I have chemotherapy rosacea. Nothing is working.

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

For rosacea, I like a combination approach to get the most improvement, using lasers (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

Rosacea is challenging but recent treatment options have been shown to be quite effective.  One method that we have had great success with involves broadband light (BBL) treatments along with the new topical therapy for rosacea from ZO Skin Health which is called Rozatrol.  Clinical studies have supported the efficacy of Rozatrol when used in a balanced skin care program and the initial results in our patients has been excellent in controlling recurrence.  BBL treatments are very successful in permanently reducing the rosacea but ongoing care and followup is important.

Thank you for your question. For rosacea and redness of the face, I always recommend the Vbeam Perfecta laser, which is a pulse dyed laser that targets the red in the skin. I would recommend having a consult with a board certified dermatologist who has experience in lasers to go over treatment options.

Resurfacing will flare up normal rosacea, vascular lasers are only part of this puzzle. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)
To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. 

A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers ( to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 

2. Creams - anti inflammatory

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. 

4. For females- Mineral make up is recommend, over make up that contains parabens. 

For the best results, consult a dermatologist for both medical and laser treatment options. 

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia.