Rosacea

Rosacea is a chronic condition characterised by redness, facial dilated capillaries, papules and pustules.

While causes of redness and flushing are not precisely known; it can be triggered by sun exposure, environmental factors, hormonal changes, alcohol and spicy foods.

Although there is no cure for rosacea, the symptoms can be greatly reduced. The Victorian Dermal Group offers a variety of treatment options including specialist skin products and gentle laser treatments to treat the associated facial capillaries and diffused redness. The Victorian Dermal Group offer the following lasers to treat Rosacea; Aura KTP (more info tab with treatment details), V Beam (more info tab with treatment details), Candela GentleMax Pro (more info tab with treatment details).

Download Treating Facial Diffuses Rosacea PDF

Aura KTP

What is Aura KTP laser?

KTP laser is a type of laser used to treat a number of conditions including Port Wine Stains (PWS), haemangioma, telangiectasias, spider naevi and red scars. The treatment involves the use of a laser light specifically designed to treat blood vessels in the skin.

The light heats the blood and the blood vessel. The heat destroys or damages the blood vessel. The light produced by the laser is very bright and can affect the eyes, so everyone must wear special protective goggles during treatment. The KTP laser is used to produce a significant fading of vascular birthmarks with minimal risk of skin damage/scarring. Treatment is safe and can be used successfully and effectively on children.

How does the KTP laser work?

The laser emits a beam of green light which penetrates the skins surface and targets the superficial abnormal blood vessels. The light is specifically absorbed by the red colour and, therefore, avoids damage to the surrounding tissues. The laser should reduce the redness of the skin. Many patients find that the redness does not go away completely. However, the skin colour should change to match the surrounding skin more closely. You may need to have a course of treatments with regular visits spaced four to eight weeks apart. The results may be patchy initially but this will then subside.

What should I do to prepare for the treatment?

  • For about one month prior to treatment, you should avoid exposing the area to be treated to the sun.  This is because pigmentation in the skin will make it harder for the green light to reach its target (the blood vessels).
  • You should avoid taking Aspirin (or other blood thinning drugs such as Warfarin) for one week prior to treatment.
  • Please do not wear hairspray, perfume or after-shave on the day of treatment. These substances may increase the risk of burning your skin.
  • You will need to remove any makeup covering the area to be treated. You can do this once you arrive at the clinic.
  • If you are prone to cold sores you may find that the laser activates a new one. Please discuss this with the clinician or doctor. Antiviral medications may sometimes be advised prior to treatment. If you are suffering from a cold sore at the time of your planned treatment then please contact the clinic to cancel the appointment, as we cannot go ahead with the treatment.
  • If the treatment involves the eyelids or surrounding area you should not drive home as the area may swell and temporarily interfere with your vision.

What to expect regarding the treatment?

  • The treatment can last from a few minutes to more than half an hour depending on the area being treated and whether a test area will be treated first.
  • Patients as well as the clinician will need to be wearing protective goggles or glasses because the light from the laser can potentially be damaging to the eyes.
  • The lasers cause a short stinging sensation in the skin. This may feel like being flicked with an elastic band or plucking a hair.
  • The KTP laser rarely causes bruising but the treated area may be slightly red, like mild sunburn. This effect can last for one to three days.
  • The laser uses a cooling device to reduce discomfort. Most people can tolerate the treatment without any anaesthetic. However, local anaesthetic cream is available.

What to expect after the treatment?

  • Treatment cannot be carried out if you have a suntan as this may affect the outcome of your treatment as mentioned above. In addition you must not go into the sun for two weeks after treatment and must strictly apply sunscreen.
  • You may feel some discomfort for a few hours after the treatment. You may find that a cool pack or a mild painkiller such as Paracetamol will reduce the discomfort. Do not use aspirin as this make the bruising worse.
  • The skin surface may blister, weep or become crusted; this is a normal side effect of the treatment.
  • Swelling may occur in the area treated, although this is more common around the eye or upper cheek area.
  • Scarring is rare (less than 1%), but it can occur at any site. It is more likely to occur where the skin is very thin (such as the neck) also scarring can occur if a blister becomes infected and if you pick at the scab.
  • Rarely, the texture of the skin surface may change. This is more likely to happen if you have had a lot of treatments over a long period of time.
  • The original colour of your skin may darken or lighten. Any darkening is usually temporary and usually fades over 6 -12 months. If it becomes lighter in colour, this may be permanent. This is more common in patients with darker skin tones.

V-Beam

What is the V-Beam laser and why is it safe? 

The V-Beam Laser produces an intense but gentle burst of light that selectively destroys the blood vessels of your spider veins or other vascular lesions, without damaging the surrounding tissue. Afterlaser treatment the surrounding tissue is left intact and normal pigmentation occurs. In fact, pulsed dye laser treatment is so safe that it has been used successfully for the treatment of port wine stains in infants and young children. The epidermis is protected during the treatment with the Dynamic Cooling Device, which sprays a cooling cryogen mist onto the skin before each laser pulse, which also increases patient comfort.

Are there any reasons that would not make me a candidate for V-Beam therapy? 

The V-Beam is not recommended for patients who are darkly pigmented. Because of the increase in skin pigment the laser will be less effective on damaging the blood vessels of the spider veins or other vascular lesion to be treated The depth of penetration of the Vbeam is limited to vessels about 1.5mm in depth. Therefore, vessels deeper than this may not respond to the therapy. Additionally, blue vessels may not respond as well as red ones.

What should I expect for this laser treatment? 

Treatment with the V-Beam may consist of multiple treatments. For facial veins, one treatment may be sufficient for clearance but additional treatments are not uncommon. These treatments occur on an average of every six to twelve weeks depending on the area and type of treatment. The type of vascular lesion to be treated will determine the number of treatments needed. The red veins respond better than blue veins and the smaller, matting vessels will respond sooner than larger vessels up to 1.5mm in size. Port wine stain lesions have more vessels to be treated and require multiple treatments, but the number of treatments is unknown in advance.

Will the laser treatment hurt? 

The DCD (Dynamic Cooling Device) which is built into the laser system, delivers a short burst or sprayof cryogen just prior to the laser pulse being delivered. The DCD has been instrumental in reducing pain associated with treatment as well as reducing the possibility of blister/scab formation. In some instances, a topical cream or anesthetic can be used if requested. The feeling of a laser pulse has been described as being snapped by a rubber band or a slight stinging sensation. Following laser treatment, the area may continue to sting slightly or feel warm like sunburn. If a large area is to be treated, anesthesia may be used. A small test area can be performed before the entire area is treated to evaluate your pain tolerance. Most patients tolerate this procedure without any need for anesthesia. Applying ice packs post-operatively can alleviate any discomfort experienced during the procedure. We also offer a topical numbing cream that may be applied 30-45 minutes before treatment to help reduce the sensation of the laser pulsed. You can discuss this option with the nurse prior to treatment.

Precautions Before Your Laser Treatment 

Avoid direct exposure to the sun. A sun screen of SPF 30 or greater should be used for casual sun exposure for several months before and after your treatment, or as long as you plan to continue treatment. Darker melanin or pigment from the sun may produce side effects or make the treatment less effective.

Care Of The Treated Area

The treated area may be pink/red for 4-8 hours after treatment. During this time you may feel a slight stinging sensation (similar to a mild sunburn) in the treatment area. This sensation usually subsides within 4-6 hours; cool packs or cool moist cloths may be applied to the area to reduce this sensation. Depending on the area(s) treated, you may notice some mild swelling which usually dissipates within several days. You can apply make-up or lotion to the treatment area the day after your treatment or when all signs of redness and heat have dissipated from the area.

We recommend that you apply a good moisturizing lotion to the treatment area twice daily for the duration of your treatments and for at least 2-3 months after your last treatment. It is important to remember that you may not see any significant changes for several weeks after the laser treatment.

How many treatments will I need?

The number of treatments really depends on the type of lesions being treated. Some vein treatments may consist of 1-2 treatments, while treatment of scars and stretch marks may have 5-8 treatments. You will be informed of the estimated number of treatments for your specific area(s) of concern during your initial consultation.

How long will the laser treatment take? 

The duration of your laser treatment depends on the size of the area you wish to have treated. Most treatments last between 15-20 minutes.

How frequently will the treatments be performed? 

Depending on the type of treatment, the treatment frequency usually is about every 6-8 weeks.

What happens after the treatment? 

Depending on the type and area of treatment, patients will have different post-treatment results and regimes. Some patients may experience bruising or redness that lasts for several days up to several weeks, while others may only have slight redness for several hours. Please read through out section on patient guidelines for more specific information on post-treatment care.

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Images Of Rosacea Treatments

BEFORE – AFTER