The Sciton laser BBL with Halo for combination therapy will help with your melasma and Rosacea. A pre-treatment compound cream for a few weeks pre and post-procedure is reccommended. The BBL can be done the same day as the Halo. The BBL will target capillaries, reducing the appearance of Rosacea. The Halo will reduce appearance of melasma mask, as well as target any sun spots/pigmentary issues. Both of these treatments will induce collagen production in the skin. Using Alastin products pre and post-procedure will increase elastin and rid your skin of its debris resulting you with a more even skin tone.
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
There is no "cure" for melasma but there are great treatments. We are doing a clinical trial now on clear + brilliant with bleaching and microneedling and getting amazing results. I suggest you see an expert. You will need lifelong treatment, sun protection, skin care. But these treatments can give you improvement and then you maintain. Rosacea can be treated with pulsed dye laser/vbeam or yellow laser at same time. Best , Dr. Emer.
Thank you for your question. It appears form your pictures you have melasma not rosacea. If topical bleaching creams like hydroquinone based products, for example TriLuma have not worked you can consider the Fraxel Dual or Clear and Brilliant Permea. In particular the 1927 Thulium which is in both of the aforementioned lasers works extraordinarily well for pigment like melasma. Both will require a series of treatments. Regards, Dr. Matt Elias