Dr. Paul Revis

Dermatology • Skin Cancer Surgery • Laser

Specialist in treating diseases of the skin, hair, and nails

American Academy of Dermatology

Certified by American Board of Dermatology

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Our New Laser Has Arrived

excel V

Excel V is a new approach to treating vascular skin conditions that puts patients’ safety and comfort first. The laser system’s customizable treatment parameters enable the treatment of the broadest range of conditions, covering everything from superficial blemishes and skin discoloration to large lesions and deep vascular scars.

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excel V Laser


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Nose Veins


Excel V Frequently Asked Questions

Excel V is a new laser system for providing treatment of a variety of vascular skin conditions. Many skin conditions manifest in the form of broken or abnormal blood vessels in the skin, such is the case with rosacea, in which the facial blood vessels dilate excessively causing redness and flushing. Excel V treats these conditions by administering a unique high power green laser that is absorbed by the abnormal blood vessels in the skin. The laser heats the abnormal vessels until they are removed. At the end of treatment, the patient’s natural skin tone and color are restored.
Excel V has been shown effective at treating a number of conditions, including rosacea, telangiectasias, leg veins, port wine stains, and cherry angiomas. Excel V treats mild and severe forms of these conditions. The system may also have a cosmetic benefit for patients who have skin lesions or scars from past injuries or surgeries.
The benefit of Excel V is that the treatment can be highly adjusted to ensure that the physician is delivering a level of treatment that specifically matches the patient’s skin condition. The system contains various wavelength modes, allowing the delivery of both short pulses for superficial blemishes, such as small lesions and skin discoloration, and longer pulses for deeper vascular conditions, such as leg veins and nodular port wine stains. It also offers a wide range of laser spot sizes to ensure that small treatment areas can be targeted at greater precision and larger areas can be treated in a shorter period. This high level of customization is what makes Excel V so effective at treating, often in one session, so many different conditions, which, in the past, would have required several different systems or procedures.
Yes, there are other laser treatment options available for skin conditions. The challenge usually associated with laser treatment is tailoring the treatment to precisely match the patient’s unique skin condition. Some existing lasers may be effective for treating a condition at one size and depth, but may not work effectively on conditions that affect a larger area.
The prevalence of vascular skin conditions varies greatly. Rosacea is one of the most common conditions, affecting about 14 million Americans. Many people with Rosacea may not even realize they have it even when common symptoms are present such as redness in the face and flushing after consumption of alcohol, caffeine or spicy foods. Another fairly common condition is cherry angiomas, which are small red bumps that spontaneously appear on the skin. These kind of lesions are commonly found in middle-aged populations—more than 85% of people over 45 years of age have several cherry angiomas. Spider veins also is a fairly common condition although the exact prevalence varies according to different sources. Port wine stains, another condition which Excel V treats, is a more rare condition, occurring in about 3 out of every 1,000 people. These are a type of birthmark often appearing on the face in which swollen blood vessels cause a reddish-purplish discoloration of the skin.

Although these conditions represent some of the most common cases for which the Excel V laser system provide treatment, the robust customization of the system makes it ideal for also treating more general cosmetic problems such as superficial blemishes, discoloration and even scars. Given that the large majority of people have one or more of these conditions to varying degrees, almost anyone could potentially benefit from treatment with Excel V.

After an initial consultation with the patient, the physician determines if treatment with the Excel V is appropriate. Unlike other procedures, injections or topical anesthesia are not required throughout the duration of the 15 – 30 minute procedure. Depending on the condition, the physician places the Excel V hand piece over the affected areas of the skin until the abnormal vessels diminish. To minimize discomfort and protect the patient’s skin, the Excel V uses a proprietary cooling mechanism.
All skin types identified in the Fitzpatrick skin type classification can be treated with the Excel V system. This classification denotes 6 different skin types, ranging from very light (type I) to very dark (type VI). The 532nm wavelength is ideal for treating skin types I – IV, and the 1064nm mode can be used on all skin types I - VI.
The number of sessions depends on various parameters, including the size, thickness and color of the vascular lesion. Superficial vascular lesions such as small telangiectasia and diffused redness are easiest to treat; some patients might see significant improvement after just one treatment.

Laser Genesis Frequently Asked Questions

Laser Genesis is a breakthrough laser treatment that stimulates the skin’s natural processes to reverse the signs of aging and sun damage and promote a vibrant, healthy looking complexion.
Micro-pulses of laser energy activate collagen remodeling to improve the appearance of fine lines and wrinkles, and target unwanted brown spots and facial redness. Although the individual treatment results are subtle, the overall effect of a treatment series can be quite dramatic.
Laser Genesis helps restore your skin’s youthful glow and appearance by improving common concerns like facial redness, brown spots, and fine lines and wrinkles. With quick treatments and no downtime, Laser Genesis can fit into your busy schedule and is considered the perfect lunchtime procedure by many patients.
Laser Genesis is an ideal treatment for the face and neck, and other areas of the body with noticeable signs of aging, sun damage or scarring.
A series of four to six Laser Genesis treatments are recommended to achieve an optimal outcome, and ongoing maintenance treatments are encouraged to sustain results over time. Your Laser Genesis provider will discuss a treatment plan during your consultation.
You will experience a gentle warming of your skin’s surface during the procedure. Patients often describe the treatment as relaxing and therapeutic.
You may notice a slight redness which will resolve within a few hours. Apply sunscreen and makeup, and return to your normal daily activities immediately.
If you have been seeking a quick, no-downtime procedure to gently improve your overall complexion that gives you that #cameraready appearance, Laser Genesis is the treatment for you!

Comparison of Excel V With Alternative Vascular Skin Condition Treatments

Electrosurgery

  • Commonly used to treat superficial skin lesions
  • Transfers electrical energy to skin tissue through an electrode needle to destroy lesions
  • Generally requires local anesthesia to abate pain
  • May cause scarring

Sclerotherapy

  • Commonly used to treat spider veins
  • Involves injection of a solution, usually salt solution or detergent, into the veins
  • May cause side effects: e.g., itching, bruising, allergic reactions, etc.
  • Requires patients to wear a compression stocking after treatment

Surgery

  • Can be rather painful, requiring local anesthesia
  • Chance of complications (e.g. excessive bleeding, infection, etc.)
  • Generally requires a few days of recovery
  • Often requires dressings

Excel V

  • Noninvasive method for treating a wide range of skin conditions
  • Uses a unique cooling system to protect patient’s skin from secondary damage and mitigate discomfort during treatment
  • No injections or anesthesia required
  • Temporary erythema or edema may occur, but not a high risk of other side effects
  • No downtime or disruption to daily lifestyle