For the forward-thinking practitioner |

2 mins

For the forward-thinking practitioner

Before After 2 Txs
Photos courtesy of Didac Barco, MD

W ith more than 35 years of experience in cosmetic dermatology and as head of the department for aesthetic surgical medicine at the centre for laser medicine (ZELM) at the University Hospital Bochum, Dr Klaus Hoffmann has seen the technology available for vascular indications continually evolve. Here he shares why the excel V+ from Cutera is his device of choice.

As with many cosmetic dermatology practices, we see a huge number of patients with conditions like rosacea, and other vascular malformations. We need a highquality, stable and efficient device to ensure we can meet the high levels of demand in the practice and also guarantee the optimum result for our patients.

Before and after: A.Hussein - 2x treatments
Photos courtesy of A. Hussein MD

Our chosen platform is the excel V+ from Cutera, which meets these requirements perfectly and offers me the reassurance I am using the best device possible, the gold standard.

The platform uses a dual-wavelength combination of 532 nm and 1064 nm, which provides optimal absorption in haemoglobin (vascular) and melanin (pigmentation).

When I heard about the unique Cutera innovation of producing 532nm by another gain medium in the form of the Lithium Triborate (LBO) crystal, I was delighted, as I could see I could now push the boundaries of the 532nm without having to worry about breakdowns or loss of energy. The Nd:YAG wavelength of 1064 nm extends the treatment options of the more superficial 532nm wavelength by allowing deeper penetration, which is particularly useful when targeting deeper blood vessels and vascular problems that are blue or purple. These include veins in the legs, venous lakes, venous malformations and port-wine stains. I also use 1064 nm to treat haemangiomas, bruises, hair removal, active acne and acne scars – this flexibility is due to the quality of the Nd:YAG on the excel V+, which is of course from the original manufacturer who was first to release an FDA-approved 1064 nm for clinical applications.

The touchscreen, which allows you to switch from 1064 nm to LBO 532 nm without changing the handpiece, makes it especially easy and intuitive for me. I can choose between independent parameters and the largest spot size available on the market with one click.

The spot size changes from 1-16mm and this flexibility in precision makes the treatment of various vascular and pigmented lesions intuitive and easy

The Coolview handpiece, allows switching between 1064nm and 532nm and can be used to treat rosacea in hypersensitive skin, photo rejuvenation, or scar treatment, to name a few examples body quickly and easily.

With adjustable cooling from 5-20 °C and cooling before, during and after each pulse, I can effectively, yet comfortably and safely, adjust the treatment indication. The sapphire contact cooling is integrated into the handpiece, making it an essential part of my treatment success by removing the environmental damage and ongoing costs presented by cooling methods, such as cryogen spray.

Dr Klaus Hoffmanjpg

In summary, and beyond the obvious benefits of using excel V+ stated above, what I really like about the excel V+ device is that I can use lower fluence due to improved overall efficiency, thereby eliminating unnecessary collateral tissue damage, and improving our patients’ overall satisfaction levels. These advantages make excel V+ an expert system for me, enabling me to exploit my full potential.

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This article appears in September 2022

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September 2022
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