Had 4 V beam treatments to treat redness around eyes and no improvement (Photo)

For some background - I have had this chronic inflammation around my eyes for a couple of years now. It is around both of my eyes. My dermatologist has prescribed me a few items like steriod creams, jak inbitors, calcineurin inhibitors antifungal. With no luck they did a biospy w/results stating Compatible with focally dilated follicle" eventually they tried vbeam and saw no improvement. Are they doing something wrong? They even did bruising settings.