Rosacea unresponsive to IPLs

There are many things like avoiding trigers (stress,
temperature changes, alcohol, spicy foods, exercise, sun, heat, cold and many
others), medical skin care products, topical antibacterials, topical
anti-inflammatories, oral antibacterials, oral retinoids (isotretinoin), lasers
(Cutera Excel-V KTP laser) and light based devices (blue/red light, IPL/BBL,
PDT with metvix or levulan) to treat your rosacea. Skin care products that I
have found great results with are the following: 

VivierSkin® HEXAM Cleanser -  Rosemary extract,
grape seed extract, and vitamin C aid in thoroughly removing environmental
pollutants, excess oil and makeup.  This is an oil free, alcohol free,
hypoallergenic, non-comedogenic cleanser.

SkinCeuticals® Redness Neutralizer -  Formulated
with NeurMed Complex to help neutralize the environmental triggers that
exacerbate redness. Also contains biomimetic peptides to cool the skin, provide
instant relief and help alleviate and heat sensation.

ViverSkin® LEXXEL Moisturizer -  This cream calms,
soothes, and helps reduce signs of redness, inflammation, irritation and
bacteria. Contains hexamidine, an antimicrobial with powerful anti-redness
properties. 

EltaMD® UV Physicial Broad Spectrum SPF 41 - 
Contains zinc oxide, titanium dioxide and is chemical free, natural UV
protection. Water resistant. Light tint.

For the best results please consult a board certified
dermatologist with experience with your condition.  

Rosacea is
very complex and a tailored treatment program give the best results. This is
because there are many types of rosacea (telengtctatic or capillaries, flushing
and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)

To add to the
complexity, everyone has different flare factors- Sunlight, stress, foods,
chemical irritants, creams, changes in temperature, alcohol. The list goes
on.

A detailed
history, together with a treatment tailored according to YOUR type of rosacea
will give the best results. As a guide, I use a combination of -

1. Lasers (
to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the
V BEAM. IPL can be used, but usually not as effective- as your case has proven. 

2. Creams -
anti inflammatory

3. Tablets
-anti - inflammatory and sometimes low dose Vitamin A.

4. For
females- Mineral make up is recommend, over make up that contains
parabens.

For the best
results, consult a dermatologist for both medical and laser treatment
options.

Kind regards

Dr Davin S.
Lim

Laser
Dermatologist

Brisbane,
Australia.