After my third pregnancy I noticed a knot on my inner thigh. That was the very last time I wore shorts. After two more pregnancies my knot had turned into a cord like vein that ran along my entire leg. My wardrobe co soared of ankle length dresses and jeans. I finally got the courage to just get it over with and take care of my veins before I cause further damage. The doctor I chose was very personable and kind. She explained everything she was doing and made this dreaded experience very tolerable. I can't wait to wear shorts again when I heal!!
There are many types of rosacea. Some people have vessels, some people have acne with it, and some have just plain old redness. Regardless, lasers work very well to reduce the redness. In my practice, I have had great success using the Cutera excel v and laser genesis. Patients typically have a series of three to five treatments and then may need a treatment once a year for maintenance. Many patients stop using topicals or use only one. It just depends on their response. Also identifying what is causing the redness helps (diary of what makes it worse, better) in case those can be modified. Good luck but I would not counter out lasers for rosacea no matter what type.
It is normal to have mild to moderate swelling after your treatment. Everybody reacts differently. It is not usual to use steroids after the treatment but I have used it on a few of my patients. Hydration is very important to the skin after your treatment especially when it is swollen as it will continue to dry out without a good moisturizer.
It is unusual to see worsening of wrinkles after a Secret RF. If you have a picture that would be great. I would discuss with your treatment provider settings and options. Using a good repair cream afterwards is helpful in healing.
The good marks can last from a few days to a few weeks. They should gradually disappear. I would definitely discuss it with your treatment provider. Sometimes topical creams may be necessary to expedite the grid marks. Typically the grid marks are dried up little scabs of blood and sometimes exfoliation may be necessary as well. It is hard to tell without a picture. We have done over 100 treatments and have not had anyone with permanent grid marks. However, one patient with prolonged marks that required topical treatment.
There are two main methods to treat spider veins. They are sclerotherapy and surface laser treatments using an Nd:Yag laser (1064nm). There have been studies that have shown that both of these modalities are effective and safe in the correct hands. The only two FDA approved medications to use to help treat spider veins is Polidocanol (Asclera) and Sodium Tetradecyl Sulfate (Sotradecol). The first step is to make sure there are no underlying feeding veins that can be causing the spider veins. Otherwise your treatments (sclerotherapy or laser) may not be as effective. Sclerotherapy and laser treatments can be combined to treat the spider veins. At the same time. There again are studies that have shown that this is effective as well. It has actually been shows to be more effective in combination that with one type of treatment alone. I would recommend going to an IAC Vein Accredited facility. These facilities have gone through rigorous scrutiny with their policies and procedures to provide effective and consistent care. Good luck.