Understanding Rosacea · Chapter 11
Lasers and Light-Based Treatments
Lasers and light-based devices are among the most effective treatments for the persistent redness and visible blood vessels of rosacea, and for reshaping rhinophyma.
Does laser treatment work for rosacea redness?
Yes. Vascular lasers such as the pulsed dye laser (PDL) and intense pulsed light (IPL) are among the most effective treatments for persistent redness and visible blood vessels, the features creams and tablets help least.
Which laser is best for rosacea?
Used well, PDL, IPL, KTP and Nd:YAG give broadly similar results for redness. PDL has the strongest evidence, Nd:YAG suits deeper vessels and darker skin, and the best choice depends on your skin type and vessels.
How many laser sessions will I need for rosacea?
Most people need a course of several sessions, typically three to six, a few weeks apart, followed by occasional maintenance treatments.
What are the side effects of laser for rosacea?
Redness, warmth and mild swelling for a day or two are common, and some settings cause temporary bruising for one to two weeks. Lasting pigment change or scarring is rare in experienced hands.
Can rhinophyma be treated with laser?
Yes. Ablative CO2 and erbium lasers can sculpt away thickened tissue and restore the shape of the nose. In Professor Madan's study of 124 patients treated with the CO2 laser, 118 rated their result as good or excellent.
Key takeaways
- Lasers and IPL are the most effective treatments for redness and visible vessels.
- Most people need three to six sessions.
- CO2 and erbium lasers give excellent, lasting results for rhinophyma.
- Lasers work best alongside skincare and medication.
This page summarises Chapter 11 of Understanding Rosacea: Your Complete Guide. The full chapter, with references, is in the free PDF.
Download the free 108-page Rosacea Guide (PDF) →
Written and medically reviewed by Professor Vishal Madan, MBBS (Hons), MD, FRCP, MBA, Consultant Dermatologist, Laser and Dermatological Surgeon (GMC 6036936).
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This page provides general information about rosacea and is not a substitute for personal medical advice. Please discuss your symptoms and treatment with a qualified healthcare professional.