Could BBL improve my rosacea without risking worsening my “melasma”? (Photos)

You are absolutely correct that BBL can cause worsening of your melasma. For this reason I do not use it to treat melasma alone (some people do) because there are other modalities that I feel are more effective. However, this does not mean you can't have BBL for rosacea.  I have performed BBL on patients with melasma very carefully and I typically use lower energy. In addition, I will usually start patients on a topical skin regimen prior to the treatment including bleaching creams (hydroquinone). I would use very conservative BBL settings and monitor your response closely.  I would definitely ask your provider if he/she feels comfortable performing BBL on your skin. An honest provider should be very upfront about this. Good luck!

Rosacea should be treated with the V-Beam laser, the V-Beam perfecta, or even an older generation pulse dye laser. Lasers, not light sources will be safer and more predictable for any indication. For rosacea, broken capillaries, Poikiloderma of Civatte or other redness on the face, the VBeam is the gold standard of lasers. 

I would not use IPL OR BBL to treat rosacea. V Beam vascular laser is best. This should be combined with low percentage HQ and 1064 QSL lasers, stay safe. I agree that IPL or BBL has a good chance of flaring rosacea even if the correct filter is used. Dr Davin Lim. Brisbane. Australia.