Please help! I suffer from severe acne rosacea! How to clear up my face? What treatments could work? (photos)
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Doctor Answers 5
Clear Skin After Rosacea
This can be treated with isotretinoin, pulsed dye laser treatments and salicylic acid peels. I suggest you see a well trained cosmetic dermatologist who specializes in lasers, scaring and acne/rosacea. Best, Dr. Emer.
Thank you for your photos. 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.
Rosacea and acne together.
I suspect you have both rosacea and acne. 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
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.
Dr Davin S. Lim.
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Hi ESLK. In the past, we have been successful with pulsed dye lasers for acne Rosacea. Unfortunately, IPL is not a laser and does not have the same capability as a pulsed dye. If you are not interested in the medication route, this would be where we would direct you.
See the photos of other Los Angeles patients at the link below that we have treated for Rosacea and acne Rosacea with pulsed dye lasers.