What to do first, rosacea treatment or microdermabrasion?

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

You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse Micropen for all types of scars and improvement in texture and tone; lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Sublative or Viva to improve the scars and give long term collagen production. Microdermabrasion doesn't help acne scarring and can make rosacea worse. There are many options but you want someone who can customize a regimen for your short and long term goals based on your individual situation.  If you also have redness/rosacea, I used a pulsed dye laser on the same day as the other treatments.  Best, Dr. Emer.

Hello Gian.  Agreed with Dr. Talei.  Microdermabrasion will just aggravate Rosacea in most cases.  For Rosacea consider pulsed dye lasers or [prescription medication.  We would have to see the scars, but if they are red, then the pulsed dye laser will also help with these.  To see some examples of before and after photos for Acne and Acne Rosacea with pulsed dye lasers, click on the link below.