What are the best Vbeam settings to eliminate telangiectasia (rosacea skin)?

Question

I tried the Vbeam three times and all the treatments were ineffective using 11ms and 10ms. I thought that the bigger the vessel the higher the ms setting must be, but the capillaries are still there. My doctor doesn't want to use more aggressive settings because I have a very white skin, but just a very white skin can be the reason to keep the settings that high (the doc mentioned nothing else)? 11ms and 10 seem very mild. What is the lowest settings that could be considered safe for most skins?

Raffy Karamanoukian, MD, FACS · Answer

Our protocol for hyper-erythematous redness uses a combination of lasers and Nanofractional RF to help reduce localized and perfuse hypervascularity in the skin. We begin with an evaluation of the redness and evaluate the cause of the hypervascularity. Treatments with Limelight IPL, Vbeam Perfecta, and Nanofractional RF are then used to reduce the blood vessels and telangiectasia within the skin. Patients benefit from post-treatment application of Elevase Moisture Booster with ceramides. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jason Emer, MD · Answer

For rosacea, I like a combination approach, using lasers (Clear + Brilliant, ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Sameer Bashey, MD · Answer

Settings depend on whether you are amenable to having some bruising or not. Bruising is not the best thing socially but actually indicates you have completely destroyed the vessel. Bruising settings will require less treatments than non-bruising settings. Talk to your laser surgeon. We never perform vbeam without conducting test spots first.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Really hard to say without close examination. Your dermatologist or plastics can have that discussion with you regarding bruising vs non bruise settings. Sure the PD plays a role, but also the spot size and the power. If they are resistant, your Specialist will know to use the 755 or the 1064, as they are more effective for larger and deeper blood vessels. So many variables, and not one setting for all. Dr Davin Lim. Brisbane. Australia.

What are the best Vbeam settings to eliminate telangiectasia (rosacea skin)?

Answers (4)

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What are the best Vbeam settings to eliminate telangiectasia (rosacea skin)?

Answers (4)

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