What is the best laser to treat rosacea?

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

Thank you for your question. Since no two cases of rosacea are exactly the same, the most effective treatment is the one that is geared to your specific needs and symptoms. In my practice, intense pulsed light (IPL) therapy tends to be the top choice in rosacea treatment. However, I also offer more than 45 laser treatment options that can pinpoint symptoms very precisely to achieve the best possible result. I advise you to meet with an experienced, board-certified cosmetic dermatologist who can give you a personal evaluation, diagnosis and treatment recommendations. Good luck to you!

Hi IE.  The gold standard for laser treatment of Rosacea is a pulsed dye laser.  There are different types of pulsed dye lasers (brands), and we happen to use the Candela VBeam.   These lasers are particularly effective for the treatment of Rosacea because the light they emit is preferentially absorbed into the small blood vessels that create the reddish facial appearance.  This absorption of light creates heat that can close these small blood vessels. 

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

Finding the right rosacea treatments and medical therapy can help control and manage this condition. Without treatment, rosacea can often worsen. Since the signs and symptoms of rosacea can vary from one patient to another, we customize treatments based on each individual patient.
These rosacea treatments can include a mix of topical treatments including antibiotics and anti-inflammatory gels, oral medications, and in-office procedures including chemical peels, LED therapy & laser treatment for rosacea. We use the VBeam laser treatment to reduce overall redness and rejuvenate the skin.
Because rosacea is different for everyone, we develop tailored treatment plans to help you see the best results. Acne rosacea treatment is different than ocular rosacea treatment, for example. For some patients, rosacea natural treatment options may work best.
Our patients have achieved remarkable results, often by combining multiple different therapies in order to resolve their individual condition. Our team of experts can prescribe your best course of action to not only heal any current rosacea you may be suffering from, but to also prevent any flare-ups in the future.

You need a vascular laser to treat rosacea. There are really 2 good ones. The Excel V and the VBeam. Both are tried and true. The Excel V is going to have more swelling and I believe a better result than VBeam but that's just my opinion. I don't think IPLs are as effective for this.

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- Rozex, Azalelic acid, Solantra. Creams are effective in 30% of cases. 

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. Vitamin A cream can be used in v low concentration and gradually titrated. See a medical dermatologist for this. 

4. For females- Mineral make up is recommend- paraben and preservative – talc free. 

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

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia.