What laser treatment is best for rosacea?

For the problems you are describing (rosacea and vessels), Intense Pulsed Light treatments are (in my opinion) the gold standard.
These can be performed in your doctor's office quickly and comfortably, and with little to no "down-time".

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The redness and capillaries of Rosacea are best treated with a vascular specific laser or light source.  The most effective laser, and gold standard treatment for this type of Rosacea is the Pulsed Dye Laser, with the VBeam laser being far and away the most commonly utilized.  Other options include the 532-KTP lasers and Intense Pulsed Light (IPL) devices, but I generally find these less effective with more potential for side effects.

Pixel Lasers treatments are used for resurfacing-- improvement of such things as lines, wrinkles, textures and scarring.  They are generally safe in all lighter skin types and most Asian, Hispanic or Middle Eastern skin.   I personally would not treat darker skin types, such as African-American skin (Fitzpatrick V or VI).