What can I do for rosacea and melasma? Is there a treatment that works? (photos)

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

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.

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

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. 







Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.





I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams.In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.  For the best results, consult a dermatologist for both medical and laser treatment options. 





Kind regards.





Dr Davin S. Lim.



Laser Dermatologist.