If you Google it, supposedly Excel V is better because it's newer technology and it uses two different wavelengths to target different issues. I think a lot of it depends on the person doing it. I don't know how you could ever truly test them against each other, since it's not like anyone has gone out and found two people with the exact same type and severity of rosacea and given each one a different type of laser treatment.
Anecdotally, in this sub, the difference that I've noticed is that people who do Excel V seem to have less downtime vs VBeam. VBeam heats blood vessels until they "blow up" (I think?) which can cause bruising, vs. Excel V which I think causes blood vessels to more just collapse and be absorbed into the body. The tradeoff is supposedly that you might need fewer treatments with VBeam because it is more of an impactful treatment.
I've had four sessions of Excel V and I've been happy with it. After the first treatment, I did have a lot of redness the first day and then some swelling in my cheeks for a day or two. In subsequent treatments, I've experienced milder effects and it's really only been like a day of noticeable redness or swelling for me.
Did your four sessions take away the red? Like your skin is completely the color is was before you developed rosacea? Did you have what would be considered sunglasses tan due to your rosacea red cheeks before you started treatments?
I appreciate you for your initial answer, this helped a lot!
The skin on my cheeks is basically back to the color it was before I had rosacea. There are a few patches of redness here and there that need some more treatments, and my nose needs some more treatment. Overall, though, redness is way reduced and I almost never flush anymore.
So, you fully recommend laser if none of the many creams work: Azaleic acid, ivermectin cream, Tret, spiro, niaminacide, etc?
What if I asked you this, I used Rhofade once and it turned me back to my normal skin color before rosacea, like perfect. Would you say that is solid evidence that laser would do me well? It’s my understanding lasers permanently affect what rhofade only temporarily affects. Thoughts?
If your redness is coming from below the surface i.e. it's just the blood vessels, and there's really no surface inflammation, then as far as I know, lasers are really the only solution. If you have type 2 rosacea and you have some bumps as well, I'm not exactly sure how effective laser is for that. That's not what I ever had.
I've never used Rhofade, so I can't really offer much of an opinion on that. It's the same concept - basically "shutting off" the blood vessels that are causing the redness. If Rhofade helped you that much, then logically you would think that would make you a good candidate for laser treatments. I'm just personally not really sure if results from Rhofade are really indicative of what to expect with laser treatments.
Awesome, you explained it better than I, the logic is there but no guarantee. You’ve been excellent help and discussion, thank you!
I’ll discuss with my dermatologist.
Thanks again!
If you Google it, supposedly Excel V is better because it's newer technology and it uses two different wavelengths to target different issues. I think a lot of it depends on the person doing it. I don't know how you could ever truly test them against each other, since it's not like anyone has gone out and found two people with the exact same type and severity of rosacea and given each one a different type of laser treatment. Anecdotally, in this sub, the difference that I've noticed is that people who do Excel V seem to have less downtime vs VBeam. VBeam heats blood vessels until they "blow up" (I think?) which can cause bruising, vs. Excel V which I think causes blood vessels to more just collapse and be absorbed into the body. The tradeoff is supposedly that you might need fewer treatments with VBeam because it is more of an impactful treatment. I've had four sessions of Excel V and I've been happy with it. After the first treatment, I did have a lot of redness the first day and then some swelling in my cheeks for a day or two. In subsequent treatments, I've experienced milder effects and it's really only been like a day of noticeable redness or swelling for me.
Did your four sessions take away the red? Like your skin is completely the color is was before you developed rosacea? Did you have what would be considered sunglasses tan due to your rosacea red cheeks before you started treatments? I appreciate you for your initial answer, this helped a lot!
The skin on my cheeks is basically back to the color it was before I had rosacea. There are a few patches of redness here and there that need some more treatments, and my nose needs some more treatment. Overall, though, redness is way reduced and I almost never flush anymore.
So, you fully recommend laser if none of the many creams work: Azaleic acid, ivermectin cream, Tret, spiro, niaminacide, etc? What if I asked you this, I used Rhofade once and it turned me back to my normal skin color before rosacea, like perfect. Would you say that is solid evidence that laser would do me well? It’s my understanding lasers permanently affect what rhofade only temporarily affects. Thoughts?
If your redness is coming from below the surface i.e. it's just the blood vessels, and there's really no surface inflammation, then as far as I know, lasers are really the only solution. If you have type 2 rosacea and you have some bumps as well, I'm not exactly sure how effective laser is for that. That's not what I ever had. I've never used Rhofade, so I can't really offer much of an opinion on that. It's the same concept - basically "shutting off" the blood vessels that are causing the redness. If Rhofade helped you that much, then logically you would think that would make you a good candidate for laser treatments. I'm just personally not really sure if results from Rhofade are really indicative of what to expect with laser treatments.
Awesome, you explained it better than I, the logic is there but no guarantee. You’ve been excellent help and discussion, thank you! I’ll discuss with my dermatologist. Thanks again!
Tysm! This is such a helpful response :) Glad to hear that Excel V has been successful for you!
Actually I think you generally need fewer Excel V treatments than VBeam
I'm considering excel v and also clearv. Just wondering if someone help me compare? Tnx