What is the best skin resurfacing procedure for my rosacea and dermatitis?

Question

Hello, I have moderate seborrheic dermatitis and mild rosacea on my face. Some medications have helped (tacrolimus), but my skin is generally still flaky and red. Even foundation does not glide on smoothly due to all the flakes. I would like to know what the best skin resurfacing procedure is to address both these conditions. Ideally, I would like to have smooth, non-flaky skin with less redness. Thanks.

Jason Emer, MD · Answer

you need to post photos and get a formal consultation. we often do a combination of vascular laser, clear and brilliant or moxi with ampule infusion for these cases. at home AERIFY will help to maintain with proper skincare.

You need proper skincare with skincare lines like faith (specifically the essence serum clay mask and moisture enrich lotion), Restorsea liquid gold and 10x cream, Sente dermal repair cream and 24 hour bio complete serum.  At home peels like emerageskin AERIFY with LED light therapy like lightstim can make a big difference.

In office, redness is treated with

1. vascular lasers (excel v, vbeam, BBL, IPL, Aerolase, yellow laser)

2. Aquagold or micro ampule infusion (botox topically)

3. microsecond yag lasers (laser genesis, Aerolase)

4. proper medical grade skincare (faith, Restorsea, sente, emerageskin) and LED therapy (light stim)

5. non ablative, low level, low density lasers (clear and brilliant)

6. nano fractional RF (venus viva)

see an expert for a full workup.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

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

What is the best skin resurfacing procedure for my rosacea and dermatitis?

Answers (2)

Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the best skin resurfacing procedure for my rosacea and dermatitis?

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.