Differences in treating facial redness KPRF vs Rosacea w/ Vbeam?

Question

I've had KPRF (Keratosis Pilaris Rubra Faciei) since childhood. Now in my 30s, rosy cheeks aren't cute anymore. I've had many successful V-beams that almost entirely reduced the red, and used retin-a and other topicals for texture. I've recently moved and went to the most reputable dermatologist for v-beams. After 4 treatments with minimal improvement, I think the settings are off. They are using rosacea settings 7mm, 10ms, 9.75 kJ. Should they be using acne settings with a lower pulse duration?

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

start redlight, skincare (aerify, faith, emerageskin) and try BBL + genesis if vbeam isnt helping.

You need proper skincare with skincare lines like faith (specifically the essence serum clay mask and moisture enrich lotion), Restorsea liquid gold and 10x cream, Sente dermal repair cream and 24 hour bio complete serum.  At home peels like emerageskin AERIFY with LED light therapy like lightstim can make a big difference.

In office, redness is treated with

1. vascular lasers (excel v, vbeam, BBL, IPL, Aerolase, yellow laser)

2. Aquagold or micro ampule infusion (botox topically)

3. microsecond yag lasers (laser genesis, Aerolase)

4. proper medical grade skincare (faith, Restorsea, sente, emerageskin) and LED therapy (light stim)

5. non ablative, low level, low density lasers (clear and brilliant)

6. nano fractional RF (venus viva)

see an expert for a full workup.  Best, Dr. Emer.

Differences in treating facial redness KPRF vs Rosacea w/ Vbeam?

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Differences in treating facial redness KPRF vs Rosacea w/ Vbeam?

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