During a laser consultation with our specialists, who each bring over 15 years of experience with aesthetic medical lasers, we will thoroughly evaluate your skin concerns and goals. Based on this assessment, we will develop a personalized treatment plan to address your needs. Most laser treatments are recommended in packages to achieve optimal results and meet your expectations, and all of these details will be discussed during the consultation. If you decide to move forward and have not had recent sun exposure, we can often perform your first treatment on the same day for added convenience.

Conditions Treated with Excel V:

Rosacea

Telangiectasia

Leg Veins

Facial Veins (red and blue)

Venous lake (purple lesions on lips)

Diffuse redness of the face and neck skin

Scars and keloids

Port Wine Stain

Hemangiomas

Cherry Angioma

Freckles

Sun damage pigmentation

Fine Lines & Wrinkles

Pore Size

Skin Texture

Hair (small areas)

 a new approach to treating vascular skin conditions

 Excel V is a new approach to treating vascular skin conditions that puts patients’ safety and comfort first.  The system uses a unique high power green laser that is absorbed by abnormal blood vessels in the skin.  The laser heats and eliminates the abnormal vessels, ultimately restoring normal skin tone and color.  Excel V can be customized to each patient’s skin condition, enabling precise and effective treatment of everything from superficial blemishes to deep scars.  The system leverages innovative cooling technologies to ensure patient comfort, and there are no long-term side effects or downtime.

*Disclaimer: Individual results and experience may vary.

genesis skin rejuvenation

Face any camera with confidence. Before your next close-up, boost your skin’s appearance with Laser Genesis.

Laser Genesis can make you proud to share your image. How? Micro-pulses of laser energy activate collagen remodeling to improve the appearance of fine lines and wrinkles, and diminish the signs of aging such as facial redness and brown spots.

*Disclaimer: Individual results and experience may vary.

permanent hair reduction

The 1064 wavelength of the CUTERA Excel V laser is used for small areas of hair removal. Impulses are transmitted via the hair shaft to inactivate the hair follicles. Typically, 4-6 treatment sessions are required for results to be seen. Patients with lighter-colored hair (other than black) may require more treatment sessions with higher settings to see effective results. Due to the size of the handpiece, we are only able to treat small areas. These areas include the face & neck, bikini & underarms.

cutera laser at holland plastic surgery

Q: WHAT IS LASER GENESIS?

A: 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.

Q: HOW DOES LASER GENESIS WORK?

A: 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.

Q: WHAT ARE THE BENEFITS OF LASER GENESIS?

A: 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.

Q: WHAT AREAS CAN BE TREATED?

A: 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.

Q: HOW MANY TREATMENTS ARE REQUIRED?

A: 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.

Q: WHAT DOES LASER GENESIS FEEL LIKE?

A: You will experience a gentle warming of your skin’s surface during the procedure. Patients often describe the treatment as relaxing and therapeutic.

Q: WHAT ARE POSSIBLE SIDE EFFECTS?

A: 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.

Q: IS LASER GENESIS FOR ME?

A: 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!

*Disclaimer: Individual results and experience may vary.

Q:  How does Excel V work?

A:  Excel V, which was developed by Cutera, 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.

Q:  What specific conditions does Excel V treat?

A:  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.

Q:  What are the benefits of Excel V compared with other treatment options?

A:  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. 

Q:  Are there other laser treatment options available for these skin conditions?

A:  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.

Q:  What is the level of demand for treatment of skin conditions?

A:  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. [1]

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.[2]

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.

Q:  How is the procedure performed?

A:  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.

Q:  What skin types does Excel V treat?

A:  All skin types indentified 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.

Q:  How many treatments for vascular concerns are needed?

A:  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.

Q:  What are the costs of treatment?

A:  As with any procedure, the costs depend on the specific condition for which treatment is being provided. For minor conditions only requiring a single cycle of treatment, the cost generally ranges between $250-$1,000. For conditions that affect a large portion of the skin and require additional treatment sessions, the price increases proportionally.

*Please Note: Your first planning appointment is of utmost importance, and you will ultimately achieve a much better outcome for your skin long-term with a proper skin analysis. For our providers to perform this analysis your skin needs to be clean of dirt, oils and makeup. Additionally, safety is Dr. Holland’s priority and removing makeup prior to in-office treatments aids us in providing you with safer, more efficient care. For your convenience, we have a face washing station available if you are unable to arrive with a clean face. Additionally, if you are receiving laser treatments you cannot be in the sun. If you have any tan OR self-tanner present to the skin, our specialists will not be able to treat you.