PRECISION TREATMENT FOR PIGMENT & VASCULAR LESIONS
Cutera CoolView
Targeted Laser
PRECISION TREATMENT FOR PIGMENT & VASCULAR LESIONS
Cutera CoolView
Targeted Laser
A precise, highly targeted approach to visible pigmentation and vascular concerns using the Cutera Excel V+ CoolView 532nm & 1064nm wavelength.
Unlike Laser Genesis, which treats the skin more broadly, CoolView allows individual areas of unwanted pigment and visible vascularity to be treated with precision. Laser energy is selectively absorbed by the intended chromophore — melanin within pigmented lesions or haemoglobin within blood vessels — allowing us to target the concern while minimising unnecessary treatment of the surrounding skin.
For vascular concerns, this may mean treating individual broken capillaries around the nose, cheeks or chin, facial telangiectasia, cherry angiomas or selected leg veins. For pigmentation, treatment may be directed towards discrete sun spots and other appropriate superficial pigmented lesions.
The treatment is deliberately offered by area rather than as a one-size-fits-all procedure. A single vessel may require only a spot treatment, while more extensive sun damage or vascularity may involve several facial areas. Your skin and the individual concern are assessed first so the appropriate treatment area and parameters can be selected.
/ For an isolated facial vessel or discrete area of suitable pigmentation.
/ For a localised concern, such as the nose or chin.
/ For more extensive vascular or pigment treatment, such as the cheeks and nose, or approximately half of the face.
/ For multiple indications, approximately three treatment areas, or more widespread facial vascularity or pigmentation requiring comprehensive treatment.
/ Targeted treatment for appropriate leg veins following assessment.
/ Targeted treatment of appropriate skin tags following assessment.
Depending on assessment, targeted laser may be suitable for concerns including:
/ Broken facial capillaries
/ Telangiectasia
/ Individual facial vessels
/ Vascular redness
/ Cherry angiomas
/ Spider naevi
/ Selected superficial leg veins
/ Sun spots and age spots
/ Discrete superficial pigmentation
/ Selected vascular and pigmented lesions
/ Sebaceous Hyperplasia
/ Seborrheic Keratosis
Not all redness, pigmentation or vascular concerns should be treated in the same way. Client suitability will always be assessed first, including the nature and depth of the concern, skin phototype, medical history and potential underlying drivers.
SPOT TREATMENT - $120
SMALL AREA - $199
MEDIUM AREA - $299
LARGE AREA / FULL FACE - $399
They perform very different jobs.
Laser Genesis uses a 1064nm wavelength to gently heat the dermis and is generally used across a larger treatment area to support collagen production, improve skin quality and address diffuse redness.
CoolView uses both a 532nm & 1064nm wavelength and is much more targeted. It allows me to precisely treat visible superficial pigment and vascular concerns such as individual broken capillaries or sun spots.
Where appropriate, the two complement each other beautifully and are often performed together or as part of a plan.
There is a brief sensation as each pulse is delivered, often described as a quick hot flick or snap against the skin. The Excel V+ incorporates contact cooling to protect the skin and improve comfort throughout treatment.
Tolerance varies depending on the concern and treatment area, but treatment is generally very manageable.
Laser energy is absorbed by haemoglobin within the targeted vessel, creating controlled thermal injury to the vessel wall. The treated vessel subsequently closes and is gradually cleared and carried away by the lymphatic system.
Some small vessels respond immediately, while others may darken first and fade gradually over the following weeks.
Appropriate superficial pigmentation often becomes noticeably darker following laser treatment. This is expected.
Over the following days, the treated pigment may develop a darker, coffee-ground-like appearance before gradually lifting and shedding as the skin renews. It is important not to pick or exfoliate this away prematurely.
The number of treatments varies according to the concern, its size and depth, and how your skin responds.
Many discrete vessels or pigmented lesions improve significantly following a single treatment, while others require a series to achieve the desired level of clearance.
Laser can treat what is present today, but it cannot stop the biological processes that created it. Successfully treated vessels may clear, but treatment cannot prevent angiogenesis or the development of new vessels over time. Genetics, rosacea, UV exposure, ageing and repeated flushing can all contribute to new vascular changes.
Likewise, successfully treated pigment can recur or new pigmentation can develop where underlying triggers such as UV exposure, hormones or inflammation remain.
Occasional maintenance treatment may therefore form part of long-term care.
There can be some downtime, and this varies considerably depending on what we're treating.
Vascular treatment may produce temporary redness, swelling or occasionally localised bruising. Pigmented lesions are expected to darken before gradually lifting over the following days.
More extensive treatment generally produces a greater visible response than treating a single spot. Your expected healing process will be discussed before treatment.
No — and this distinction is very important.
Pigmentation can sit at different depths within the skin and may be driven by very different processes. While discrete superficial sun damage can respond beautifully to this type of laser, other conditions require a different approach.
Melasma in particular needs careful assessment, as heat and inflammation can potentially exacerbate it. A consultation allows us to establish what we're actually looking at before deciding whether laser is appropriate.
No. Redness can be vascular, inflammatory, barrier-related or a combination of several factors.
Individual visible capillaries may be appropriate for CoolView, whereas diffuse redness may respond better to Laser Genesis. Inflamed or barrier-impaired skin may first require a completely different approach. This is why assessment comes before treatment.
Yes. Targeted capillary or pigment work can be incorporated into the Laser Genesis Facial where appropriate.
For more extensive treatment, a dedicated CoolView appointment may be recommended instead.
Treatment should not be performed on recently tanned or significantly sun-exposed skin, and diligent SPF and sun avoidance are essential throughout the treatment and healing period. This is also why some laser treatments are better suited to the cooler months.
No. Targeted laser treatment is not performed during pregnancy.
Other contraindications may include certain medications, recent tanning or significant UV exposure, active infection or inflammation and medical conditions affecting healing or light sensitivity. Full suitability is assessed prior to treatment.
Most importantly, you don’t need to diagnose the spot, vessel or pigmentation yourself.
If it’s your first time having the concern treated, or you’re unsure what it is, a consultation allows me to assess whether laser is appropriate before proceeding.
It’s important that you’re up to date with your routine skin checks and that any suspicious or changing lesions have been assessed and cleared by a doctor. Pigmented lesions that cannot be confidently identified as suitable for cosmetic treatment will require medical assessment before laser treatment.
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