I was recently diagnosed with Type 1 rosacea. Would laser be helpful for me? (photos)

Question

I was recently diagnosed with Type 1 rosacea after a bad flareup (trigger is sun). I was put on Doxy a month ago and havent had a flare up since. My biggest issue is random daily & sometimes intense burning (without flush or any pronounced redness). Travels randomly around my face (neck arms too). I have anxiety-curious if the burning is related to that or rosacea. Burns in strange places incl. the hairline and my jaw. Does this sound like a symptom of rosacea? Would laser be helpful for me?

Raffy Karamanoukian, MD, FACS · Answer

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

Alim R. Devani, MD, FRCPC · Answer

There are many things like avoiding trigers, medical skin
care products, topical antibacterials, topical anti-inflammatories, oral
antibacterials, oral retinoids (isotretinoin), lasers (Cutera Excel-V KTP
laser) and light based devices (blue/red light, IPL/BBL, PDT with metvix or
levulan) to treat your rosacea. Skin care products that I have found great
results with are the following:

VivierSkin® HEXAM Cleanser -  Rosemary extract,
grape seed extract, and vitamin C aid in thoroughly removing environmental
pollutants, excess oil and makeup.  This is an oil free, alcohol free,
hypoallergenic, non-comedogenic cleanser.

SkinCeuticals® Redness Neutralizer -  Formulated
with NeurMed Complex to help neutralize the environmental triggers that
exacerbate redness. Also contains biomimetic peptides to cool the skin, provide
instant relief and help alleviate and heat sensation.

ViverSkin® LEXXEL Moisturizer -  This cream calms,
soothes, and helps reduce signs of redness, inflammation, irritation and
bacteria. Contains hexamidine, an antimicrobial with powerful anti-redness
properties.

EltaMD® UV Physicial Broad Spectrum SPF 41 - 
Contains zinc oxide, titanium dioxide and is chemical free, natural UV
protection. Water resistant. Light tint.

For the best results please consult a board certified
dermatologist with experience with your condition.

Davin Lim, MBBS, FACD - Account Suspended · Answer

OK, IF  it is the burning symptom, without the redness than pulse dye laser would more than likely not make a difference. If you have visible redness, than using PDL in a special setting can decrease signs (redness) and symptoms such as burning and stinging. I think the first step is to see a Medical Dermatologist to exclude all the other causes of burring - stinging- redness. They can do the necessary ground work and any blood tests, patch testing etc.. before jumping straight to lasers. This is probably the best practice medicine method. CheersDr Davin Lim Laser DermatologistBrisbane, Australia

I was recently diagnosed with Type 1 rosacea. Would laser be helpful for me? (photos)

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I was recently diagnosed with Type 1 rosacea. Would laser be helpful for me? (photos)

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