faculty trainer.
How Cutera Excel V Works
Dual Wavelength Technology
The Excel V system utilizes two key wavelengths:
- 532 nm (KTP): Targets superficial vascular lesions (e.g., facial telangiectasia, red spots, rosacea) and pigmented lesions (e.g., sun spots, melasma).
- 1064 nm (Nd:YAG): Penetrates deeper, treating larger or deeper vessels (e.g., leg veins, blue/purple veins) and providing skin revitalization.
FDA Clearance and Safety
The Cutera Excel V is FDA-cleared for treating vascular and pigmented lesions, including port-wine stains, rosacea, and acne scars (FDA 510(k) K183156). Integrated contact cooling enhances patient comfort and minimizes risk of thermal injury.
Clinical Evidence and Indications
Vascular Lesions
- Facial Telangiectasia & Rosacea: Prospective studies confirm the 532 nm wavelength reduces facial redness and visible vessels, with improvements seen in all genders and Fitzpatrick skin types I–III (PMC9863268).
- Spider Veins & Leg Veins: Excel V achieves median 50% improvement in spider veins after two sessions, with minimal discomfort and low risk of hyperpigmentation (PubMed 24127163).
- Port-Wine Stains: Histological analysis shows vessel reduction and color improvement after a single session (PubMed 23377330).
- Angiomas & Rare Vascular Disorders: Case reports document near-complete clearance of angioma serpiginosum in two sessions (PubMed 25297653).
Pigmented Lesions
- Melasma: The 532 nm mode is effective for refractory melasma, especially with vascular components, showing moderate to marked improvement in 85% of patients after three sessions. Well-tolerated in ethnic skin (Fitzpatrick IV–V) (Excel V Melasma Whitepaper).
- Lentigines & Sun Spots: Prospective studies demonstrate clearance of discrete pigmented lesions in 1–2 sessions (Excel V High Power Whitepaper).
Skin Revitalization
- Texture, Tone, and Scars: The Excel V, especially with micro-lens array, improves skin tone, texture, and acne scars with minimal downtime (NCT03424148). 91% of patients report healthier, more uniform skin tone at 12 weeks.
Indications and Patient Selection
| Indication | 532 nm (KTP) | 1064 nm (Nd:YAG) | Fitzpatrick Skin Types | Sessions Required | Downtime |
|---|---|---|---|---|---|
| Facial telangiectasia | ✓ | – | I–III | 1–3 | Minimal |
| Rosacea | ✓ | – | I–III | 1–3 | Minimal |
| Spider veins (face/legs) | ✓ | ✓ | I–IV | 1–3 | Minimal |
| Port-wine stains | ✓ | – | I–IV | 1–4 | Mild purpura |
| Melasma | ✓ | – | I–V | 2–4 | Minimal |
| Lentigines/sun spots | ✓ | – | I–IV | 1–2 | Minimal |
| Deeper leg veins | – | ✓ | I–IV | 1–3 | Minimal |
| Skin revitalization/scars | ✓ | ✓ | I–V | 2–4 | Minimal |
*Individual results and session numbers may vary based on skin type, lesion depth, and indication.
Comparison: Cutera Excel V vs. Other Laser Technologies
| Feature/Indication | Cutera Excel V (532/1064 nm) | Pulsed Dye Laser (PDL) | IPL Photorejuvenation | Other Nd:YAG (1064 nm) |
|---|---|---|---|---|
| Vascular lesions | ✓ (broad range, face/legs) | ✓ (superficial, face) | ✓ (mild, diffuse) | ✓ (deeper vessels) |
| Pigmented lesions | ✓ (melasma, lentigines) | – | ✓ (superficial) | – |
| Skin revitalization | ✓ (texture, scars, tone) | – | ✓ (mild) | ✓ (with micro-lens) |
| Cooling | Integrated contact cooling | Dynamic spray | None | Varies |
| Fitzpatrick skin types | I–V (with caution) | I–III | I–IV | I–VI |
| Downtime | Minimal | Mild purpura | Minimal | Minimal |
| FDA clearance | ✓ (broad) | ✓ | ✓ | ✓ |
What to Expect: Procedure Experience
Consultation and Assessment
All patients undergo a Good Faith Exam and individualized assessment by certified providers under Dr. Soleiman’s supervision. Treatment plans are tailored to skin type, lesion type, and goals.
Treatment Process
- Preparation: Skin is cleansed; protective eyewear is provided.
- Laser Application: The provider selects the appropriate wavelength and settings. Integrated cooling ensures comfort.
- Duration: Sessions typically last 15–45 minutes, depending on area and indication.
- Aftercare: Mild redness or swelling may occur, resolving within hours to a few days. Sun protection is essential post-procedure.
Safety and Side Effects
- Common: Temporary erythema, mild edema, transient darkening of pigmented lesions.
- Rare: Blistering, post-inflammatory hyperpigmentation (especially in darker skin types), purpura (with vascular lesions).
- All procedures are performed with strict adherence to safety protocols and under direct physician oversight.
Procedure Options and Related Treatments
| Procedure/Indication | Internal Link |
|---|---|
| Laser for Pigmentation | Laser for Pigmentation |
| Laser for Veins | Laser for Veins |
| Laser Genesis (skin revitalization) | Laser Genesis |
| IPL Photorejuvenation | IPL Photorejuvenation |
| Morpheus8 (RF microneedling) | Morpheus8 |
| Chemical Peels | Chemical Peels & Resurfacing |
| Sculptra (collagen stimulation) | Sculptra |
| PRP (regenerative) | PRP, PRF & PRFM |
Why Choose Cosmetic Injectables Center Medspa?
- Physician-Led Expertise: Dr. Sherly Soleiman, MD, is a board-certified physician, national trainer, and principal investigator in clinical trials for aesthetic devices.
- Certified Providers: All laser procedures are performed by certified, experienced clinicians with advanced training in laser safety and efficacy.
- Safety and Transparency: Every patient receives a comprehensive assessment and informed consent, with strict adherence to HIPAA and all regulations.
- Natural Results: The team follows a conservative, patient-first approach, focusing on subtle, proportional improvements.
- Modern Facility: Located in Sherman Oaks, serving Encino, Studio City, Beverly Hills, and the greater Los Angeles area.
Frequently Asked Questions
What conditions can Cutera Excel V treat?
Excel V treats facial veins, spider veins, rosacea, port-wine stains, melasma, sun spots, and skin redness.
Is Cutera Excel V safe for darker skin types?
Excel V can be used on Fitzpatrick I–V with careful parameter selection; individual risk of pigmentation changes is discussed during consultation.
How many sessions are needed for results?
Most patients see results in 1–3 sessions, but number varies by condition, skin type, and lesion depth.
What is the downtime after Excel V treatment?
Downtime is minimal; mild redness or swelling may occur and typically resolves within hours to a few days.
Does the procedure hurt?
Most patients experience mild discomfort, minimized by integrated cooling and advanced techniques.
Are results permanent?
Treated vessels or spots are cleared, but new lesions may develop over time; maintenance may be recommended.
Can Excel V treat leg veins?
Yes, both 532 nm and 1064 nm wavelengths can address superficial and deeper leg veins.
Is Excel V better than IPL for pigmentation?
Excel V offers more precise targeting for vascular and pigmented lesions, especially for resistant cases.
Who performs the procedure?
Certified providers under the direct supervision of Dr. Sherly Soleiman, MD, perform all laser treatments.
What should I avoid after treatment?
Avoid sun exposure, hot environments, and harsh skincare for several days post-procedure.
Meta Title:
Cutera Excel V Laser: Vascular & Pigment Correction in Los Angeles
Meta Description:
Learn how Cutera Excel V (532/1064 nm) treats veins, redness, and pigmentation at Cosmetic Injectables Center Medspa. FDA-cleared, safe, and effective.