Excel V+ Vascular Laser Treatment

Targeted Treatment for Redness, Visible Vessels & Pigmentation

Excel V+ is an advanced vascular and pigment‑targeting laser designed to treat redness, broken capillaries, thread veins, rosacea‑related flushing, and superficial pigmentation with exceptional precision. Using two clinically proven wavelengths, it selectively targets haemoglobin (redness and vessels) or melanin (pigment), while protecting the surrounding skin.

At Cosmetica London, Excel V+ is used conservatively and strategically as part of a condition‑led treatment plan – never as a one‑size‑fits‑all solution.

What Is Excel V+?

Excel V+ is a medical‑grade vascular and pigment laser that treats more than twenty aesthetic and dermatological concerns. It combines two precise wavelengths (532 nm and 1064 nm) to target:

  • Diffuse redness and rosacea
  • Thread veins and broken capillaries
  • Spider veins and venous lakes
  • Cherry angiomas and vascular lesions
  • Sun damage and superficial pigmentation
  • Post‑inflammatory redness
  • Poikiloderma
  • Periorbital veins
  • Certain wrinkles and textural changes

The laser energy is absorbed by either haemoglobin or melanin, causing the targeted structure to heat, collapse or break down (selective photothermolysis). These fragments are then naturally cleared by the body.

How Excel V+ Works

Excel V+ delivers short, controlled pulses of light that are absorbed by:

  • Haemoglobin — treating redness, flushing, and visible vessels
  • Melanin — treating sunspots, dark patches, and superficial pigmentation

This selective absorption allows the laser to collapse vessels or fragment pigment while sparing surrounding tissue. Over time, redness reduces, vessels fade, and pigmentation lightens.

Excel V+ also stimulates collagen production, contributing to smoother, firmer skin.

What Excel V+ Is Best Used For

Excel V+ may be recommended for:

  • Rosacea & persistent facial redness
  • Thread veins / broken capillaries
  • Spider veins
  • Venous lakes
  • Cherry angiomas
  • Port wine stains
  • Post‑inflammatory erythema
  • Sunspots & superficial hyperpigmentation
  • Poikiloderma
  • Periorbital veins
  • Bruising
  • Certain fine lines

It is particularly effective for conditions where redness or visible vessels are the primary concern.

What to Expect During Treatment

  • Treatment time: 20–45 minutes
  • Sensation: warm, quick pulses or a light snapping feeling
  • Aftercare: temporary redness or swelling is common
  • Downtime: usually minimal
  • Course: multiple sessions often recommended for optimal results

When Excel V+ May Not Be the Right Choice

Excel V+ may not be suitable for:

  • Deep dermal pigmentation
  • Highly inflamed or unstable skin
  • Conditions requiring resurfacing rather than vascular/pigment targeting
  • Melasma (often requires a different approach)

In these cases, other technologies – such as CO₂ resurfacing or RF Microneedling – may be more appropriate.

Excel V+ vs CO₂ Laser vs RF Microneedling

A clear comparison helps patients understand why Excel V+ is chosen for vascular concerns.

 

Excel V+ (Vascular Laser)

Best for
Redness, visible vessels, flushing, superficial pigmentation

Not ideal for
Deep pigment, texture, scarring

Downtime
Minimal

Why choose it
Highly precise vascular and pigment targeting; ideal for rosacea and thread veins

Fractional CO₂ Laser

Best for
Texture, wrinkles, scarring, resurfacing

Not ideal for
Active rosacea, higher Fitzpatrick skin types (with caution)

Downtime
Moderate

Why choose it
Deep resurfacing and collagen remodelling

RF Microneedling

Best for
Skin tightening, acne scarring, pores, collagen stimulation

Not ideal for
Active vascular flare, superficial pigment

Downtime
Low–moderate

Why choose it
Combines controlled heat with microneedling for tightening and texture improvement

Excel V+ is chosen when redness or vascular visibility is the primary driver of the concern.

Our Condition‑Led Approach

At Cosmetica London, Excel V+ is never used in isolation. It is selected only when:

  • Redness, flushing or visible vessels are the dominant concern
  • Pigmentation is superficial and well‑defined
  • A vascular‑first approach will improve overall skin clarity

Your treatment plan may combine Excel V+ with skincare, LED, or other technologies depending on your skin’s needs.