What is Rosacea?

Rosacea is a disorder that most commonly affects skin on the face. 
It can cause redness on the nose, chin, cheeks, and forehead. 
The problem is that, over time, the redness can become more powerful and appear ruddy.
In some cases, rosacea can also appear on the chest, back, or neck.
It can also affect the eyes, and cause irritation and make them look bloodshot or watery.
Individuals with rosacea can also develop red bumps and pimples full of pus. 

What are some of the causes?

Well, that’s a hard question to answer.

The exact cause of rosacea is not really known, but some of the elements of the disease process have been found.  One of the theories researchers have is that rosacea may be due to a disorder of the neurovascular system (nerves, veins, arteries) or the immune system. 

A microscopic skin mite called Dermodex is more abundant where there is rosacea and may contribute to the condition. 

What are some of the symptoms? 

The appearance of Rosacea can really vary from one person to another. 

Often, not all of the symptoms appear but Rosacea often includes at least one of the primary signs that we’ve listed below. Of course, different symptoms may also develop.

Here are some of the primary symptoms of Rosacea:

  • Flushing – A lot of people who have Rosacea have a history of blushing or flushing. The facial redness, which can also disappear at some point, often is the earliest sign of the disorder.
  • Stubborn redness – stubborn redness on a person’s face may look like a blush or sunburn that does not go away
  • Bumps and pimples – Small red solid bumps or pus-filled pimples can often be seen if you suffer from Rosacea. Sometimes the bumps might look like acne, but you won’t see any blackheads. You might also experience a burning or a stinging like feeling. 
  • Visible blood vessels – small blood vessels become visible on the skin of many people who have Rosacea.

Is There a Treatment for Rosacea?

While there is no absolute cure for Rosacea, there is medical therapy that is able to control or reverse the signs and symptoms. If you suspect that you may have Rosacea, please consult your doctor.

Cutera excel V+ Laser

The Cutera excel V is a laser treatment option offered by Dr. Yalamanchili that can safely and effectively treat a number of conditions on both men and women of all skin tones. While the Cutera Excel V+ laser is primarily known for treating vascular conditions, such as spider veins and broken capillaries, this laser can also treat benign pigmented lesions and sun-damaged areas. Keep reading to learn how the Excel V+ laser works and how this laser treatment option can help you to feel confident and beautiful in your skin again.


a woman before and after 4 treatments of redness


a face before and after redness treatment


before and after 2 treatments of redness

How does Excel V+ work?

The ultimate goal of laser treatment is to induce controlled damage to the affected blood vessels through destruction of hemoglobin (a protein found in red blood cells) while minimizing injury to adjacent structures. To accomplish this, the Excel V+ utilizes a long-pulsed Nd: YAG laser that targets and destroys the abnormal or damaged blood vessels responsible for the vascular condition. In fact, the Excel V+ is the only tunable laser system on the market that combines two ultra-precise wavelengths (532 nm and 1064 nm) in one device. After the body naturally eliminates these cells, the skin will return to its normal tone and texture.



XLV - EXCEL V Per TX (treatment)
Angiomas (red spots like moles)
$200 per session
Poikiloderma (red like rash)
Venous Lakes ( veins on face- commonly on side of nose)
Telangiectasia (dark blue spots -on lips, hands, face, ears)
Age Spots
EXL-V / Laser Genesis
Pigment, fine lines, collagen, redness
1 tx = $125
Package of 6 = $650
Vascular, pigment, and scarring
Per treatment session (30 min)
Acne Treatment series
Once per month | $150
Package of 6 | $700
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Excel V+ is the most advanced aesthetic technology that combines two powerfully precise lasers to target and eliminate vascular concerns (redness, unsightly veins) and benign pigmented lesions (age spots, sun spots, discoloration) on the face and body.

The two interchangeable handpieces give this device the flexibility to treat a wide range of conditions, from superficial and deep vascular conditions to benign pigmented lesions. The CoolView (532 nm/1064 nm) handpiece with sapphire cooling window is indicated for treatment of benign vascular, cutaneous, and pigmented lesions.


The genesis V (1064 nm) non-ablative skin therapy handpiece is indicated for treatment of wrinkles, rosacea/diffuse redness, and scar reduction. Plus, the laser has an adjustable spot size, which makes it possible to treat both deep and superficial lesions. Dr. Krant will be able to easily custom-tailor each treatment session to fit your unique needs and goals.

The number of Excel V+ treatments needed will depend on various factors, including the size, thickness, and color of your vascular lesion. Superficial vascular lesions are typically easiest to treat and some patients may even notice significant improvement after just one treatment. However, on average it takes 2 to 3 treatments spaced 2 to 4 weeks apart to achieve the desired result.

Your treatment provider will select one of Excel V+’s two lasers and customize the treatment settings to target the color and depth of your skin concern. Most treatments are finished in just a few minutes.

For most procedures, Excel V+ provides quick treatments with best results within just a few days. Most procedures only take 5 to 10 minutes but some may take up to 45 minutes.

Excel V+ treatments can feel similar to a rubber band snapping against skin. Depending on the procedure, a cooled treatment tip will be in contact with the skin to protect and provide comfort to the area. A topical anesthetic may be available from your provider to improve your treatment experience.

Redness and/or swelling can be expected following treatment and will resolve within a few days. Treated brown spots will darken and slough off within 3 to 6 days. For full face treatments, swelling will peak 24 to 48 hours post treatment and usually resolves within a few days. Typically, you can wear make-up and return to normal activities immediately. Your provider may recommend a topical steroid to reduce swelling as needed.

520 E. Foothill Blvd. Suite C
Pomona, CA 91767

9190 Haven Ave. Suite 200
Rancho Cucamonga, CA 91730

520 E Foothill Blvd Suite C, Pomona, CA 91767, USA


9190 Haven Ave, Rancho Cucamonga, CA 91730, USA

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