So Far Have Had 6 IPL Treatments to Treat Rosacea Sunburn-like Diffuse Redness, Hasn't Helped, What Should I Do?

Question

reduce/remove the awful facial redness like I thot it wud, but has helped sumwhat reduce the 'prickly heat/stinging' sensations; the machine is a Palomar. My skin is sensitive to everything (heat/cold) and was nicely told I'm a dificult case; I'm at my wits end! IPL treatmts are my last resort, Metrogel 1% DID NOT help much; is there ANYTHING ELSE I can do or use-other machines/facial products, etc.-to reduce/remove redness & flushing? Rosacea socialy cripples me, I use heavy concealr EVERY DAY

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Elaine R. Cook, MD · Answer

Redness, flushing and blushing from Rosacea is a frustrating problem that people who have never had it don't often understand. We usually have very good results with a series of Quantum IPL treatments, you can see one at the link below. Treatment should be done by a physician experienced in IPL treatments for this difficult problem. Topical or oral treatments don't reduce the overall redness, flushing or blushing in Rosacea. They do help with red bumps, pus bumps and the overall skin sensitivity.

Sheri G. Feldman, MD · Answer

Your redness might be addressed better with a different laser such as the good old Pulsed Dye Laser which specifically targets blood vessels. IPL treatments can help somewhat for redness, but work better for brown spots than for redness.

So Far Have Had 6 IPL Treatments to Treat Rosacea Sunburn-like Diffuse Redness, Hasn't Helped, What Should I Do?

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