Cutera excel V Laser – Sun Damaged Neck, Rosacea Nose, & Blue Vein for Dr. Bushore


– Hey, it’s Doctor Bushore. I’m excited ’cause I’m gonna try
and get rid of this red neck for sure, this time. It’s called Poikiloderma,
basically just means that you have sun damage
on the neck. Cutera Excel V is one of the
strongest lasers that can treat this. It can sting a little bit, so it
can feel like a little zap… Snap of a rubber band. But things that you can do
prior to the procedure, try and decrease any of pain
or even anxiety: You can take Tylenol or
Ibuprofen or even both like 30 minutes before the procedure. This is something I learned
about from another colleague is L-Theanine and it comes in
100 milligram pill but you can take two of those,
a 200 milligram dose if you’re nervous about your
procedure and about the pain, it can help kind of calm that
mood for you a little bit, make it a little bit easier. Plus, the Excel V laser actually
has, the tip is super cold and that’s why, as strong as it
is and as powerful as it is, it helps protect the skin
to make sure that you don’t get the burns or any of
the side effects. It’s the most advanced technology
now for treating reds, browns, and blues; so even like
veins and things. We’re even thinking about
treating my veins around my eye today too. – We are getting Doctor Bushore
prepared for his treatment for Poikiloderma. We’ve already kind of gone
through and just traced out the treatment, the plan
for treatment. So it’s nice and even,
that’s very important. Alright, so he’s good,
his eyes are protected. Of course, mine will be too,
once we get started. This whole room’s gonna
light up turquoise, so we have to be sure to
wear eye protection. So, the laser itself, for this
treatment, I have it at about five degrees Celsius. That’s going to help Doctor
Bushore with his comfort level because it’s gonna be
a pretty spicy treatment. So, if you want to come in and
see exactly what we’re going to be doing. So this is all from sun damage. Sun damage comes in two
different colors: red and brown and for Doctor Bushore,
it is red. – ‘Cause you can push on it,
it disappears. – Right. – You can see as you push and
it disappears… – See that?
– Then you know it’s vascular. – Exactly. I’m about to get started on
the procedure here. Already done one little pass, so
I’m just gonna keep going. So pulling down the skin after
each pass is always nice. Does that feel good,
Doctor Bushore? – Yeah, the tip of the laser is
five degrees Celsius, so. – Yeah.
– It really feels good. – Yeah, feels nice. We’re putting in a lot
of heat right now. Update, we’ve just completed the
full left side of his neck here. You can see his quite red;
it’s going to start turning pretty much white and puffy
here in a little bit. This is his second treatment,
Doctor Bushore. So have you noticed any
differences between your first treatment and now,
your second treatment? – So, maybe the Tylenol and the
Theanine made a difference but I think it didn’t hurt as
much and I think, partly because there’s not as
much what’s called a chromophore That’s the…I could explain to
people, that’s like the fork in the microwave, what absorbs
all the energy and the heat from the laser and so,
when there’s not as much of the redness there,
there’s not as much to heat up and absorb that energy and
convert that laser energy to heat and so I didn’t feel as much pain
this time as I did the first time. So, even if you come in to get
laser treatment and like, ‘oh that hurt,’ Well, it may hurt less
the next time. – And you’re definitely not
alone with that. I’ve heard other patients say
the exact same thing. The first one’s pretty intense. But it gets easier,
it gets better. – That’s why there’s options too
’cause we have laser, it’s called Laser Genesis that
has no down time and can treat a little bit
of redness. So, if you want to ease your way
into things and kinda decrease your chromophore with the Laser
Genesis that’s just a gentle… It almost feels like a warming
sensation– – But if you want to just blast
it out, we can do that too! We can do both. Alright, so we are
completely done. We did his full neck, I’d say in
about 15, 20 minutes or so. So, yeah, that’s it. This is a very, very normal
response. This is what you want. Once the redness subsides,
it will turn white. Pretty white and then it’ll
start to be puffy. So we’re gonna go ahead and
treat Doctor Bushore’s nose. We’re using the Cutera Excel V. We’re using a 532 wavelength. Very red, so we’re going
to try to… – Target blood vessels.
– Yeah. – And we’re done. So, we’re about to treat a vein
right above Doctor Bushore’s eye. It’s this bluish purple vein
right above the orbital bone. Right there, if you can see. So, he doesn’t like it. He just doesn’t like it,
he doesn’t want it there. That’s the beauty of this laser,
we can make that happen. So, we’re gonna go ahead
and get started. It’ll take about 10 seconds
and it’ll be gone. – Alright, so we’re all done. I just got my neck Poikiloderma
treated, gonna get rid of my red neck, gonna get rid of
my red nose from Rosacea and get rid of a little vein
above my eye. Man, I’m gonna be perfect. Right, Marissa?
– Yes, of course. – That’s what we do,
here at BDA, that’s what we do. That’s how we roll, right?
– Right. – That’s how we roll.
– Perfection.

Comments 2

  • Good video. I am very interested in the wavelengths of vascular lasers. The Excel V uses 532nm and the Pulse Dye Laser 595nm. Would you recommend the long pulse ND Yag Laser at 1064nm for deeper vessels that might be unresponsive to the Pulse Dye Laser and Excel or would you recommend a 755 setting?

  • Does doctor have rosacea?

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