Telma Skin Clinic

Cutera Excel V+

A vascular and pigmentation laser used to target visible blood vessels, redness, and benign pigmented lesions.

A clinician treating a client's face with the Cutera excel V+ handpiece

What is excel V+?

Excel V is a vascular and pigmentation laser used to target visible blood vessels, redness, and benign pigmented lesions. It uses two wavelengths (532nm and 1064nm) to treat conditions affecting skin tone and colour, with minimal disruption to surrounding tissue.

At a glance

Treatment time
30–60 min
Downtime
Minimal to moderate downtime
Sessions
1–4 sessions
Indications
Redness, broken capillaries, vascular concerns & pigmentation
Price
$190–$550

The number of treatments required varies depending on the type and severity of the vascular or pigmentation concern, treatment area, skin type and individual response.

What skin concerns can excel V+ improve?

excel V+ may be used to treat:

The exact wavelength, handpiece and treatment settings are selected according to the concern being treated.

What is involved in an excel V+ treatment?

Your skin is assessed before treatment to identify the vascular or pigmentation concerns being treated and determine the most appropriate laser settings.

Protective eyewear is provided before the treatment begins. The laser is then delivered systematically to the selected areas using the appropriate wavelength and handpiece.

A cooling system may be used to improve comfort and protect the skin during treatment. You may experience a brief snapping, warmth or pinching sensation depending on the treatment.

After treatment, the skin may appear temporarily red or swollen. Some vascular or pigmented lesions may darken or develop temporary bruising or crusting as they respond to the laser.

How can excel V+ improve your skin concerns?

The laser wavelengths are selectively absorbed by targets within the skin.

For vascular treatments, laser energy is absorbed by haemoglobin within blood vessels, generating controlled heat that can cause the targeted vessels to coagulate and gradually clear.

For selected pigmentation concerns, laser energy is absorbed by melanin within the pigmented area, allowing the pigment to be treated selectively.

The 532 nm and 1064 nm wavelengths provide flexibility for treating different depths and types of vascular and pigmented concerns.

A clinician treating a client's face with the excel V+ handpiece

How to prepare for excel V+

  1. 01

    Protect from the sun

    Avoid sun exposure and tanning before treatment.

  2. 02

    Protect from the sun

    Use SPF 50+ daily.

  3. 03

    Do not attend treatment with a recent tan or sunburn.

  4. 04

    Pause active skincare

    Avoid irritating active skincare products as advised by your clinician.

  5. 05

    Share your history

    Inform your clinician about medications, particularly photosensitising medications or medications that may increase bruising.

  6. 06

    Flag any skin changes

    Advise your clinician if you have a history of cold sores, abnormal scarring or pigmentation changes.

  7. 07

    Flag any skin changes

    Do not have treatment over suspicious or undiagnosed pigmented lesions.

  8. 08

    Inform your clinician about recent cosmetic, laser or injectable treatments.

A client and clinician reviewing VISIA skin imaging together

After your treatment

  • Mild redness and warmth are common immediately following treatment.

  • Some vascular treatments may produce temporary swelling or bruising.

  • Treated pigmentation may temporarily darken before gradually fading or shedding.

  • Keep the skin clean and avoid unnecessary touching or rubbing.

  • Avoid picking or removing any crusting that develops.

  • Avoid excessive heat and strenuous activity as advised.

  • Avoid direct sun exposure and use SPF 50+ consistently.

  • Follow the individual aftercare instructions provided by your clinician.

What can be done to complement excel V+?

excel V+ can form part of a broader treatment plan alongside:

For patients with multiple concerns, vascular and pigmentation treatments may be planned as separate or combined treatment stages depending on the skin's condition and clinical assessment.

Frequently asked questions.

Anything not covered here is best discussed in your consultation.

Most patients describe treatment as a brief snapping, pinching or warming sensation. Cooling technology can be used to improve comfort.

Downtime varies depending on the treatment. Generalised redness treatments may have minimal downtime, while targeted vascular or pigmentation treatments can result in temporary swelling, bruising, darkening or crusting.

The number of treatments depends on the concern being treated. Some individual vascular or pigmented lesions may respond in one treatment, while diffuse redness and broader skin concerns may require a course.

excel V+ can be used to target vascular components associated with rosacea, including diffuse redness and visible vessels. Treatment is customised according to the individual's presentation.

Yes. The 532 nm and 1064 nm wavelengths can be used to target selected superficial and deeper vascular concerns, including facial telangiectasia and veins.

Yes. The 532 nm wavelength can target selected superficial pigmented lesions and pigmentation concerns. However, the cause and type of pigmentation must be assessed before treatment.

The platform can be used across a broad range of skin types, but treatment settings and suitability must be individually assessed. Skin that is recently tanned or exposed to significant sun may require treatment to be postponed.

In selected patients, different concerns can be addressed during the same treatment plan. Your clinician will determine whether combining treatments in one session is appropriate for your skin.

Before & after photos.

Individual results vary. Suitability and expected outcomes are discussed in consultation.

  • Cheek redness before and after excel V+ treatment
  • Facial redness and visible vessels before and after excel V+ treatment
  • Vascular lesion on the nose before and after excel V+ treatment

01 / 03

Pricing.

All pricing
Cutera Excel V+
$190–$550

Assessment comes first.

Book a consultation
  • Nothing on this page is a diagnosis, and no treatment is recommended before you have been seen.
  • Suitability depends on your skin, your history and your medications, which is what the consultation is for.
  • If a concern is changing, painful, bleeding or new, have it assessed by a doctor rather than treated cosmetically.

In their own words.

Related treatments.

Book a consultation with Telma.