Excel V+ Laser Treatment in Riyadh – Expert Care
by Dr. Haitham Al-Gzlan

Excel V+ is an advanced medical vascular and pigmentation laser developed by Cutera. The platform combines a 532 nm wavelength with a deeper-penetrating 1064 nm Nd:YAG wavelength. The 532 nm wavelength can target many superficial red vessels and selected benign pigmentation, while 1064 nm can reach deeper vascular structures. Excel V+ is commonly used for rosacea-related redness, visible capillaries, spider veins, angiomas, vascular birthmarks, and selected sun spots. It also supports Laser Genesis treatment for selected redness, texture, wrinkles, scars, and skin rejuvenation concerns. The appropriate wavelength and treatment settings depend on skin type, vessel depth, pigmentation, and individual treatment goals.

Excel V+ can address several vascular and selected pigmentation concerns using its dual-wavelength technology. Common treatment indications include facial redness, rosacea, visible blood vessels, telangiectasia, spider veins, angiomas, vascular birthmarks, and selected benign pigmented lesions. The platform can treat isolated vessels as well as more diffuse vascular redness depending on the treatment mode. It may also support skin rejuvenation when wrinkles, mild scarring, redness, or uneven texture are part of the concern. Similar-looking skin conditions can have different causes, so medical assessment remains important before laser treatment. Dr. Haitham determines whether Excel V+, another laser, IPL, or a different dermatological treatment is most appropriate.

Persistent facial redness can result from rosacea, visible capillaries, sun damage, or inflammatory skin conditions. Excel V+ targets selected blood vessels that contribute to redness using controlled vascular laser energy. The 532 nm wavelength can address many superficial red vessels, while deeper vascular concerns may require 1064 nm settings. Treatment can reduce visible redness, although it does not remove the underlying tendency to flush from heat, sun, or other triggers. Dr. Haitham first identifies the cause of redness before creating a personalized treatment plan.

Spider veins and broken capillaries are small visible blood vessels commonly found around the nose, cheeks, chin, and legs. Excel V+ delivers targeted laser energy that heats selected vessels so they gradually become less visible. Superficial vessels may respond to 532 nm treatment, while deeper or larger vessels can require the 1064 nm wavelength. The number of sessions depends on vessel size, depth, location, skin type, and individual response. Dr. Haitham evaluates each vascular concern before selecting the most appropriate settings.

Cherry angiomas are common benign vascular growths that appear as small red or purple spots on the skin. Excel V+ can target the blood vessels within these lesions using carefully selected vascular laser settings. Small superficial angiomas may respond particularly well when the appropriate wavelength and energy are used. Temporary redness, mild swelling, crusting, or pigment changes can occur after treatment. Dr. Haitham first confirms that the lesion is benign before recommending laser treatment.

Port-wine stains are congenital vascular malformations that usually appear as persistent pink, red, or purple patches. Excel V+ can target abnormal blood vessels within selected vascular birthmarks using customizable laser parameters. Treatment response varies according to lesion depth, color, size, location, and individual skin characteristics. Several treatment sessions may be required, and complete clearance cannot always be achieved. Dr. Haitham assesses the vascular lesion before determining whether Excel V+ or another vascular laser is more appropriate.

Red acne marks often develop from persistent vascular changes after inflammatory acne and are sometimes called post-acne erythema. Excel V+ may help reduce this redness by targeting superficial blood vessels rather than melanin pigmentation. These red marks should be distinguished from brown post-inflammatory hyperpigmentation because each condition requires a different treatment approach. Structural acne scars may also need Fraxel, fractional CO2, RF microneedling, or another scar treatment. Dr. Haitham identifies whether redness, pigmentation, active acne, or scarring is the main concern before selecting treatment.

Excel V+ can treat selected benign pigmented lesions such as sun spots, age spots, and lentigines. Its 532 nm wavelength can target melanin within superficial pigmentation while limiting unnecessary treatment of surrounding skin. Treated spots may temporarily darken or develop mild crusting before gradually becoming lighter. Not every brown lesion should be treated cosmetically because suspicious or changing pigmentation requires medical assessment first. Dr. Haitham evaluates the pigmentation before deciding whether Excel V+, PicoWay, IPL, or another treatment is appropriate.

Uneven skin tone can result from redness, pigmentation, sun damage, and inflammatory changes occurring together. Excel V+ can address selected red and brown components using different wavelengths and treatment modes. Laser Genesis technology can also provide controlled non-ablative heating that supports collagen remodeling and gradual skin rejuvenation. This may improve mild redness, texture, wrinkles, and overall skin quality over time. Dr. Haitham determines which component of uneven tone or texture should be treated before selecting the appropriate laser.

Excel V+ can help treat vascular features of rosacea, including persistent facial redness, telangiectasia, and visible capillaries. Laser energy targets hemoglobin within selected vessels so their appearance can gradually decrease. Rosacea itself is a chronic inflammatory condition, so vascular laser treatment should not be considered a permanent cure. Medical therapy, appropriate skincare, sun protection, and trigger management may still be needed alongside laser treatment. Dr. Haitham creates a treatment plan according to the specific vascular and inflammatory features of each patient’s rosacea.

Excel V+ can treat several benign vascular lesions, including telangiectasia, angiomas, spider veins, venous lakes, and selected vascular birthmarks. Different lesions contain vessels of varying size and depth, which makes wavelength selection particularly important. The dermatologist can adjust spot size, pulse duration, energy, and wavelength according to the vascular target. Not every red or purple lesion is suitable for cosmetic laser treatment without a clear diagnosis. Dr. Haitham examines the lesion before determining whether Excel V+ treatment is appropriate.

One of the main benefits of Excel V+ is its ability to target both superficial and deeper vascular concerns using two laser wavelengths. The treatment can be highly precise, making it useful for visible capillaries, spider veins, angiomas, facial redness, and selected pigmentation. Integrated cooling helps protect the skin surface and improve comfort while controlled laser energy reaches the treatment target. Excel V+ can also support non-ablative skin rejuvenation through Laser Genesis when redness, texture, mild scars, or wrinkles are present. Many treatments have relatively limited downtime compared with aggressive resurfacing procedures, although temporary redness, swelling, or bruising can occur. The treatment can be customized according to vessel depth, skin type, pigmentation, and the patient’s clinical concern.

Excel V+ can be used in selected darker skin types, but wavelength and settings require careful selection. The 532 nm wavelength interacts more strongly with epidermal melanin and therefore requires greater caution in more pigmented skin. The 1064 nm Nd:YAG wavelength penetrates more deeply and generally interacts less with surface melanin, which can be useful for some vascular concerns in darker skin. However, hyperpigmentation, hypopigmentation, blistering, and burns remain possible if treatment parameters are inappropriate. This makes Fitzpatrick skin type, recent tanning, previous pigmentation reactions, and vessel depth important parts of treatment planning. Dr. Haitham personalizes Excel V+ settings for Saudi and Middle Eastern patients according to individual skin characteristics.

Excel V+ may be suitable for adults with persistent facial redness, rosacea-related visible vessels, broken capillaries, spider veins, angiomas, or selected benign pigmentation. Suitable candidates should understand that some vascular concerns require several treatment sessions rather than one procedure. Skin type, medical history, medication use, previous laser treatments, recent sun exposure, and pigmentation tendency also affect treatment suitability. Patients should be prepared to follow sun protection and post-laser skincare instructions carefully. Redness caused by active infection, dermatitis, or another underlying inflammatory condition may need medical treatment before vascular laser therapy. Dr. Haitham confirms candidacy after examining the skin and identifying the underlying vascular or pigmentation concern.

Excel V+ treatment may need to be avoided or postponed during pregnancy, active skin infection, open wounds, or certain medical conditions affecting healing. Photosensitizing medications, anticoagulants, bleeding disorders, abnormal scarring, and some immune or skin conditions should be discussed during consultation. Recently tanned or sunburned skin can increase the risk of pigment changes and other laser-related reactions. Suspicious pigmented or vascular lesions should also be assessed medically before cosmetic laser treatment. Tattoos and permanent makeup within the proposed treatment area require additional caution because laser energy may interact with their pigment. Dr. Haitham reviews medical history and skin condition before determining whether treatment can proceed safely.

Avoid intentional tanning and significant sun exposure before Excel V+ treatment because increased skin pigmentation can affect laser safety. Tell Dr. Haitham about prescription medications, supplements, previous laser treatments, bleeding problems, pigmentation reactions, and history of cold sores. Do not stop prescribed aspirin, anticoagulants, or other medications without medical advice from the clinician responsible for your care. Photosensitizing medications and certain skincare treatments may need additional consideration before the procedure. Arrive with clean skin and avoid heavy makeup, self-tanner, or unnecessary cosmetic products over the planned treatment area. Inform the clinic if you develop a rash, infection, wound, or significant irritation before your appointment.

Excel V+ treatment begins with diagnosis and selection of the appropriate wavelength rather than treating every red or brown area identically. Laser parameters such as wavelength, spot size, pulse duration, fluence, and cooling are adjusted according to the target. Protective eyewear is used throughout the procedure, and patients may experience warmth, snapping, or mild stinging when laser pulses are delivered. Small facial vessels may be treated relatively quickly, while larger treatment areas or multiple lesions can require additional time. Temporary redness, swelling, bruising, purpura, or darkening may occur afterward depending on the condition and treatment intensity. Follow-up allows Dr. Haitham to assess vascular clearance and determine whether another session is needed.

Before Excel V+ treatment, Dr. Haitham evaluates the color, size, depth, pattern, and location of the vascular or pigmented concern. The assessment determines whether redness comes from rosacea, telangiectasia, acne-related erythema, inflammation, or another condition. Skin type, recent tanning, medications, previous laser treatments, and pigmentation history are also reviewed. Suspicious vascular or pigmented lesions may require additional medical evaluation before cosmetic treatment. A personalized treatment plan is then created using the wavelength and settings most appropriate for your skin.

During treatment, protective eyewear is applied before the selected Excel V+ handpiece is positioned over the skin. The system delivers controlled 532 nm or 1064 nm laser pulses according to the vessel, pigment, and treatment goal. Integrated cooling helps protect the skin surface and improve comfort while the laser targets deeper structures. Patients may experience brief warmth, snapping, or mild stinging with each pulse. Dr. Haitham monitors the skin response throughout treatment and adjusts settings when necessary.

Excel V+ aftercare depends on whether treatment targeted superficial vessels, deeper veins, pigmentation, or general skin rejuvenation. Use gentle skincare and avoid rubbing, scratching, or picking at treated vessels, darkened spots, or small crusts. A cool compress may be recommended for temporary warmth or swelling, but extreme heat and ice directly against the skin should be avoided. Broad-spectrum sunscreen and reduced direct sun exposure are especially important during recovery to lower the risk of pigmentation changes. Exercise, saunas, hot baths, and other activities that increase flushing may need to be limited temporarily after stronger vascular treatment. Follow the individualized skincare and activity instructions provided by Dr. Haitham.

Common temporary Excel V+ side effects can include redness, swelling, tenderness, bruising, purpura, or temporary darkening of treated pigmentation. Less common complications can include hyperpigmentation, hypopigmentation, blistering, burns, crusting, prolonged healing, scarring, or textural change. Treatment of blood vessels can occasionally cause temporary staining as blood products break down within the skin. Pigment changes are particularly relevant in darker or recently tanned skin, making appropriate wavelength and energy selection important. Patients should understand both expected reactions and warning signs before undergoing vascular laser treatment. Careful diagnosis, customized settings, cooling, sun protection, and appropriate aftercare help reduce risk but cannot eliminate it completely.

Dr. Haitham Al-Gzlan is a Consultant Dermatologist and Aesthetic Physician in Riyadh whose practice includes medical dermatology, laser dermatology, rosacea, pigmentation, redness, and skin rejuvenation. His technology portfolio includes Excel V+ alongside PicoWay, Fraxel, M22 IPL, UltraPulse CO2, and other laser and energy-based treatments. Access to different technologies allows treatment selection to start with the diagnosis instead of assuming one laser is appropriate for every red or pigmented concern. For Excel V+, Dr. Haitham considers vessel type, depth, skin phototype, pigmentation tendency, and whether 532 nm or 1064 nm treatment is more appropriate. This individualized approach is particularly relevant for Saudi and Middle Eastern skin, where pigmentation risk can affect laser settings and treatment planning. The overall goal is dermatologist-led assessment, precise treatment, realistic expectations, and structured follow-up care.

If facial redness, rosacea, broken capillaries, spider veins, angiomas, or selected pigmentation concerns are affecting your skin, Excel V+ may be one treatment option to consider. Dr. Haitham Al-Gzlan first evaluates the underlying condition, skin type, vessel characteristics, and pigmentation risk before recommending laser treatment. When Excel V+ is suitable, wavelength, energy, pulse duration, spot size, and treatment mode can be personalized rather than using a standard protocol. Alternative technologies such as PicoWay, M22 IPL, Fraxel, or another dermatological treatment can also be considered when they better match the concern. Your consultation covers expected results, treatment sessions, downtime, possible side effects, and aftercare. Book an Excel V+ laser consultation in Riyadh to receive an individualized treatment plan.