My face gets very red due to nervousness and/or embarrassment. Will Pulsed Dye Laser surgery help?

Question

Do you recommend treating my excess facial red blood cells with pulse dye laser surgery? If so, what would be the average cost for the treatment in Los Angeles?

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

William Groff, DO · Answer

A pulse dye laser like the Vbeam can help reduce facial flushing of any kind by affecting the blood vessels that lead to redness. I encourage you to schedule a consultation with an experienced, board-certified dermatologist for an in-person assessment. You may need to repeat your treatment once or twice a year to maintain your positive results.

Jason Emer, MD · Answer

Blushing is a physiologic response to heat, anxiety, etc.  However, the broken blood vessels that are caused and exacerbated by blushing can be improved with lasers (Pulsed Dye, ProYellow, Excel V) and microneedling/prp. Cost will vary, but see an expert. Best, Dr. Emer

Sarah B. Sawyer, MD · Answer

I find that pulsed dye laser is extremely useful for flushing and blushing. 
The physiologic response of flushing cannot be stopped completely, but with pulsed dye laser treatments, the flushing response results in less redness. Maintenance treatments are needed after results are obtained. My patients usually have one or two treatments a year to keep the redness managed. Best wishes, Dr. Sawyer

Shalini Gupta, MD · Answer

You're describing flushing which can commonly exacerbate with heat, emotions, caffeinated beverages, cheese, spicy foods and alcohol.  Avoiding these instigators can help.  VBeam or PDL and BBLare good choices for shrinking the blood vessels which dilate with the above instigators and can hence reduce the flushing issue.  We have also anecdotally found Fraxel laser, Venus Viva and Microneedling to help with this situation.  Combined with PRP is even better as PRP helps support vascular health and all procedures help to stimulate new collagen growth in the skin.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes it can. General dermatologist or physician to exclude secondary causes of flushing- blushing. Carcinoid, tabs, exogenous, etc... If V Beam was employed a short PD is needed. So expect bruising and swelling for a few days post. For patients who flush and blush I normally perform V Beam under mild sedation or Pentrox as a short PD can be painful. See a laser dermatologist for advice. Dr Davin Lim.

My face gets very red due to nervousness and/or embarrassment. Will Pulsed Dye Laser surgery help?

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