If V Beam is more recommended over IPL for rosacea among doctors, why is the user rating so low on V Beam?

When Vbeam treatments are performed by an experienced, board-certified dermatologist, the procedure is quite safe and effective in managing rosacea symptoms. Like any laser, the Vbeam is only as good as the provider that determines the settings and placement of the device. I encourage you to find a doctor with the qualifications necessary to help you manage your rosacea safely and effectively. 

In our office, we have several treatments that can help improve common vascular skin issues, including rosacea, post-inflammatory erythema, red scars, facial blushing, and spider veins. The Vbeam laser continues to be the gold standard for redness, including rosacea and post-inflammatory erythema. In some cases, we add Venus Viva RF coagulation to help improve redness on the skin from spider veins, inflammation, and rosacea.

Generally, several sessions are required to improve redness on the skin. Vbeam laser, IPL Limelight, and Venus Viva all work very well with minimal downtime.

Patients with rosacea may benefit from topical creams to help soothe inflamed skin. We recommend Elevase Moisture Booster. For Post-inflammatory erythema, Plato’s Scar Serum is recommended twice daily.

Best,

Dr. Karamanoukian

Realself100 Surgeon

A combination approach is needed to get the most improvement for Rosacea. For rosacea, I like using a combination of lasers (ProYellow, Pulsed Dye/Vbeam, Excel V, Clear + Brilliant) with peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Pulsed dye laser (such as Vbeam or Vbeam Perfecta) can make a huge difference in rosacea, visible blood vessels (such as telangiectasias), and pink or red birthmarks. This widely-used laser is safe and effective when done appropriately, but the results can vary incredibly depending on the settings used and the expertise of whoever is firing the laser! If you want results, choose an MD who's experienced with this laser who can tailor the treatment to you, watch for the right endpoints and make adjustments as she goes, and help ensure that the settings are safe but powerful enough to get results. 
Most patients with rosacea need at least 3 treatments to get the results we are all looking for - the improvement can be dramatic. But rosacea does tend to creep back with time, which is why many of my patients choose to do touch-ups with PDL periodically (every several months, or at least every few years) to keep redness at bay.
I also love IPL for fair skin types, but I don't consider it as effective for rosacea. It's a nice combo-platter option for those who have lots of sun spots and mottled pigment addition to facial redness.