YAG Laser Vs. Vbeam for Erythematotelangiectatic Rosacea

Question

I am considering having laser therapy for erythematotelangiectatic rosacea and was wondering if the Nd:YAG 1064 (Candela smoothYAG) is as effective or more effective than the Candela Vbeam for treating the background erythema. I have mild telangiectasias, but mostly have persistent malar erythema. Thank you.

Peter J. Malouf, DO · Answer

Hello, 

	I have both of these laser types and I personally prefer the v-beam as the gold standard for facial vascular erythema and telangectasias.  The trick will be getting results without purpura.  Seek a dermatologist with a great deal of experience with this device.

	Dr. Malouf

Davin Lim, MBBS, FACD - Account Suspended · Answer

OK, speaking on probability, and hence exceptions may apply. I treat at least 3-5 laser rosacea patients per day, using all forms of vascular laser, from the 595 V beam , 7 55 Alex, 1064 Long pulse Nd Yag, to non -laser treatments such as IPL. 90% of ETR or erythematotelangiectatic rosacea respond best to v beam, some cases respond better to BBL or IPL, and a small number of cases respond well to 1064 in a paintbrush low fluence (low energy level setting). Hope this helps, RegardsDr Davin LimLaser Dermatologist.

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