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Treat Dermatitis first, then V beam reduces rosacea flares

Worth It
Spent: $1,250 in Seattle

Comments (33)

Updated 22 Feb 2012

Posted 25 Jan 2011

Rosacea is only apparent on my left cheek and a tiny bit on my nose. Both appear to be caused by sun damage because I've had bad sunburns in those locations because I didn't reapply sunscreen enough.

I also slept on my left side for 7 years.  Once the rosacea started flaring up in 2010 due to stress, hot coffee and red wine, sleeping on that side made it worse.  So I now sleep on the other side and only drink iced coffee.

I've tried taking doxycycline (20mg twice a daily) and Metrogel and Finacea, and it controlled the acne portion of rosacea but the redness was always there and flares still happened too easily.  I'm hoping that V Beam will reduce the redness and the flares.

The treatment itself was a lot like lower power version of hair removal.  (Dr. R used 7.5 joules versus the 25+ joules for past Laser Hair Removal sessions.)  It's less painful than hair removal, and the strangest part is seeing green flashes with my eyes closed and the metal goggles on. 

A few hours after treatment, I look like I got in a fist fight.  I'll post an updated photo with the same camera as the before in a few days.

Updated on 2 Feb 2011:

My whole cheek was swollen and bruised for 5 days. After 1 week, the bruising is completely gone and my cheek no longer seems to flare. I feel normal again for the first time in a year. I still plan on going in for another treatment in a month to treat the remaining redness.

Updated on 22 Feb 2012:

If you have persistent dandruff, one factor in your rosacea is probably Seborrheic Dermatitis.  After the redness got worse after a rainy 4 day hike in Hawaii (perfect conditions for a fungus), I was researching dandruff treatments and learned people with Rosacea often also have Seborrheic Dermatitis, which is caused my a fungus.  I bought some Nizoral shampoo and some Lotramin Ultra cream, and those two have cleared up the persistent redness that remained even after 5 V Beam treatments.  So please, make certain you have your Dermatologist check for any signs of Seborrheic Dermatitis before you start V Beam.  V beam did fix the rosacea flare ups but not the persistent redness, since that was a rash.  I probably could have only had 3 V beam treatments if I had been treating the Seborrheic Dermatitis from the beginning.

Products I recommend for Seborrheic Dermatitis:

Nizoral 1% Ketoconazole shampoo (use daily for 2 weeks, then once per week)

Neutrogenia T/Sal - 3% Salicylic acid shampoo (alternate with Nizoral)

Lotramin Ultra - use on worst areas of redness

 

 

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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My Doctor: Jennifer Reichel, MD

My rating:

Dr. R is an expert Dermatologist with just the right amount of humor to make having your face lasered a less stressful experience.

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Comments (33)

Post a Comment Sort:
Sharon at RealSelf (Community Manager) 4 Feb 2011

Looking good, Eric. I can definitely see a difference. Good luck w/ your next treatment!

Orlando7041 20 Feb 2011
thanks for posting.. how are things currently? has the redness died down ?
Eric K (Community Manager) 21 Feb 2011

The deeper redness -- the kind that shows up if I use video chat at night -- is much better.  There is still superficial redness, and I'm going to schedule another V Beam treatment to try to reduce that further.

Orlando7041 21 Feb 2011
plz keep us updated:)
needhelp86 22 Mar 2011
how are you feeling?
Eric K (Community Manager) 22 Mar 2011

I'm feeling much better than I did a few days after the first treatment even though the setting was higher this time.  The was less bruising and almost no swelling. I need to post updated photos showing the result.  I think I won't need another treatment for a long time.

needhelp86 23 Mar 2011
that sounds great!!glad it worked out for you. very encouraging, i'd love to see photos, as would many others i'm sure that are still hesitating ( this seems to be the only real treatment for rosacea's redness..all topical stuff is useless! )
ban ki 29 Mar 2011
i can definitely see the difference. if you could provide a pic after your 2nd treatment that would be of great value! i am weighing the option currently...your results are encouraging. did you have to stay inside after treatment? your skin looks much better in the 4 weeks picture, is flushing still a problem? many thanks!!!
ban ki 2 Apr 2011
very interested in seeing your results after the second treatment. hoping it went over well!
Eric K (Community Manager) 3 Apr 2011
I'm on vacation now and will try to post photos in a week
ban ki 9 Apr 2011
thanks!!
forrester 20 Apr 2011
how is the progress after the 2nd treatment? im getting v-beam soon , my rosacea is a bit like yours but i flush and it gets bad..
Eric K (Community Manager) 21 Apr 2011

It's better after the second treatment, but I think I timed the treatment poorly because I had a lot of deadlines in the days after the treatment.  I had stress-related acne on my face and not just the areas that were treated.  The one area that may need to be touched up is between my eye and my sideburns since that's where the doctor was less agressive.  The areas treated lower down on my cheeks look much better.

allies 23 Apr 2011
got pic after second vbeam?
Eric K (Community Manager) 26 Apr 2011

Added photo. 

allies 26 Apr 2011
i see a lot of improvement after the second, you must be pleased with the results!
allies 26 Apr 2011
looks great!!!!!
Eric K (Community Manager) 27 Apr 2011

Yes, V Beam has made a huge difference for me and I'm relieved that the painful flushing is gone.  It was awful.

allies 27 Apr 2011
that's wonderful, very good to hear! so the downtime wasn't as bad the second time around? thanks again for providing pics+info, kind regards!
Eric K (Community Manager) 28 Apr 2011

Downtime and swelling was much easier the 2nd time around even though the setting was higher.  There were just a lot more blood vessels to target the first time.

shampoo 10 May 2011
hi eric. are things still good? i have an appointment next week... quite nervous!
Eric K (Community Manager) 10 May 2011

Yes, the painful flares are gone and using Azelaic acid cream (Finacea) has helped keep my skin clear.  I previously used Salicyclic Acid on my cheeks but the alcohol base became too irritating when my roscea started a year ago.  I read that Finacea helps with the superficial redness and acne and that has been my experience.  Just make certain to mix it with a moisturizer because the 15% strength is too much by itself even in the cream version.

shampoo 15 May 2011
i've tried finacea, but i only struggle with the redness and not the acne component of rosacea. i don't think there is currently anything topical that can address rosacea redness- sadly. your skin does look quite good, will you be having another appointment or are you satisfied at this point? thank you for the photos eric.
shampoo 16 May 2011
also, in regard to the acne part, i've found that the best thing to do was eat a healthy diet full of vegetables and fruits. avoiding carbs made me acne clear in less than a week, it has worked for others as well. perhaps you should try if you haven't already? carbs are hard to avoid, and when i do eat them i will usually get a zit or two!
Eric K (Community Manager) 16 May 2011

I am trying to reduce the amount of sugar in my diet so I only eat whole carbs. 

I'll probably have one more treatment in the fall since I had the last treatment right before a really stressful period at work.  I should have postponed the treatment until after that...

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