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Spider veins are the red or bluish looking squiggly lines that can appear on the face and legs as we age. They get their name from their weblike appearance. Most of the time, spider veins do not result in symptoms other than an undesirable appearance. Although people with extensive spider veins on the legs may have underlying venous issues.
At Kessel Dermatology, servicing the Hamilton Square, Trenton, and Mercer County areas in New Jersey, we utilize the excel V+™ laser to deliver long wavelengths that allow treatment for vascular issues like spider veins for patients of all skin tones.
How the device works:
For most patients, multiple treatments will be necessary and the specifics of your treatment will be determined during your initial consultation with our providers.


Small visible blood vessels can develop on the face and body for a variety of reasons, including genetics, aging, sun exposure, hormonal changes, and certain skin conditions.
At Kessel Dermatology, we use the Excel V+™ laser by Cutera to target unwanted facial veins, spider veins, and other superficial vascular concerns without injections or surgery.
Excel V+ can be used to treat a variety of visible vascular concerns, including:
Laser treatment is intended for appropriate superficial vessels. Larger or bulging varicose veins may require evaluation and treatment by a vascular specialist.
Excel V+ uses laser energy at wavelengths that target hemoglobin within the blood vessel.
The unwanted vessel absorbs the laser energy and is heated, causing it to close. Over time, the body naturally clears the treated vessel and it becomes less visible.
Because Excel V+ offers adjustable wavelengths, energy settings, pulse durations, and spot sizes, treatment can be customized according to the size, depth, color, and location of the vessel.
Before treatment, the vessels will be evaluated to determine whether they are appropriate for laser treatment.
During the procedure, the Excel V+ handpiece is placed over the treatment area and pulses of laser energy are delivered directly to the targeted vessels.
You may feel warmth or a sensation similar to a quick snap against the skin. Excel V+ incorporates cooling technology to help protect the surrounding skin and improve comfort during treatment.
Treatment generally takes approximately 15 to 30 minutes, depending on the number and size of the vessels being treated.
The number of treatments needed depends on the size, depth, color, location, and number of vessels being treated.
Small superficial facial vessels may show significant improvement after a single treatment. Larger, deeper, or more numerous vessels may require additional sessions.
New vessels can also develop over time, so future maintenance treatment may be desired.
The response following treatment depends on the type and size of vessel treated.
Temporary effects may include:
A temporary raised or “bug bite” appearance can also occur after treatment of certain superficial vessels.
These effects generally resolve with time. Blistering is uncommon but possible.
Laser treatment can be appropriate for certain small superficial leg veins, but it is not intended to treat large or bulging varicose veins.
Following leg vein treatment, compression stockings may be recommended depending on the vessels treated. High-impact activity should generally be avoided for approximately three to five days.
Rarely, treatment can result in hemosiderin staining, which causes brown discoloration along the treated vessel. This typically fades gradually but may take one to two years to resolve and, in rare cases, can be permanent.
Treating vascular concerns requires selecting laser parameters according to both the vessel and the patient's skin.
The size, depth, and color of the vessel, as well as your skin type and treatment area, all influence the appropriate settings.
Your skin and vessels will be evaluated before treatment to determine whether Excel V+ is appropriate for you.
Treatment cost depends on the number, size, and location of the vessels being treated and the number of sessions required.
Your recommended treatment plan and cost will be discussed after the area has been evaluated.
If small facial veins, broken capillaries, spider veins, or superficial leg veins are bothering you, Excel V+ may be an appropriate treatment option.
Schedule a consultation at Kessel Dermatology to have your vessels evaluated and determine whether laser treatment is right for you.
Learn More About Excel V+