Rosacea treatment with V Beam and bruising?

Question

I have rosacea on my cheeks and I'm interested on doing a vbeam treatment with purpuric settings (meaning that I will bruise after the treatment). If the doctor hits all the cheek with the laser but not all bruises (based of pictures I won't have a huge bruise, I will have little ones) will that means that he only shot the laser where the bruises are? Will only the little area that has a bruise be treated or also the sorrounding area will be less red? I don't really understand how bruises work..

Raffy Karamanoukian, MD, FACS · Answer

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

William Groff, DO · Answer

Vbeam is a vascular laser designed to target the redness in the skin. As a result, the red areas will receive a more intense pulse of laser energy, which in turn leads to the visible bruising. It doesn’t mean the other areas did not receive treatment, but the laser energy won’t be as intense in the areas where redness is not present. To ensure an optimal outcome, choose a doctor for your procedure who is board certified and has extensive experience in the Vbeam device.

Deborah H. Atkin, MD · Answer

That is an excellent question. The laser energy will be preferentially taken up by the areas where their is more redness. That means that any small red lesions and / or blood vessels are likely to bruise. The surrounding areas that are not so affected will still be treated, there will just be a less vigorous reaction.

Rosacea treatment with V Beam and bruising?

Answers (3)

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