Excel V Pigmentation
Excel V+ by Cutera is one of the most advanced multi-wavelength laser systems available.
Overview
Uneven pigmentation, freckles, and sun spots are among the most common skin concerns seen in dermatology. They can develop through a combination of sun exposure, hormonal influences, and ageing — and while harmless, many people find them distressing. At Derma Reading, we offer Excel V+ laser treatment for pigmentation: a state-of-the-art, clinically proven method for achieving clearer, more even-toned skin.
Excel V+ by Cutera is one of the most advanced multi-wavelength laser systems available. Using its 532 nm KTP and 1064 nm Nd:YAG wavelengths, it can target a wide spectrum of pigmentation types — from superficial freckles and sun spots to deeper pigmentation such as melasma or post-inflammatory hyperpigmentation.
The laser energy is absorbed by the pigment (melanin) in the affected cells, gently breaking it down into smaller fragments. Over time, these fragments are naturally cleared by the body’s immune system, revealing clearer, brighter skin beneath. Treatments are safe, quick, and suitable for most skin tones, with minimal downtime.
At Derma Reading, each treatment is delivered by an experienced dermatologist who tailors the settings precisely to your skin’s condition and sensitivity. Whether you wish to fade stubborn freckles, remove age spots, or rejuvenate dull, uneven skin, the Excel V+ laser provides a scientifically advanced solution.
What is the benefit of Excel V+ Laser Treatment?
Excel V+ is safe for a wide range of skin types when used by qualified practitioners.
The Excel V+ laser offers several important benefits for patients seeking to reduce unwanted pigmentation. The first is precision. The device allows dermatologists to target pigment selectively without damaging the surrounding skin. Its advanced pulse control and sapphire contact cooling ensure comfort and safety even on delicate areas such as the cheeks, temples, or chest.
Another major benefit is versatility. With two complementary wavelengths, Excel V+ can address a wide range of pigmentary issues, including freckles, solar lentigines (sun spots), age spots, café-au-lait marks, melasma, and uneven skin tone. This versatility makes it an excellent choice for both younger patients with sun-induced freckles and older individuals with age-related pigmentation.
Patients also appreciate the quick recovery associated with this laser. Most sessions last around 30 minutes, and although mild redness may appear immediately after treatment, this usually subsides within a few hours. There is no significant downtime, meaning patients can resume daily life right away.
Results are visible within weeks and continue to improve as pigment fades. The skin takes on a brighter, more uniform appearance with improved texture and tone. Unlike topical brightening products, which act slowly and superficially, Excel V+ treats pigmentation at its source — the melanin-producing cells — for longer-lasting clarity.
Finally, Excel V+ is safe for a wide range of skin types when used by qualified practitioners. Its advanced calibration and cooling technology allow controlled energy delivery, reducing the risk of post-inflammatory hyperpigmentation that can occur with older laser systems.
What is the process of Excel V Pigmentation?
The process begins with a detailed consultation. During this appointment, one of our dermatologists will evaluate your pigmentation patterns, discuss your skincare history, and explain how the laser works. Pre-treatment photographs are often taken so results can be tracked over time.
On the day of treatment, the area is cleansed, and protective eyewear is applied. The dermatologist then selects the appropriate wavelength — the 532 nm setting for superficial pigmentation such as freckles and sun spots, or the 1064 nm wavelength for deeper pigment like melasma.
As the handpiece is moved across the treatment area, you may feel a brief sensation of warmth or light snapping, similar to an elastic flick. Thanks to Excel V+’s CoolView™ contact cooling, discomfort is minimal, and anaesthetic creams are rarely needed.
The session typically lasts around 30 minutes, depending on the size of the area. After treatment, the skin may appear slightly flushed or darker where pigment has absorbed the laser energy. This darkening is temporary and usually fades as the skin renews. Over the following days, treated spots may gently flake or lighten.
Who is Excel V+ laser suitable for?
Excel V+ pigmentation treatment is suitable for adults who are concerned about freckles, sun spots, or uneven pigmentation caused by UV exposure, ageing, or hormonal changes. It is particularly beneficial for those whose pigmentation has proven resistant to chemical peels or topical lightening agents.
People often seek this treatment to restore a clearer, brighter complexion — particularly on visible areas such as the face, neck, chest, shoulders, and hands, where sun exposure tends to cause the most damage. The treatment can also help reduce dullness, improve radiance, and restore confidence in one’s appearance.
However, some individuals may not be suitable candidates. Those with active tanning, recent sunburn, or photosensitising medications should delay treatment until the skin is stable. Pregnant or breastfeeding patients are generally advised to postpone laser sessions. Individuals with very dark skin tones, certain pigmentary disorders, or a history of keloid scarring may require extra caution or an alternative approach.
At Derma Reading, every patient begins with a comprehensive consultation with a dermatologist. Your clinician will assess your skin type, pigmentation depth, and medical history before recommending an appropriate plan.
What are the risks of Excel V+ Laser?
As with all surgery, there is a small risk of complications, such as nerve damage or an allergic reaction to the anaesthetic or sutures. These risks will be explained by the dermatologist, who is the best trained and qualified person to avoid these events.
Excel V+ pigmentation treatment is generally very safe when carried out by experienced professionals. The most common side effects include mild redness, warmth, or temporary darkening of the treated pigment. These effects usually subside within a few days.
In some cases, light flaking or scabbing can occur as pigment breaks down — this is a normal part of the process and should not be picked or scratched. Rarely, transient pigmentation changes (either lighter or darker areas) may appear, particularly in those with darker complexions or recent sun exposure. These typically resolve with time and proper aftercare.
More serious complications, such as burns, scarring, or infection, are extremely rare. At Derma Reading, every procedure is overseen by a consultant dermatologist, and treatment parameters are customised for your specific skin type to ensure optimal safety.
What is the recovery time and outcome for Excel V+ Pigmentation?
Usually, patients are ready to go home during the afternoon or sometimes earlier.
One of the main advantages of Mohs micrographic surgery is that you know your results immediately and you will not leave surgery until it can be confirmed that all the cancerous cells have been completely removed.
Depending on the individual, complete healing can take up to four weeks. Most people heal quite quickly if they are in generally good health and haven’t had any complications.
Frequently Asked Questions
Most people describe the sensation as a mild warmth or a light snap against the skin. The treatment is well tolerated thanks to built-in cooling technology that maintains comfort throughout the session.
This depends on the type and depth of pigmentation. Freckles and sun spots often respond well after one or two sessions, while deeper or more complex pigmentation like melasma may require several treatments for best results.
Some improvement can be seen within two weeks, but results continue to refine over the following month as pigment gradually clears.
Yes, but it requires a cautious, conservative approach. The 1064 nm wavelength can safely target deeper pigment while minimising the risk of post-inflammatory hyperpigmentation. Your dermatologist will tailor the settings carefully if melasma is being treated.
Excel V+ is safe for most skin tones, though patients with very dark skin require a careful evaluation to determine suitability. At Derma Reading, safety protocols are strictly followed to ensure optimal outcomes for every patient.
Once treated freckles or sun spots are cleared, they typically do not reappear in the same area. However, new ones can form with UV exposure. Wearing sunscreen daily and avoiding excessive sun are the best ways to maintain results.
At Derma Reading, your skin is treated by qualified dermatologists with advanced expertise in laser technology and pigmentary conditions. Our clinic is CQC-registered and equipped with the latest Cutera Excel V+ system, ensuring treatments are precise, safe, and effective.
We take a personalised approach, tailoring every aspect of your care — from laser settings to aftercare advice — to your unique skin type and pigmentation concerns. Whether you are targeting freckles, melasma, or general unevenness, our goal is to help you achieve a natural, radiant complexion with lasting results.
If freckles, sun spots, or pigmentation are affecting your confidence, discover the power of the Excel V+ Laser at Derma Reading. Safe, effective, and with minimal downtime, it’s the modern way to achieve brighter, more even skin.
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