What's the best machine to treat my rosacea: IPL, OPL, or SHR? (Photo)

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach, using lasers (Clear + Brilliant, ProYellow, Pulsed Dye/Vbeam, Excel V), peels, and Botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

I understand your concern but in my professional opinion IPL is the best machine to treat rosacea. IPL also treats vessels and hyper pigmentation. Always mark sure you do not have any sun exposure when doing these treatments for the laser will make your skin more photosensitive.  

Finding the right rosacea treatments and medical therapy can help control and manage this condition. Without treatment, rosacea can often worsen. Since the signs and symptoms of rosacea can vary from one patient to another, we customize treatments based on each individual patient.
These rosacea treatments can include a mix of topical treatments including antibiotics and anti-inflammatory gels, oral medications, and in-office procedures including chemical peels, LED therapy & laser treatment for rosacea. We use the VBeam laser treatment to reduce overall redness and rejuvenate the skin.
Because rosacea is different for everyone, we develop tailored treatment plans to help you see the best results. Acne rosacea treatment is different than ocular rosacea treatment, for example. For some patients, rosacea natural treatment options may work best.
Our patients have achieved remarkable results, often by combining multiple different therapies in order to resolve their individual condition. Our team of experts can prescribe your best course of action to not only heal any current rosacea you may be suffering from, but to also prevent any flare-ups in the future.

Thank you for your photo. Treating Rosacea depends on the type of Rosacea you have.
 The following are subtypes of Rosacea:
Subtype 1 – flushed, red facial skin, facial spider veins, sensitivity, and dry skin

Subtype 2 – acne breakouts, very red skin, oily skin, sensitive skin

Subtype 3 – rare type of rosacea with bumpy portions of skin, especially on the nose, and oily skin

Subtype 4 – affects the eyes causing burning, stinging, blurry vision, and dryness

There are a variety of methods used to treat Rosacea including photodynamic therapy and the Cynergy pulsed dye laser. This laser is FDA-approved and revolutionary at removing redness and scars from your skin. For more information, I recommend getting a in person consultation with a board-certified dermatologist. 

PDL vs IPL or BBL, the settings are most important. See a dermatologist. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)
To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. A good website that educates you about rosacea is rosacea dot org 

To help treat your rosacea a detailed history, together an examination is needed. Once this is established a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers (to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL- BBL  can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 

2. Creams - anti inflammatory- Rozex, Azalelic acid, Solantra. Creams are effective in 30% of cases. 

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. Vitamin A cream can be used in very low concentration and gradually titrated. See a medical dermatologist for this. 

4. For females- Mineral make up is recommend- paraben and preservative – talc free. 

For the best results, be holistic in your approach, start off with the foundations of rosacea management, - avoiding flare factors, use of anti- inflammatory agents, and then progress to 

consult a dermatologist for both medical and laser treatment options,

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia. Real Self Advisory Board.