Which laser is best for background redness of vascular type rosacea? (Photo)

Question

I have large pores on my nose and background redness similar to sunburn. (see photo). After several IPL and Pulsed Dye treatments the redness is still visible. is this because the blood vessels causing the redness are too deep for these treatments to penetrate?Should different fluences etc be used help PDL penetrate further? can ND Yag help by going deeper or will this cause indentations? No medications have helped this redness.

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

Jason Emer, MD · Answer

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

Bruce E. Katz, MD · Answer

Thank you for your photo.
Treating Rosacea depends on the type of Rosacea you have. 
  
The following are subtypes of Rosacea: 
  
Subtype 1 – flushed, red facial skin, facial spider veins, sensitivity, and dry skin
    
Subtype 2 – acne breakouts, very red skin, oily skin, sensitive skin
    
Subtype 3 – rare type of rosacea with bumpy portions of skin, especially on the nose, and oily skin
    
Subtype 4 – affects the eyes causing burning, stinging, blurry vision, and dryness
    
There are a variety of methods used to treat Rosacea including photodynamic therapy and the Cynergy pulsed dye laser. This laser is FDA-approved and revolutionary at removing redness and scars from your skin. For more information, I recommend getting a in person consultation with a board-certified dermatologist.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Many variables, this should be able to be improved with the PDL if the settings are correct. Short PD or pulse duration needed. Sure fluence is a factor to be considered, but the PD has to be short. See a dermatologist near you who has both the 595 and 1064 wavelengths. All the best, Dr Davin Lim

Which laser is best for background redness of vascular type rosacea? (Photo)

Answers (4)

Answer: PDL vs 1064 Nd Yag

Answer: PDL vs 1064 Nd Yag

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Which laser is best for background redness of vascular type rosacea? (Photo)

Answers (4)

Answer: PDL vs 1064 Nd Yag

Answer: PDL vs 1064 Nd Yag

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Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.