Aging, certain medical conditions, exposure to UV rays, and harsh weather can all be causes of unsightly spider veins and brown spots on the skin. Dr. Downie offers her patients individualized treatment planning that includes the latest technologies when appropriate. One of the innovative devices used at image Dermatology ® P.C. in Montclair is Excel V Laser.


Could You Have Rosacea—or Is Your Skin Just Red? - Women's Health
Could You Have Rosacea—or Is Your Skin Just Red? – Women’s Health

The Excel V from Cutera has been developed to gently and effectively treat a wide range of vascular conditions. During treatment sessions, visible vessels in the dermis absorb light from the high-powered green laser, leading to coagulation and absorption in the body. The longer wavelength of the Excel V is what allows it to treat tiny veins around the eyes, nose, cheeks and the entire face. Additionally, it treats spider veins on the legs, and even deeper vascular structures. The dermis is also heated during treatment, leading to increased production of collagen, which improves skin tone and texture. Patient comfort has been addressed, as well, in this device, which provides cooling before and after pulses of light.

There are various vascular conditions that can be treated with Excel V. These include:

  • Lentigos, or sun freckles are effectively treated all over the face and body.
  • Leg veins, also called telangiectasias or spider veins. These dilated blood vessels develop when the flow is insufficient to adequately push all blood out of a vein.
  • Facial veins do not pose a medical issue, but can negatively affect a person’s sense of confidence. Excel V addresses areas including the cheeks, chin, and around the eyes.
  • Rosacea is a chronic condition that may sometimes lead to diffuse redness and irritation that looks a lot like acne. The overall redness from rosacea is actually a collective of very small blood vessels. Treating these vessels with Excel V laser therapy reduces redness and irritation.
  • Port wine stains are a type of vascular birthmark that can appear anywhere on the body. These spots may be pink, red, or dark purple, posing a cosmetic problem if located in a visible area.
  • Excel V can also treat sun damage and reduce the appearance of large pores, fine lines and wrinkles, and improve the texture of skin.
  • Of note, the Excel V laser can also be used for gentle and effective laser hair removal. It also helps with eradication of hair bumps or razor bumps.


This in-office treatment is applied to clean, makeup-free skin. The laser energy is gentle enough that patients tolerate treatment quite well without topical anesthetic. In fact, many people look forward to their Excel V treatment for its spa-like luxuriousness. During treatment, the skin may feel warmed as the laser is moved across the treatment area. As light pulses against the skin, a slight sting may be felt. The device does come incontact with the skin.

Following treatment in our Montclair dermatology office, patients may resume their normal activities right away. The most important follow-up to treatment is sun protection. We advise our patients to wear protective clothing and apply broad-spectrum sunscreen with at least an spf 30 and above daily.


Very few patients report experiencing side effects from this gentle laser treatment. Broken blood vessels heal very quickly after and the patients skin is slightly red for a very short period of time. The most common side effects include mild swelling and redness or bruising, which lasts only a short time. When treating sun freckles, the spots turn purple, then gray and then fade away. Sun freckles take four to seven days to heal post treatment.


How many treatments are needed to achieve optimal results?

Every patient is different, with unique needs and his or her own response to laser energy. The number of treatments recommended will be based upon factors such as the size and thickness of the skin in the treatment area, the number of blood vessels, and the color of the skin. Patients with mild, superficial vascular lesions may experience wonderful results after just three treatments. Those with more diffuse redness or darker discoloration will require more treatments, many people must undergo a minimum of six treatment sessions. Maintenance laser sessions are suggested once or twice a year after.

Does Excel V treatment hurt?

Most patients can easily tolerate the mild stinging and warming sensations of laser treatment. However, some patients do opt for the application of topical anesthetic to ensure total comfort. We are happy to oblige. Patient comfort is our priority!

What benefits come from Excel V versus other treatments?

One of the primary aspects of dermatologic care is the ability to formulate treatment to each patient. With Excel V, adjustments can be made to ensure the level of treatment provided is appropriate for the patient’s condition. There are various wavelength modes within the Excel V device, which allows us to adjust for superficial veins or deep vascular conditions like port wine stains. The device also allows us to target very small areas, as well as larger areas so that treatment is not extended unnecessarily.

The appearance of skin is indicative of health and vitality. Engaging in life is something that we all deserve to do without reservation, feeling fully confident in our appearance. If you suffer from the effects of vascular conditions like rosacea or spider veins, we have solutions that will get you back into full swing. Contact us in Montclair today to explore your options for treatment with personalized dermatological care.


Treating broken blood vessels with no downtime

Treating broken blood vessels with no downtime
When treating things like Rosacea, broken blood vessels or whatever causes redness on the faces, a light laser can be your saving grace to completely remove the broken blood vessels. It helps those who suffer from such illness to look their absolute best, whilst contributing to reveal their genuine beautiful skin!

Good morning, and happy Friday, I’m here with one of my lovely patients who does not want to be identified who’s agreed to let me do the lower half of her face and put it on my Instagram and my website talking about treating broken blood vessels. So here’s the deal: Rosacea, broken blood vessels, telangiectasias, redness of the face, whatever you want to say, affects males, females of all races. People don’t like it. As we get older, with more sun damage, and depending on our family history, it can get worse. I, although I’m browner than the patient I’m about to show you, have also lasered myself because I don’t like my broken blood vessels in here, and nobody these days wants to wear a pound of makeup with the selfie generation and everybody taking pictures of themselves. People just want to look their best. So this is a light la-ser that has no downtime, where you put it over the face with gel, and it takes multiple treatment sessions, but you’re basically ablating the broken blood vessels. You must deal with an SPF 30 sunblock every single day, rain or shine, January through December while you’re doing the treatment. And then there’s intermittent treatments that we’ll do after the 6-8 treatment sessions to make sure that people are fully covered because as we get older we can get more broken blood vessels. So this a chronic condition, but we can really make people look their best. So please watch and enjoy.

Dr. Jeanine Downie is an experienced and popular dermatologist in Montclair. She possesses extensive experience and training in all aspects of dermatology, including cosmetic dermatology and laser surgery. Dr. Downie provides modern and cutting-edge dermatology treatments to everyone in your family in a professional, competent and compassionate manner while ensuring that your individual and unique needs are met. Having received rigorous academic training, she completed her residency in Dermatology at the Mount Sinai Medical Center in New York City and also served as Chief Resident. She continues to upgrade her skills set and share her knowledge through professional affiliations and lecturing assignments on behalf of several renowned medical societies such as The Skin Cancer Foundation and The American Academy of Dermatology, among others. She also frequently interacts with the public through popular television shows such as Good Morning America, The Today Show, and The Dr. Oz Show, to name a few.