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    Evolving laser therapies for rosacea symptoms

    Breakthroughs offer new options for treating telangiectasias and erythema


    Combination therapy

    “We have a variety of different types of lasers that we can use to treat both the diffuse facial erythema as well as the telangiectasias and enlarged blood vessels associated with rosacea. Depending on the clinical presentation, I will often perform a combination therapy using one laser to treat the individual veins and a second laser for the overall diffuse erythema. This combination therapy works quite well and our patients are very satisfied with the cosmetic outcomes we can achieve,” Dr. Geronemus says.

    READ: Study uncovers genetic links to rosacea

    A combination device employing both radiofrequency (RF) and pulsed dye laser is a new technique under development from Syneron-Candela, and could represent a breakthrough in the treatment of erythematotelangiectatic rosacea and other vascular lesions. 

    The device’s combination of RF and pulsed dye laser is proving to be very effective in different types of vascular lesions as well as port-wine stains, particularly more mature port-wine stains that have a thicker component. According to Dr. Geronemus, the vascular nodules of the thicker component have notoriously been difficult to treat, and the RF and pulsed dye laser combination approach is showing great promise, being able to significantly improve the lesion even after a single treatment.

    READ: It's rosacea, not acne

    “Many times, the same device can not be used for all possible vascular conditions. In my experience, you will often need to mix and match the different lasers for the specific type of vascular lesion that you are treating, which will lead to optimal treatment outcomes,” Dr. Geronemus says.

    NEXT: Advances in vascular therapy


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