Visible redness, small facial veins, and tiny red spots known as cherry angiomas are extremely common — yet they can be difficult to conceal and often worsen with age or sun exposure. At Derma Reading, we use the Excel V+ laser by Cutera — one of the world’s most advanced vascular lasers — to safely and effectively treat a wide range of red and vascular lesions.
Excel V+ combines two precision wavelengths, 532 nm (KTP) and 1064 nm (Nd:YAG), allowing your dermatologist to target both superficial and deeper vessels with exceptional accuracy. The laser energy is selectively absorbed by haemoglobin within the blood vessel, heating and collapsing the vessel wall while leaving surrounding tissue unharmed. Over time, the treated vessels fade and are naturally reabsorbed by the body, restoring a clearer, more even complexion.
This dual-wavelength capability means the system can treat everything from fine facial veins and diffuse redness to deeper vascular conditions such as leg veins and cherry angiomas. Treatments are quick, highly effective, and suitable for both men and women seeking noticeable improvement in skin tone and confidence.
What are the Benefits of Excel V+ Vascular treatment?
Another key benefit is versatility. Excel V+ can treat more than twenty vascular and pigmented concerns, including cherry angiomas, facial telangiectasia, rosacea, spider veins, poikiloderma, and port-wine stains. Because it can switch between superficial and deeper targets, it’s a single system capable of addressing multiple concerns in one session.
Patients also appreciate its speed and minimal downtime. Most treatments take less than 30 minutes, and many people return immediately to work or social activities. Slight redness or warmth may occur afterwards but usually resolves within hours. The results are progressive: vessels fade gradually, and skin tone becomes clearer and more uniform over several weeks.
Unlike older vascular lasers, Excel V+ is safe across a wide range of skin tones. Its built-in monitoring and precision cooling allow clinicians at Derma Reading to customise each treatment to individual needs, delivering effective outcomes with minimal risk.
Excel V+ Vascular
What is the process of Excel V+ Vascular treatment?
On the day of treatment, the skin is gently cleansed, and you’ll be provided with protective eyewear. The dermatologist then selects the appropriate wavelength and parameters based on the depth and size of your vessels. The Excel V+ handpiece is applied to the treatment area, delivering controlled pulses of laser energy.
Most patients describe the sensation as a mild tingling or quick elastic snap against the skin. Thanks to the integrated cooling, discomfort is brief and minimal, and anaesthetic cream is rarely needed. Depending on the number and size of vessels being treated, a session may last between 15 and 45 minutes.
After treatment, the area may look slightly flushed or feel warm, but this usually subsides within a few hours. Some vessels may appear darker or bruised for a few days before fading. Your dermatologist will provide aftercare instructions and discuss whether follow-up sessions are needed. Most patients achieve excellent results after one to three sessions.
Who is Excel V+ Vascular suitable for?
Patients often seek treatment because redness or thread veins make them appear flushed or older than they feel. Many have tried topical creams without success, as topical agents cannot reach the underlying vessels. The laser provides a precise, lasting solution that restores a more balanced complexion.
However, Excel V+ may not be suitable for everyone. Those with recent tanning, active infections, or certain photosensitising medications should postpone treatment until the skin is stable. Pregnant or breastfeeding individuals are advised to wait, and anyone prone to keloid scars or with extremely dark skin should be assessed carefully before proceeding.
At Derma Reading, each patient undergoes a detailed consultation with a dermatologist who will review medical history, examine the lesions, and recommend a personalised treatment plan. Safety is always our top priority.
What are the risks of Excel V+ Vascular treatment?
In some cases, minor bruising, scabbing, or light flaking may appear as vessels collapse. This is part of the healing process and resolves naturally within a week. Rarely, patients may experience temporary pigmentation changes — slightly lighter or darker patches of skin — which usually normalise over time.
More serious complications, such as scarring or infection, are exceptionally rare, particularly when treatment is carried out under dermatological supervision. Our clinicians at Derma Reading follow strict laser safety protocols, using conservative energy levels and test patches when appropriate to minimise risk.
What is the recovery time and outcome for Excel V+ Vascular treatment?
Patients are advised to avoid hot showers, saunas, vigorous exercise, and alcohol for 24 hours to prevent vessel dilation. Sun protection is essential: daily use of a broad-spectrum SPF 30 or higher will protect the skin and reduce the chance of pigment change. Make-up can generally be applied the next day.
Most patients see visible improvement after the first session, though the full effect develops gradually as treated vessels fade. Smaller capillaries may disappear almost immediately, while deeper ones can take several weeks to clear. Depending on the severity of redness or number of lesions, a course of up to three sessions may be recommended.
The results are long-lasting. Once a vessel has been eliminated, it does not typically return, although new ones may form over time due to genetics, sun exposure, or hormonal factors. Maintaining healthy skin habits and occasional top-up treatments can help preserve your results for years.
Frequently Asked Questions
How soon will I see results?
When will I see results?
How many sessions will I need?
Is it safe for all skin types?
Will the redness come back?
Can Excel V+ treat rosacea?
Yes. Excel V+ is widely regarded as one of the most effective lasers for managing rosacea. It reduces visible capillaries and overall redness, helping to calm flushing and improve skin tone.
Why choose Derma Reading for laser treatment?
We specialise in personalised treatments — adjusting settings for your unique skin tone, condition, and comfort — to ensure natural-looking, long-lasting results. From initial consultation through follow-up care, our goal is to help you achieve clearer, healthier skin with confidence.

