If you have Rosacea, can I have Laser Resurfacing ? (photos)

Your pictures indicate you have a significant amount of dyschromia(pigment) as well as blood vessels in the central face and overall coarse skin texture.    A resurfacing laser would be of little benefit for the reds/browns, but an excellent choice for coarseness and fine lines.   An IPL or BBL device either before or preferably after a resurfacing treatment would be more appropriate for addressing vascular and pigmentation issues.  If you are wanting to proceed with resurfacing for smoothing, tightening coarse, lax skin I would recommend doing that first and then following this up with an IPL/BBL device if needed.  

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

you can get laser resurfacing but it may flare the rosacea.  Treat with vascular laser at the same time and be on oral antibiotics. Radiofrequency may be better which treats both conditions, but needs multiple treatments.  Best, Dr. Emer.