Dr. Trott's point of view
“The Denave is the workhorse I reach for most, veins, redness, brown spots, tone. Match the wavelength to the target and it simply disappears.”
Suzanne A. Trott, M.D., F.A.C.S.
About Dr. Trott →01
The Denave Laser: More Than Veins
What the Denave laser treats:
- Facial veins and telangiectasia
- Fine spider veins on the legs
- Rosacea and diffuse facial redness
- Cherry angiomas and venous lakes
- Port wine stains and vascular birthmarks
- Brown/age spots and sun damage
- Poikiloderma of the neck and chest
- Post-acne redness and scar discoloration
- Overall tone, clarity, and fine texture
02
How the Denave Laser Works
The Denave laser works on the principle of selective photothermolysis: light is delivered at a wavelength preferentially absorbed by one target in the skin, heating it enough to shut it down while surrounding tissue stays intact.
- Wavelength matched to target. Shorter green-light wavelengths near 532 nm are strongly absorbed by hemoglobin and melanin, ideal for superficial facial vessels and brown spots. Longer near-infrared wavelengths near 1064 nm travel deeper and are safer in tanned or olive skin, reaching larger, blue-toned vessels.
- Pulse duration matched to vessel size. Dr. Trott lengthens the pulse for wider vessels and shortens it for delicate ones, so heat stays confined to the vessel wall. This is why one setting cannot treat every vein.
- Controlled cooling. The handpiece cools the epidermis before, during, and after each pulse, protecting the skin surface while energy reaches the target and keeping discomfort to a brief snap.
- Adjustable spot size and fluence. Small spots trace individual vessels with precision; larger spots treat a flushed cheek or sun-damaged chest evenly.
- What happens after. Treated vessels collapse and are cleared by the body over one to three weeks. Pigment lifts to the surface as a fine darkening, then flakes away.
Dr. Trott performs a small test pulse first to confirm how your skin responds before treating a full area.
03
Best Candidates
The Denave laser suits patients bothered by visible vessels, redness, brown spots, or uneven tone on the face, neck, chest, or legs. Because the platform offers both a superficial and a deeper wavelength, it can be tuned safely across a wide range of skin tones, higher Fitzpatrick types are treated at longer wavelengths and lower fluence. Very fine leg veins respond well; larger or feeder leg veins are usually better served by sclerotherapy, and Dr. Trott will tell you plainly which approach fits your pattern.
04
What to Expect
This is a true lunchtime treatment performed in the office without anesthesia. Cooling gel or contact cooling is applied, protective eyewear goes on, and the handpiece is passed over the area, each pulse feels like a brief warm snap. Most sessions run 15 – 30 minutes depending on the area. Discrete vessels and angiomas often clear in one or two sessions; diffuse redness, pigment, and overall clarity respond best over 3 – 5 sessions spaced about four weeks apart.
05
Other Considerations
You can return to your day immediately. Expect redness, mild swelling, or a faint bruise-like look over treated vessels for 1 – 3 days, and temporary darkening over pigmented spots before they flake. Daily SPF 30+ and strict sun avoidance on treated areas for at least two weeks protects the result and prevents temporary discoloration.
06
Nothing But Clear Skin
Stop covering veins, flushing, and brown spots. Schedule a consultation to see which Denave laser wavelengths and settings fit your skin, and what a realistic plan looks like for clear, even tone.
References
Further reading & sources
- Laser treatment of telangiectasia: wavelength selectionPubMed / National Library of Medicine
- Spider veins: treatment overviewAmerican Academy of Dermatology
- Venous disease evaluationSociety for Vascular Surgery
Q&A
Frequently asked
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