4 Types of Vbeam Laser: Which is Right for My Rosacea?
- Even with the same 'Vbeam', the target vessel depth can vary by more than double depending on the wavelength and mode.
- Vbeam types are divided by wavelength (595nm vs 1064nm) and pulse mode, and the selection changes based on the depth of the cause of redness.
- Skin type, vessel depth, and tolerance for bruising are the three main criteria for determining the type of laser.
Information as of September 2026
Matching Types by Wavelength, Output, and Mode
- Vbeam Perfecta Wavelength 595nm
- Excel V 1064nm Complex Wavelength
- Output Difference in the 20-40J Range
Everyone Calls It 'Vbeam,' But They're Actually All Different
When you search for rosacea lasers, everyone talks about 'Vbeam.' However, the prices vary by a factor of two between clinics, and recovery periods are also vastly different. Why is there such a difference for the same Vbeam treatment?
The real differentiators are the wavelength and pulse mode. Vbeam laser types are broadly divided into four categories, each targeting blood vessels at different depths.
Your choice will completely depend on whether your rosacea is in the epidermal layer or deep within the dermis.
What's Different When Wavelengths Vary?
Vbeam Perfecta (595nm) precisely targets fine blood vessels in the epidermis to superficial dermis. It's well-suited for those with redness all over their cheeks or visible capillaries.
On the other hand, Excel V (1064nm) reaches thicker blood vessels in the deeper dermal layer.
The longer the wavelength, the deeper it penetrates, but with less bruising. Therefore, while Excel V offers faster recovery, its effectiveness for superficial rosacea may be less than Vbeam Perfecta.
A 0.5mm difference in target depth can determine the outcome.
OX Quiz
The longer the wavelength of the Vbeam laser, the more bruising it causes.
Check the answer
X The longer the wavelength (1064nm), the more the energy disperses, resulting in less bruising. The 595nm short pulse causes the most bruising.
Pulse Mode Determines Bruising
Even with the same 595nm wavelength, it's divided into long pulse mode and short pulse mode.
Short pulse delivers a burst of energy in a short 0.45ms duration to destroy blood vessels in one go, which is why bruising can last for about a week. However, the effect is definite.
Long pulse divides the energy over a longer period of 3-40ms, resulting in minimal bruising. While it allows for a quick return to daily activities, it may require more sessions as fewer blood vessels are targeted per pulse.
It's a trade-off between recovery time and speed of results.
Caution For short pulse treatments, cold compresses are essential for the first 72 hours post-procedure. Missing this period doubles the risk of hyperpigmentation.
Ultimately, Which One Should I Choose for My Rosacea?
First, identify the cause of your rosacea. If you experience redness all over your cheeks, Vbeam Perfecta long pulse is suitable. For visible fine blood vessels near the nose, short pulse or Excel V might be appropriate.
A Wood's lamp examination at a dermatology clinic can accurately measure blood vessel depth.
If you are concerned about bruising, opt for Excel V or long pulse. If you desire a definite change in one session, choose Vbeam Perfecta short pulse.
An average of 3-5 sessions are recommended, but with the right type selection, many are satisfied after just two sessions.
- Type selection can reduce the number of required sessions by 40%
- When bruising is acceptable, the effect per session is doubled
Vbeam Selection Guide for Your Situation
Overall cheek redness + Bruising is acceptable
Vbeam Perfecta Short Pulse 595nm
Coagulates superficial microvessels in one go, providing clear results in 1-2 sessions.
Visible fine blood vessels + No recovery time needed
Excel V 1064nm Long Pulse
Reaches dermal blood vessels with minimal bruising, allowing for a return to daily activities the next day.
Must-Check Before Vbeam Treatment
- Discontinue retinol and exfoliation 2 weeks prior to treatment (risk of hyperpigmentation)
- If choosing short pulse, be prepared for a week of bruising and avoid important events
- Treatment is not recommended during pregnancy or breastfeeding, or for those with photosensitive dermatitis
Frequently Asked Questions
Why is there a price difference between Excel V and Vbeam Perfecta?
Due to differences in wavelength technology and equipment age, Excel V is typically 100,000-150,000 KRW more expensive per session.
Can rosacea be completely treated with one Vbeam session?
An average of 3-5 sessions are needed; one session provides about 30-40% improvement.
What is the risk of hyperpigmentation after treatment?
It's 5-10% for short pulse, less than 2% for long pulse or Excel V, and can be prevented with 72 hours of cold compresses.
Lumi's Insight
Even with the same 'Vbeam,' the targets differ completely depending on the wavelength and mode. By first checking the depth of your rosacea and then choosing the right type, you can reduce the number of sessions and significantly increase satisfaction. Feel free to come back anytime if you have more questions about lasers!
This content is for informational purposes only and does not substitute medical advice. Always consult with a specialist before undergoing any procedure.
