I'm looking for a doctor with experience in rhinophyma excision after having two unsuccessful herbium treatments?

The best thing is to begin using a gentle non-fragrant, non-comedogenic cleanser as recommended by your physician, along with whatever moisturizing and sunscreen protocol you were given.  You've already noted the side effects of using fragrant and acidic cleansers, which is mostly...

In our practice, we have patients keep the area moist and well hydrated. Every practice is different. If you are having continuous dryness, you may consider using a ceramide cream such as Elevase Moisture Booster once the skin has epithelialized. Best, Dr. Karamanoukian Los Angeles

Immunosuppression alone is not an absolute contraindication for laser resurfacing in most cases. Some underlying medical condtions which are treated with immunosuppressive drugs can be. That being said, it is an elective procedure and the risks and potential benefits must be discussed. Risk...

We usually follow up CO2 with PDL or pulse dye laser. This laser does not break skin, but targets the blood vessels- this, in time reduces redness. I usually start PDL 6-8 weeks after CO2. You may need 2-4 sessions. CheersDr Davin Lim Laser DermatologistBRISBANE, Australia. 

Redness following CO2 is inevitable- its like death and taxes. It has got to happen to give a good result. I normally say to patients that I WANT redness for at least 8 weeks. Why? Its not because I like it, but because the redness (vascular, blood flow) can aid in collagen stimulation. This is...

It is not uncommon for undereye swelling to develop transiently after fractional co2 laser. In our office, we ask patients to use SwellX tablets and massage with Plato's Bruise Balm. Best, Dr. Karamanoukian Los Angeles