Deliver reproducible, beautiful results with cutera’s excel v – the effective, precise and flexible solution to treat vascular and benign pigmented conditions.
In the past, treatment of vascular and benign pigmented conditions presented a formidable challenge, where results only became visible over a course of treatments. Up until now.
Delivering precision treatment parameters with unmatched versatility, excel V has the flexibility to treat virtually any case, from superficial and deep vascular conditions to benign pigmented lesions.
Developed and manufactured by Cutera, excel V combines two ultra-precise, best-in-class laser wavelengths (532/1064 nm) in one device.
Cosmetic surgeon Dr Sean Ardense from Melbourne sees a large percentage of patients with skin concerns.
“I would say about 50-60% are concerned with pigmentation and textural irregularities. The older the patient is, the more concerned they are. In the 1960s, 70s and early 80s the average Australian was not too sun smart; in fact many of them recount stories of slapping baby oil on their skin and playing in the sun for hours. We are now seeing the consequence of this prolonged damaging sun exposure with increasing solar pigmentation and sun induced textural changes,” said Dr Ardense.
Dr Garth Dicker, a cosmetic surgeon from Melbourne has also found photodamage and melasma are the two most common causes of pigmentation seen in a medical laser practice.
“The choice of the best treatment for pigmentation will depend on a number of factors, including the aetiology of the pigmentation (eg photodamage, melasma, post inflammatory hyperpigmentation, post sclerotherapy staining, café au lait macules); distribution of pigment (localised or generalised); depth of pigment (i.e. whether epidermal, dermal or mixed) and the skin type of the patient (Fitzpatrick skin type),” said Dr Dicker.
“If a patient has localised areas of pigmentation from sun damage, such as lentigines or freckles, then spot laser treatment is usually the most effective treatment. Many laser wavelengths can be effective, as well as broadband light from an IPL. For the majority of patients I tend to first try a long pulse (miilisecond) 532nm laser such as the excel V,” Dr Dicker continues.
Previously, Dr Ardense treated pigmentation with a combination of lasers, but found the results were disappointing.
“The excel V has changed this, because this one laser really does the job of two. This has obvious financial and spatial benefits. Melasma is an extremely difficult problem to tackle, and no one treatment fits all. For a select few patients we have had some success with a course of Laser Genesis. So we regard the excel V as another weapon in our armory that we can employ in the ongoing battle with melasma,” says Dr Ardense.
Dr John Flynn, a cosmetic doctor from the Gold Coast, would primarily treat pigment with a combination of Q-Switched laser and topical applications, “The Q-Switched laser is effective, but can be a bit harsh. The excel V in the Laser Genesis Mode extends our capacity and gives us more therapeutic flexibility. It is quite amazing that there is a concomitant improvement in skin texture and quality when we treat pigmentation with the excel V,” said Dr Flynn.
Performance & Efficiency
Cutera’s truPulse technology is the only long-pulse Nd:YAG to deliver consistent and sustained energy throughout the pulse duration. This solidifies excel V’s position as the first clinically effective long-pulse Nd:YAG for lower extremity vascular lesions such as leg veins.
On the benfits of the dual wavelength, Melbourne dermatologist Assoc Prof Greg Goodman said, “The long pulsed 532nm is excellent for coloured targets and the long pulsed 1064nm, either in the Genesis mode or Coolview mode, is terrific at treating texture. The infrared long pulsed YAG is very good for treating blue vessels on the face and conditions such as venous lakes or larger veins.”
Dr Flynn said, “The dual wavelength allows for a greater flexibility. The shorter 532 wavelength has a very high absorption in melanin which means it is good for treating superficial pigmentation. While the longer 1064 nm penetrates further and allows a better treatment of deeper layers. It is easy to see how the combinations work well.”
“Primarily we use the excel V mode for vascular lesions and the ‘broken capillaries’ and the Laser Genesis mode for rejuvenation and pigmentation and also for the background blush of Rosacea,” said Dr Flynn.
Dr Dicker regards excel V as the laser of choice for treating common vascular conditions that present to a medical laser practice.
“The beauty of the excel V for treating vascular conditions is the choice of two wavelengths in the millisecond range in the same laser platform. An advantage of the excel V in treating vascular conditions is the ease of combining different beam sizes and different wavelengths. For example, in severe facial telangiectasia we will often treat background redness first using 532nm with a large spot size (e.g. 10mm), then target residual discrete vessels with 532nm using a small spot size (e.g. 3mm) and then if necessary target larger dark blue vessels with 1064nm,” said Dr Dicker.
Dual wavelength means the possibility of treating a wider range of vessels cosmetically, “From small facial telangiectasia, facial matting and background redness to moderately large leg vessels. The other major advantage of the excel V is Laser Genesis, which we have adopted into what we call our ‘Flawless Signature Treatment’, and is indeed one of our most requested treatments,” said Dr Ardense.
excel V also has an adjustable spot size, which allows for precise and effective treatment from both superficial and deeper problems and can be altered to be compatible with each patient’s skin condition.
“In my opinion, the versatility of excel V makes it an excellent machine,” said Dr Goodman. “It can treat individual lesions as well as treating widespread conditions satisfactorily. It can treat both vascular and pigmented conditions and the Genesis can be delegated very well – patients can then benefit from the gentle rejuvenation as well.”
To ensure patient comfort, excel V uses premium sapphire contact cooling which produces continuous cooling before, during and after each laser pulse, eliminating the risk of under-cooled and over-treated areas. excel V’s contact cooling is optimised for comfort and safety without consumables.
excel V features a modern design and low consumables, bringing economic efficacy. Cutera offers a strong support base for education, research and development – giving clients the best tools to deliver better results, faster than ever before.
For more information contact Cutera National Manager Phil Schramm on 0409 470 692 or email@example.com