Best Laser Treatment for Rosacea Redness?

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.



 

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The best treatment for redness of Rosacea are either vascular lasers like PDL or KTP, or Intense Pulsed Light devices. Usually patients need several sessions, anywhere between 2-6 in total.

I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach using lasers (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

Thank you for your question and also for posting your photograph.  The important thing to understand about Rosacea is that it's a chronic condition which unfortunately cannot be cured, but with the use of topical and oral medication, the symptoms can be kept under control.  IPL and laser treatments can also help to improve the appearance of the telangiectasia or redness that appears as a consequence of the Rosacea.
The treatment of Rosacea is long term and can be a four pronged attack.  1) self-help (diet, lifestyle), 2) topical application of an antibacterial agent such as Metronidazole, 3) the use of oral antibiotics if needed and 4) an appropriate skin care regime to help rebuild and protect the compromised structure of the skin.  
Whether I would choose IPL or laser for the telangiectasia, would depend on the condition of the individual patient.  A typical IPL/laser treatment regime would involve around 3 to 5 treatments over a period of several months.  I hope that this has been helpful and I wish you well with your treatment.  With my best wishes, Dr Ariel Haus, London

The Cutera Excel V Laser
treatment is best used to improve Rosacea, and overall facial redness. Two different lasers used to treat acne rosacea. The first laser
treats more superficially, right below the skin. The second laser has a longer
wavelength that can penetrate deeper. This laser can penetrate the deeper blood
vessels, providing a more comprehensive, accurate treatment for rosacea.

The result: Pores tighten, glands shrink, facial
rejuvenation, nice glow due to collagen reformation. Skin starts to clear, redness is reduced. We don’t just treat
surface blood vessels, we go deeper since the vessels have a variety of depth.
So to achieve the best results, you should not treat the surface alone, but
also target the deeper layers. For best results, it is best to have an in-person consultation with a board certified dermatologist. Thank you for your question, best of luck!

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. 

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.

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.

 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.