Cutera Excel V+ Treatment
San Antonio TX

Thin vascular facial lesions do not just damage your appearance; they can also influence your self-esteem. Dr. Vivian Bucay and her staff can dramatically reduce the appearance of vascular lesions, as well as other facial skin problems such as fine lines, wrinkles, warts, and pigment discoloration, with the use of the Cutera Excel V+ laser treatment.

Cutera Excel V+ Treatment San Antonio TX

What is Cutera Excel V+?

Cutera Excel V+ is a non-invasive laser treatment that specifically targets vascular lesions, pigment discoloration, and other skin problems. Using a long-wavelength laser, this treatment is designed to dramatically reduce the visible appearance of bumps, scars, discoloration, and veins that appear on the nose, cheeks, and forehead.

Cutera Excel V+ has also been proven to treat spider veins and leg veins. These conditions are often difficult to treat due to the deep blue/purple color that appears.

These facial and leg veins, as well as other skin problems, are treated with the powerful laser that is used during a Cutera Excel V+ treatment. The light of the laser targets the blood vessels located right under the skin and starts a natural healing process that dramatically reduces any imperfections on the skin or legs.

How does Excel V+ work?

Various skin conditions show themselves through broken or abnormal blood vessels in the surface skin. One such condition is rosacea, where the facial blood vessels dilate beyond the normal range. This causes the face to look red and flushed. When treating vascular conditions, Excel V+ delivers a short burst of light energy that is absorbed by the abnormal blood vessels in the skin. The light energy converts to heat and instantly causes the unwanted veins to close up and disappear.

Patient Testimonial

Excellent attention and diagnosis, and regarding the information provided by Dr. Rachna Bhandari! And the great center’s professional team…we are so grateful for all their genuine support given on my mom’s actual recovery these days…with major improvement from the first visit and for her skin’s overall condition repair and healing as well. She’s on track now.👍🏻 I truly appreciate their kindness and honesty. Thank Y’All again!!”

- Best Regards, Paola M.

What are the benefits of the Cutera Excel V+?

The Excel V+ is a great laser platform that was created based on feedback from physicians around the world. It offers two wavelengths — 532 nm and 1064 nm — and this allows us to treat over 20 unique skin issues on patients with any skin type. This laser system has incredible breadth in its treatments for pigmentation issues and vascular lesions. 

The Excel V+’s two wavelengths address different problems. The 532 nm wavelength has proven effective for a variety of superficial vascular lesions. It’s great for rosacea, diffuse redness, and telangiectasias.

The 1064 nm Nd: YAG wavelength expands treatment options to deeper, darker vascular lesions.

The system offers a wide range of laser spot sizes to ensure that small treatment areas can be targeted with greater precision and larger areas can be treated in a shorter amount of time.

Another great feature keeps our San Antonio patients cool and comfortable during Excel V+ treatments. The system’s “sapphire contact cooling” provides continuous cooling before, during, and after each pulse of the laser. The cooling temperature can be adjusted to allow the treatment of both superficial and deeper skin problems.

Who is a good candidate for Excel V+ treatments?

A girl with Post-Acne Marks and scars. Because the Excel V+ has such adjustable characteristics and two separate wavelengths, it can treat patients with any skin color on the Fitzpatrick skin type classification. It has no risk of causing hyperpigmentation, as many other laser treatments do. Really, anyone with areas of pigmentation problems, issues with overall skin tone, redness, and superficial veins can have these treatments at Dr. Bucay’s.

What Conditions Does Cutera Excel V+ Treat?

Cutera Excel V+ treats everything from facial and leg veins to rosacea. It is also successful in treating skin discoloration caused by sunspots, acne scars, fine lines, wrinkles, and uneven skin texture.

What is the procedure for an Excel V+ treatment?

Unlike many laser treatments such as Fraxel, patients don’t require any local or topical anesthesia prior to Excel V+ treatments. The treatments are fast, taking just 15 to 30 minutes depending on the areas being treated. We apply a salve to the treatment areas to allow easy movement of the handpiece. Then we place the Excel V+ handpiece over the affected areas of your skin, and it delivers the short bursts of laser energy at the desired wavelength. Abnormal blood vessels vanish immediately. Other conditions improve and then continue to improve. Throughout your session, the Excel V+’s cooling system keeps your skin comfortable and ensures safety.

What results can I achieve with Excel V+ treatments?

As mentioned above, Excel V+’s dual wavelengths, adjustable spot size, and various other features allow a wide range of treatments. These are the conditions you can expect to improve with Excel V+:

Closeup before and after portrait of beautiful brunette woman after laser treatment removing freckles on face looking at camera. makeup or cosmetology. indoor studio shot, isolated on gray background.

  • Rosacea
  • Sun damage
  • Freckles
  • Red and blue facial veins
  • Leg veins
  • Scars and keloids
  • Hemangiomas
  • Cherry angiomas
  • Port-wine stains
  • Telangiectasia
  • Diffuse redness and discoloration on the face or neck
  • Sebaceous hyperplasia (dilated oil glands)

Is there any recovery after an Excel V+ treatment?

There is no recovery time after an Excel V+ treatment.

Are There Any Side Effects with Cutera Excel V+?

There are very few side effects with Cutera Excel V+ treatments. Some of our patients may feel a slight burning or tingling sensation during the actual treatment, but this usually goes away as soon as the laser is turned off.

On rare occasions, some blistering may occur during a treatment. This is a rare side effect that happens in very few patients.

How Many Treatments Will I Need to See Results?

Our patients will often see results within one to three treatment sessions, but it really varies. Some patients see results right away, while others may need several sessions before the results show.

The number of treatments you will need will depend upon a number of factors including the areas to treat, the thickness of your skin, and the color of the veins or lesion. Dr. Vivian Bucay and her staff will be able to determine approximately how many treatments you will need during your consultation.

Why Cutera is one of Dr. Bucay’s favorite treatments

LaserGenesis (Cutera) is another one of my go-to treatments to create a glow and minimize the appearance of pores. This treatment takes about 20 minutes and patients should repeat the treatment every other week for a series of 6. LaserGenesis is a great way to stimulate collagen production, even out skin tone, and decrease the appearance of pores. – Dr. Vivian Bucay

Other facial rejuvenation procedures you may be interested in:

Schedule a Consultation

If you are interested in Cutera Excel V+ and would like to get more information, call our La Casita location at  210.692.3000, or our Sonterra location at  210.370.9995. Bucay Center for Dermatology and Aesthetics serves San Antonio and surrounding areas in Texas.

Schedule A Consultation



01. Get to know Dr. Bucay, Dr. Bhandari and Dr. Noorily.

02. Help her understand you and your goals.

03. Learn about our services and specialties.

“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

–Jorie K.


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Talia Noorily MD

A Message from Dr. Bucay: Champions for Change Gala

This year I am honored to join the committee for the Champions for Change Gala, taking place on May 10, 2023 at Ziegfield Ballroom in NYC.

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