Acne and Rosacea Charity Training Manual
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Laser <strong>and</strong> Intense Pulsed Light (IPL)<br />
The only way to remove fixed redness is to ablate the underlying blood vessels using the pulsed dye laser or intense pulsed light (IPL). To be effective, both<br />
will induce bruising of varying intensity. My personal feeling is that laser <strong>and</strong> IPL will remove ectatic vessels but will not treat Type I rosacea <strong>and</strong> with<br />
continual flushing, ectatic vessels will reform. There have, however, been reports of pulsed dye laser <strong>and</strong> IPL use in the treatment of Type I rosacea <strong>and</strong><br />
this is an option many patients explore.<br />
I use the RegenLite in the ablative phjase to treat telangiectasias, using a fluence of 6.5j/cm2<br />
In USA a preferred laser is the V-beam Perfecta Laser by C<strong>and</strong>ela, which is a pulsed-dye laser that very good at removing linear spider veins as well as<br />
diffuse redness <strong>and</strong> also reduces enlarged pores <strong>and</strong> sagging skin.<br />
The Excel-V Laser by Cutera, is a dual wavelength laser offering versatility to the operator to effectively treat spider veins on the face without damaging the<br />
surrounding skin.<br />
Glossary<br />
• Ectatic – permanently dilated blood vessels or thread veins<br />
V beam Perfecta Laser
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