What is the best laser or treatment to treat Subtype 2 rosacea/ Perioral Dermatitis (PR) long term? (Photos)

Question

I have seen many dermatologists about my chronic condition who have diagnosed me with either type2 Rosacea (only affecting perioral area) or PR. The only treatment that works is topical metronidazole with Docycycline antibiotics. However, these do not get rid of the condition long term and I have to repeat the treatment several times a year. any other recommended treatments such as lasers that would resolve my issue long term and would that treatment be different whether I have rosacea or PD?

Raffy Karamanoukian, MD, FACS · Answer

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

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