Excel V+ Vascular Laser Treatment – FAQs

Excel V+ uses two precise wavelengths that specifically target haemoglobin and melanin. This allows it to treat redness, vessels and pigmentation without damaging surrounding skin.

Most people describe the sensation as warm pulses or a light snapping feeling. Treatments are generally well tolerated.

This depends on the concern being treated. Thread veins may resolve in 1–2 sessions, while rosacea or diffuse redness often requires a course.

Downtime is usually minimal. Temporary redness or swelling is common and typically settles within hours.

Some vessels disappear immediately; others fade gradually over several weeks as the body clears them.

Yes. Excel V+ is highly effective for sun‑induced pigmentation such as sunspots, freckles and uneven tone. It targets excess melanin, breaking it down so the body can naturally clear it.

Excel V+ is ideal for superficial pigmentation, including sunspots, freckles, age spots and certain types of post‑inflammatory pigmentation. It is not typically used for melasma or deep dermal pigment.

No. Melasma is heat‑sensitive and often worsens with laser energy. At Cosmetica London, melasma is managed with pigment‑stabilising skincare, chemical peels and non‑heat‑based approaches.

The laser energy is absorbed by melanin, causing the pigment to fragment. These tiny particles are then gradually cleared by the body, leading to a more even skin tone.

Yes – this is normal. Treated pigment often darkens over 24–48 hours before flaking or fading over the following days.

Most sunspots respond within 1–3 sessions, depending on depth and density. Diffuse sun damage may require a short course.

Suitability depends on the type of pigmentation and the wavelength used. A consultation is essential to assess safety for your skin tone.

Excel V+ is the most effective option when redness, flushing, or visible vessels are the primary concern. CO₂ and RF microneedling are better suited to texture, scarring, and collagen remodelling.

Yes – often combined with LED, skincare, or resurfacing treatments as part of a staged plan.