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Pulse Dye Laser For Rosacea


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What is Rosacea?

Rosacea is a common skin condition, which can appear as faint pink color on the cheeks, or in more advanced cases, as enhanced blood vessels on the face and nose, acne-like red pimples, and a large, bulbous ruddy nose.

What causes Rosacea?

Rosacea is the inability of the facial blood vessels to function properly. While this is not a severe medical problem, the presence of these visible blood vessels, and in more advanced cases pimples and a persistent flushed appearance, often make people self conscious. Rosacea also tends to run in families, as many patients can attest to.

How can I keep my Rosacea from getting worse?

Anything that makes a person flush and blush makes rosacea worse in the long run. It is good to minimize sun exposure, alcohol consumption, spicy foods, piping hot liquids (soups, coffee, tea), saunas, steam rooms, and stressful situations. While realistically most people will still want to have a glass of wine, decreasing the frequency of the above activities will help keep the rosacea at bay.

How is Rosacea treated?

There are some topical prescriptions that can be used, and they can help improve the condition. One over the counter ingredient that may be helpful is topical green tea, and many of my patients have seen improvements with the Green Tea Antioxidant Serum from my own product line.

For more advanced cases, oral antibiotics can be used, and some people even undergo long term Accutane regimens for rosacea. The oral medications tend to require long-term, as they don’t eliminate the underlying blood vessels and pimples causing the problem.

What are my treatment options if I don’t want to use oral medications?

Rosacea can be treated with lasers. The Pulse Dye laser, which targets the color red, has been successful in treating the baseline blood vessels and background pink to red skin color, and also in the treatment of the red pimples in more advanced cases.

Is the Laser treatment a one time treatment?

No. Usually multiple sessions are needed to help relieve rosacea.

Are the treatments painful?

The treatments are not painful. The laser feels like a rubber band snapping against the skin, and is well tolerated even by the most squeamish patients.

Is there any downtime after the treatments?

After each treatment, the red pimples and the red capillaries treated appear in a bruise- like black and blue color, which fades over the next 5-7 days. Make up can be used to cover up the marks. Dermablend is just one good type to try after the treatments, and can be fitted to anyone’s own skin tone.

Can the marks be avoided?

Yes. The marks can be avoided by using different settings on the laser. However, I personally think that – to paraphrase the old saying – you don’t get what you don’t see, i.e. the treatment is more effective when the marks are visible. However, we do adjust the settings for those patients who are in the public eye (TV, stage) with the caveat that the adjustment may mean more treatments to reach the same goal.

Are the treatments covered by insurance?

No, the insurance companies consider laser treatments cosmetic and do not pay for them. However, for this reason, our prices are kept at an affordable range and have not gone up in price for many years now.

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FAQ’s


Are the treatments painful?

The treatments are not painful. The laser feels like a rubber band snapping against the skin, and is well tolerated even by the most squeamish patients.

Is there any downtime after the treatments?

After each treatment, the red pimples and the red capillaries treated appear in a bruise- like black and blue color, which fades over the next 5-7 days. Make up can be used to cover up the marks. Dermablend is just one good type to try after the treatments, and can be fitted to anyone’s own skin tone.

Can the marks be avoided?

Yes. The marks can be avoided by using different settings on the laser. However, I personally think that – to paraphrase the old saying – you don’t get what you don’t see, i.e. the treatment is more effective when the marks are visible. However, we do adjust the settings for those patients who are in the public eye (TV, stage) with the caveat that the adjustment may mean more treatments to reach the same goal.

Are the treatments covered by insurance?

No, the insurance companies consider laser treatments cosmetic and do not pay for them. However, for this reason, our prices are kept at an affordable range and have not gone up in price for many years now.

Written by Dr. Hellman on 2/5/2020

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Judith Hellman

About the Author

Dr. Judith Hellman is a board-certified dermatologist and an associate professor at Mt. Sinai Medical Center. Her passion for people shines through when consulting on a diverse range of medical skin conditions and how these may affect health, aesthetics, and self-esteem. Dr. Hellman has lectured globally and has authored many journal articles. Her fluency in English, Hungarian, and Hebrew helps enhance multilingual communication for many dermatology patients in NYC.

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