Best Laser Treatment for Rosacea Redness?

I have suferd from awful/embarasing rosacea facial redness for 15yrs, also have capilarys on nose/chin. Treatment-Im currently using Metrogel 1%/500mg tetracycline everynite for past 4 months and results have been ok but isnt enough. I have melasma & skin is sensitive to harsh stuf. My last resort is doing laser therapy to either completly remove/much better manage the redness-im @ my wits end. Which IPL or other laser treatment will drasticaly improve redness? How long will results last?

Doctor Answers 10

Which treatment is better for rosacea?

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Antibiotics and topical rosacea medications work much better on papules or pustules, and don't really do a great job with diffuse redness.

For the type of diffuse redness you have IPL should work well.  Make sure you are off the tetracycline if you decide to have any laser treatments, as tetracycline makes your skin more sensitive to light.

For discrete visible blood vessels, NdYAG or pulse dye laser would probably be better.

Also, it's necessary to control factors that aggravate rosacea.  That includes everything that warms up the face, like hot showers, direct sunlight, spicy foods, hot drinks, alcohol, and even exercise.

With exercise, I recommend that my patients apply a washcloth or paper towel with cool water to the face right after exercise to help shrink down the dilated blood vessels.

Once the rosacea is treated, it is possible that the melasma may become more apparent because the redness of the rosacea is helping mask it somewhat.

Short Hills Dermatologic Surgeon

Excel V 532nm - Most vascular-specific laser

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Excel V 532nm laser is the most specific laser system for blood vessels (hemoglobin).  It can effectively treat facial vessels typically over a series of 3 treatments spaced every 4-6 weeks.  Even though my practice also has a pulsed dye laser, the KTP is my laser of choice for rosacea patients. - Dr. Keaney

Terrence Keaney, MD
Arlington Dermatologic Surgeon

Laser for Rosacea

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I tell my patients, the right rosacea treatments and medical therapy can help control and manage this condition. Without treatment, the condition can get worse. Because 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) and oral medications (including antibiotics), only if absolutely necessary. I try to avoid oral prescriptions and my patients appreciate our approach which is unique to our practice. Oral medications can help to reduce inflammation and clear up breakouts.
My patients have achieved impressive results with our state-of-the-art lasers and/or intense pulsed light therapy; these treatments help to remove the visible blood vessels from the face—clearing up redness and dramatically improving the overall look of skin.

Rosacea Treatment with IPL

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Dear NM575:

IPL treatment works effectively to reduce signs of redness but it is important to remember to decrease exposure to triggers or precipitants including alcohol, stress, anxiety, caffeine, etc.  Hope this information helps.

V Beam by Syneron Candella is my choice

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In the majority of cases my preferred laser is the V Beam 595- it is relatively comfortable for patients, and it has different spot sizes for Specialists to use- it can also treat the broken blood vessels associated with rosacea. 

Sometimes I use the 755 Alex with DCD cooling for resistant blood vessels on the nose. 

Rarely I use the 1064 nm long pulse laser for blood vessels, sometimes I use this in 'paint mode'. 

Some of my older rosacea patients prefer IPL rather than V Beam, so this is another non- laser option for redness. 

As for LED therapy- I use it very rarely, results are not as predicable, nor as effective as laser.

Dr Davin Lim
Laser Dermatologist
BRISBANE, Australia

We specialize in treating rosacea

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First- you must make sure your doctor is treating your rosacea correctly. Constant use of antibiotics ends up making rosacea worse in the long run. 

For the redness of rosacea,  A PDL (laser) can also be used very well but needs to be repeated once per month to help control it. Sunscreen and avoiding heat/saunas, etc also help with the redness. 

Zein E. Obagi, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Rosacea Treatments

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I have had great success treating patients with Rosacea with my Cynosure/Palomar ICON with the MaxG head.  It gives great results.  The results last for many months. It is variable patient to patient in terms of how long it will last. It is a chronic disease so yearly touch ups may be needed.

Treating Rosacea: A Safe Effective Treatment with LimeLight IPL

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 Rosacea can be a frustrating and embarrassing skin problem!  Don't hesitate to consider IPL treatments to correct and maintain smooth, even skin color. We have great success with Cutera's Limelight laser and when the vascular lesions are deeper, we use the CoolGlide to eliminate the broken veins and capillaries.

Ronald Moser, MD
San Juan Capistrano Physician

Clearing Rosacea With the Vbeam laser

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For Rosacea, I would recommend the V-beam laser over IPL. The difference between a laser and a light based therapy like IPL is that each laser only uses one specialized wavelength to do a specific job.  IPL uses several.

The V-beam laser uses the 595nm wavelength which is easily absorbed by hemoglobin in the blood vessels. This is how it enters the vessels in order to seal them up.

The body will then dispose of this waste tissue which clears the redness from your skin.  Results are permanent because the laser is actually getting rid of the blood vessels causing the redness.  Here is a video of a patient who had V-beam treatments on his chest to get rid of his Rosacea.


Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Would suggest the VBeam laser...IPL isn't a laser...

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while both may help, the likelihood of significant improvement is greater with the laser (VBeam) quickly and should see results in the immediate future and without side effects...and avoid both excessive sun (wear a hat) and heat...

Ken Landow, MD
Las Vegas Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.