Psoriasis Treatment
Topical, systemic and light-based treatment for thick, scaly plaques.
Monday to Friday, 8:30 am to 3:30 pm (904) 686-7771
Medical dermatology
Focused excimer light treats patches of psoriasis and eczema directly, sparing the healthy skin around them, as part of a plan from a double board-certified dermatologist and dermatopathologist.
Excimer light therapy treats patches of psoriasis and eczema with a focused beam of 308 nm ultraviolet B (UVB) light. The Exci308 is a handheld excimer device, not a laser, that delivers the light only to the affected skin, so the healthy skin around it is not exposed. The light calms the overactive immune cells in the patch and reduces inflammation.
Light therapy, also called phototherapy, has long been part of psoriasis and eczema care. Traditional phototherapy exposes large areas of skin, often in a full-body light booth. Excimer light treats only the patches that need it, which suits stubborn plaques on the elbows, knees and scalp.
Sessions are short and done in our office. Treatment works over a series of visits, and Dr. Cappel adjusts each dose to how your skin responds.
Why targeted light
Excimer light brings phototherapy into a short office visit and aims it only where it is needed.
Light goes only to the affected skin, so healthy skin around each patch is spared unnecessary exposure.
No light booth and no full-body exposure. Each session treats your patches with a handheld device.
The handheld device can treat scalp psoriasis and other areas that are hard to reach with creams.
Aerolase designed the Exci308 for patients of every skin type.
Dr. Cappel sets the dose for each patch and adjusts it as your skin responds.
Light therapy can sit alongside topical medication and medical-grade skincare in one plan.
Dr. Cappel uses the Exci308 for psoriasis and eczema that have not settled with skincare and topical medication alone.
You wear protective eyewear while the handpiece is held over each patch to deliver short pulses of light. Sessions are typically comfortable, and treating a few patches takes only a short visit.
Afterwards, treated skin may look pink, like a mild sunburn, for a day or two. Occasionally a treated patch blisters or darkens for a while. Let us know about any reaction so your next dose can be adjusted.
Excimer light works over a series of sessions. Aerolase reports that visible improvement often appears within 4 to 6 sessions and that clearing often takes 10 to 20. Dr. Cappel sets your schedule and tracks your progress at each visit.
Psoriasis and eczema are chronic conditions, so patches can return. Medication and skincare help keep skin clear between flares, and light therapy can be repeated if a flare comes back.
Treatment overview
Dr. Cappel examines your skin, confirms the diagnosis and reviews your medications and any history of sun sensitivity.
He decides whether excimer light suits you, which patches to treat and how it fits with your medication and skincare.
With protective eyewear on, each patch is treated with short pulses of targeted 308 nm light.
Protect treated skin from extra sun, keep using your skincare and medication as directed, and tell us about any blistering.
Improvement builds over a series of sessions. Aerolase reports visible change often within 4 to 6.
Dr. Cappel adjusts your dose as your skin responds and plans how to keep it clear.
Suitability
Dr. Cappel will recommend another approach, such as prescription medication or the Aerolase Neo laser. See psoriasis treatment and eczema treatment.
Compared
| Treatment | Primary target | How it works | Best for |
|---|---|---|---|
| Exci308 excimer light | Psoriasis and eczema patches | Targeted 308 nm UVB light calms the immune response in the patch | Stubborn, limited patches and the scalp |
| Aerolase Neo laser | Inflammation, redness, itching | Laser energy calms inflammation deep in the skin | Enhancing results alongside medical treatment |
| Prescription medication | Psoriasis and eczema anywhere on the body | Topical, oral or injected medication that controls inflammation | Most patients, including widespread disease |
Who performs this
Double board-certified dermatologist and dermatopathologist
Dr. Cappel decides whether excimer light suits your skin, sets the dose for each patch and builds it into the rest of your psoriasis or eczema treatment.
Read full profileQuestions
No. The Exci308 is a handheld excimer light device. It delivers 308 nm ultraviolet B light, the same wavelength used by excimer lasers, focused on the affected skin.
Traditional narrowband UVB phototherapy usually exposes large areas of skin, often in a full-body light booth. Excimer light treats only the affected patches, so healthy skin is spared unnecessary exposure.
Sessions are typically comfortable. Treated skin may look pink, like a mild sunburn, for a day or two afterwards.
It varies with your condition and how your skin responds. Aerolase reports that visible improvement often appears within 4 to 6 sessions and that clearing often takes 10 to 20. Dr. Cappel sets your schedule.
Often, yes. Light therapy can be combined with topical medication and medical-grade skincare. Tell Dr. Cappel about every medication you use, because some increase sensitivity to light.
Coverage depends on your plan and diagnosis. We accept Aetna, Blue Cross Blue Shield of Florida and Medicare for medical visits, and our team will help verify your coverage before you start.
Where
At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.
Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.
Also consider
Topical, systemic and light-based treatment for thick, scaly plaques.
Relief for dry, itchy, inflamed skin and the triggers behind it.
Barrier-repairing products for daily care between flares.
Book a visit
Dermatology visits, aesthetic consultations and wellness plans all start the same way: a careful assessment by Dr. Cappel and a plan built around your skin, your health and your goals.