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                                FACIAL ROSACEA TREATMENT

Is a chronic inflammatory cutaneous disorder that occurs in abou 13 million America

What is VBeam laser treatment? One of the most popular branded laser treatments for rosacea. VBeam uses a pulsed dye 595nm laser. VBeam is produced by the Candela Corp. & is sold around the world. The visible blood vessels underneath the skin associated with conditions such as rosacea give rise to dark areas which can be targeted by a filtered laser.

A non invasive technique, VBeam treatment involves targeting these areas with a laser whilst leaving the surrounding areas of lighter skin undamaged.

Early rosacea manifests as diffuse background erythema and flushing. In later stages, the vascular component is more prominent, with the development of telangiectasia on the nose, nasolabial folds, cheeks, glabella, and chin. Acneiform papules and pustules can emerge in the same distribution. More common in women, rosacea may be more severe in men,in whom large inflammatory nodules and soft-tissue hypertrophy may be disfiguring. Ocular rosacea, including erythema and telangiectasia, is seen in over half of rosacea patients.

The pathogenesis of rosacea is not understood. Recent reviews have repudiated the postulated association with Rosacea is treatable but not curable. Common rosacea triggers, such as sun, stress, hot weather, hot drinks, alcohol, and spicy foods, should be avoided by susceptible patients. Acneiform papules are typically improved by topical metronidazole, and nonresponders to this may benefit from topical clindamycin,other topical antibiotics, or sulfacetamide lotion. Topical corticosteroids must be applied cautiously, since long-term use can worsen telangiectasia and induce atrophy. Long-term oral antibiotic administration may be necessary to control papulopustules. Surface vascularity in rosacea is minimally improved by medications. Pulsed-dye laser treatment remains the gold standard for treatment of redness, telangiectasia, and transient flushing. Historically, while patients were pleased with the final results of pulsed-dye laser, they were reluctant to receive this intervention because of the inevitability of one to two weeks of post-treatment purpura.
Difficult to conceal even with makeup, the dark purple color was embarrassing to patients in social and professional settings. New pulsed-dye lasers, such as the VB
VbeamPulsed-dye Laser Treatment  of Facial Rosacea A purpura-free treatment is most effective for patients\ with diffuse redness or pinkness but no large, individually visible blood vessels. Very fine, discrete telangiectasia also respond well to purpurafree treatment. After signing an informed consent for pulsed-dye laser treatment, patients were reated with the Vbeam at the highest fluence possible without inducing purpura. In most cases, this required the 10 ms pulse duration, the 10 mm spot size, and fluences ranging from 6 to 7.5 J/cm. The redder the face, the lower the threshold for purpura, and hence the fluence.

The entire involved area was treated during each laser session. The number of pulses depended on the total area. On average, each patient received three treatments at six-week intervals.

Discussion The pulsed-dye laser benefits from a long history (15+ years) of safety and success in the treatment of vascular lesions. An abundance of articles in the dermatology and plastic surgery literature corroborates the wide range of potential applications.

The most recent pulsed-dye lasers maintain the effectiveness of the older technology and add the possibility of purpura-free treatment. While the purpura may speed the clearance of certain lesions, and seems to remain necessary for removal of more dense vascular anomalies like port wine stains, purpurafree treatment of rosacea is a wonderful  option for patients.

In conclusion, longer pulsed-dye lasers, such as the Vbeam, provide physicians with a dramatic new tool, which is purpura-free treatment of rosacea for some patients. For these individuals, who previously avoided laser therapy, the Vbeam can be life altering.

 What is VBeam laser treatment? One of the most popular branded laser treatments for rosacea is VBeam. VBeam uses a pulsed dye 595nm laser. VBeam is produced by the Candela corporation and is sold around the world.

The visible blood vessels underneath the skin associated with conditions such as rosacea and vascular lesions, give rise to dark areas which can be targeted by a filtered laser.

A non invasive technique, VBeam treatment involves targeting these darker areas with a laser whilst leaving the surrounding areas of lighter skin undamaged. 

VBeam Laser

During treatment, the VBeam DCD (dynamic cooling device), sprays cryogen to cool the skin milliseconds before a pulsing laser targets the haemoglobin below the skin. This cooling helps protect the outer skin layer (epidermis) and reduces the risk of blistering and bruising (purpura).

Each pulse of the laser is brief lasting fractions of a second. The laser is directed manually by a practitioner using a hand held device with the laser pointed at the skin such as:

Laser treatment for rosacea usually requires only three to six sessions. In some cases only one or two may be required.

VBeam & Rosacea - Before and After Treatment

 The images below show a reduction in redness following VBeam treatment on a patient with rosacea.

Pre VBeam Treatment

Pre Rosacea Treatment.

Post VBeam Treatment

Post rosacea treatment