Rosacea unresponsive to IPLs

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

Either the beam or q switched yag which are lasers Dan be more effective. These are lasers and I find them more effective than iPod. For diffuse redness however there may be an end for follow up visits. You see response on first session.

IPL or BBL can be effective for more diffuse redness of rosacea, but for stubborn vessels (telangiectasia), you're better off with a true "laser" instead of light source, such as Vbeam or KTP or Nd:Yag. Make sure your dermatologist has confirmed rosacea as your diagnosis as there can be other issues causing it to some degree. You could also try brimonidine gel in the morning.