Treatment to improve texture reactive rosacea skin (rhinophyma but subtype 1 and 2 also): Fraxel repair? Or any other? Accutane?

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

I have seen really great results with Cynosure (Palomar)'s Icon platform.  It is a quick 10-15 mins treatment, very tolerable, and results can be seen with just 2 to 3 treatments.  Hope this helps.  

For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V, Clear + Brilliant), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Thank you for your question. Treating Rosacea depends on the type of Rosacea you have.
The following are subtypes of Rosacea:

Subtype 1 – flushed, red facial skin, facial spider veins, sensitivity, and dry skin

Subtype 2 – acne breakouts, very red skin, oily skin, sensitive skin

Subtype 3 – rare type of rosacea with bumpy portions of skin, especially on the nose, and oily skin

Subtype 4 – affects the eyes causing burning, stinging, blurry vision, and dryness

There are a variety of methods used to treat Rosacea including photodynamic therapy and the Cynergy pulsed dye laser. This laser is FDA-approved and revolutionary at removing redness and scars from your skin. For more information, I recommend getting a in person consultation with a board-certified dermatologist.