What do I do to get rid of the permanent redness around my nose and mouth? Would Laser work best? (photos)

Yes, this can be treated with a combination of lasers (pulsed dye, Excel V, IPL) and microneedling/prp. See an expert for a formal evaluation. Best, Dr. Emer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types.

Best,
Dr. Karamanoukian
Realself100 Surgeon

For the redness in the face, the best treatment option is IPL (Intense Pulse Light).  This laser goes after redness shrinking the blood vessels that cause the redness.  You will need a series of treatments usually spaced 2 weeks.  Standard treatment requires 5 but sometimes it takes more.  In addition the IPL laser also would remove age spots and enhance collagen so the skin texture would improve as well.

I have to agree with all the experts who have already weighed in. IPL (or better yet, BBL - Broad Band Light) is a treatment which has little or no downtime, is fabulous for reds and also browns of sun damage and also has a number of other benefits including increasing collagen and potentially slowing skin aging. Make sure to seek out a physician who uses their IPL/BBL very regularly.

Thanks for your question.  You can more than likely be helped with an IPL Photofacial.  It is excellent for removing both reds (vascular) and browns.  While these devices and services are readily available, make sure you choose someplace where the treatment is actively supervised by a physician.  Real Self is filled with horror stories and pictures of IPL treatments gone wrong.  Most of these were probably caused by bad equipment, technique, training or settings.  Find a place where you get to meet the physician and you get a personal consultation.