Laser didn't clear my rosacea redness - why, and what to do
Several reasons are common: too few sessions, IPL used where pulsed dye laser would have been more effective, settings kept low, or untreated inflammation or flushing continuing to drive the redness. In many cases further treatment with the right laser, at the right settings, does help.
Common reasons
- Not enough sessions: for rosacea redness most people need 3 to 6 sessions, 6 weeks apart. One or two sessions rarely clear it.
- The type of device: IPL is generally less effective than laser for redness and vessels. Pulsed dye or KTP laser is more effective overall.
- Settings: low settings reduce the risk of bruising and side effects, but may also reduce the effect.
- Active rosacea: if inflammation or frequent flushing is not controlled, redness can return.
- Larger vessels: larger, deeper vessels may respond better to Nd:YAG laser.
Can laser make rosacea worse?
When performed correctly, vascular laser and IPL are very safe. The main risks come from using excessive energy for your skin type, which is why a test patch is advised first. See Can laser make rosacea worse?
Laser didn't work?
I regularly see patients for a second opinion after laser elsewhere. I can assess what is causing the remaining redness and whether a further course is likely to help. Consultations can be in person or remote.
Related Articles
- Can laser make rosacea worse?
- IPL vs VBeam (PDL) for redness and veins
- How many laser sessions do I need?
- Vascular laser
