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Laser Treatment of Rosacea, Broken Capillaries, Facial Flushing

Rosacea is a very common condition characterized by facial redness, blushing, large pores, and facial broken blood vessels.  There are many stereotypes of rosacea, but recent evidence has shown that it can occur in many different ethnic types and during a wide age range.  Rosacea can be aggravated by climate changes and can occur in very cold climates such as the Northeast and in very temperate or humid climates such as the SouthEast United States. Although anyone can develop Rosacea, there are some common patterns among Rosacea patients: 

  1. Adults between the age of 25 and 50.
  2. Celtic, Northern European, Pacific Islander, or Asian ancestry.
  3. Family history of Acne or Rosacea.
  4. History of Acne as a teenager.
  5. Living in a tropical climate, humid climate, or in areas with cold winters. 


Vbeam Santa Monica, Raffy Karamanoukian


Vbeam laser is one of the most effective treatments for superficial broken blood vessels. 


Rosacea is a chronic problem of the skin and is most commonly associated with excessive facial blushing, large pores, sensitive skin, tiny broken blood vessels, and adult acne.  You do not have to have all of the symptoms of rosacea to have the condition. If you choose to forego treatment, rosacea will probably linger throughout your adult life, occasionally stabilizing but generally progressing over the years.  Some more severe cases of rosacea may progress to rhinophyma, in which the oil glands and pores of the nose become enlarged and hypertrophic. Management of rosacea includes laser treatment, topical creams, and chemical peels.  Most of these treatment types do not require downtime after the procedure. 

"I use to get blushed and red every time I would work out at the gym.  The VBeam laser did the trick and helped minimize the problem so I can go to the gym again.  Now only if there was a laser that could help me lose the weight... Thanks Dr. Karamanoukian. "

Rose P. Los Angeles, CA

Common causes of rosacea have been described in the dermatology literature.  Each patient will have his or her own set of precipitors that can make rosacea worse.  The following is a partial list of factors that can influence rosacea and lead to rosacea exacerbations such as facial redness, breakouts, large pores, and broken capillaries. 

  1. Sun exposure
  2. Emotional Stress
  3. Extremes of temperature, including heat and hot weather; cold weather
  4. Wind and windchill
  5. Exercise and excessive perspiration
  6. Spicy foods, certain foods and fruits/vegetables
  7. Medications
  8. Cosmetics
  9. Dairy products
  10. Changes in humidity and travel

Manifestations of rosacea vary from person to person and can be subtle in some patients and severe in others.  Temperature and humidity play an important role in the development and progression of rosacea, and this is often seen in patients who have moved from one area of the country to another.  Foods and environmental triggers can play an important role, as does activity and sweating.  The goal of treatment is to reduce the known triggers for rosacea on one hand as well as treat the inflammatory triggers on the skin. By avoiding the triggers for rosacea, patients can minimize the impact of rosacea on daily life.  Our office recommends the Melaquin AM Daily UV Protect with spf 30 to reduce sun exposure, as it has a broad spectrum sunscreen that helps against UVA and UVB damage.


  1. President Bill Clinton
  2. Diana, Princess of Wales

If you are tired of suffering with rosacea, you may be pleased to know that newer non-invasive procedures can minimize your symptoms and may even reverse your rosacea to the point where it is barely noticeable.  Our dedicated team of experts can provide you with options for rosacea, facial blushing, broken blood vessels, large pores, and generalized rosacea.  Schedule a consultation with our Santa Monica or Beverly Hills cosmetic dermatology specialists today by calling (310) 998-5533.

Our office employs the VBeam Pulse Dye Laser and the Palomar Starlux Lux G IPL system for rosacea.  The Palomar Starlux Lux G IPL system uses an intense pulsed light to eliminate facial blushing as opposed to the VBeam which uses a directed laser source of energy. The light energy emitted by each system is selectively absorbed by hemoglobin, which heats up the endothelium of the broken blood vessels, thus eliminating them.  In some cases, multiple sessions of laser or IPL are required for the treatment of rosacea. 

IPL in Santa MonicaPalomar Starlux Lux G Handpiece for IPL

Dr. Karamanoukian and Physician Assistant Kelly Cummings provide treatment for Rosacea and Adult Acne using the latest VBeam laser available on the market.  The benefits of the new VBeam laser in our Santa Monica office is the patented micropulse technology, which delivers laser energy in an individual pulse comprised of a series of eight micropulses.  In doing so, the VBeam permits a more even and controlled thermal heating of the target Rosacea and adult acne areas on the face.  The eight micropulses deliver energy in a 'continuous-like' pulse pattern without surpassing the bruising threshold, thus minimizing the risk of bruising associated with the older laser treatments.  'This innovation is critical in minimizing downtime associated with older Rosacea lasers, making the treatments effective with less downtime,' reports Dr. Raffy Karamanoukian, a board certified Beverly Hills plastic surgeon. 

The second major advancement in our new VBeam laser is the compression handpiece, which makes it easier for Dr. Karamanoukian and PA Kelly Cummings to treat age spots and brown discoloration on the face, hands, and chest.  Previously, the VBeam laser was absorbed by both the hemoglobin and the melanin within the skin. By incorporating a compression glass handpiece, the blood vessels are effectively compressed, thereby eliminating the absorption of hemoglobin during the treatment.  The laser energy can thus be focused on the pigment melanin, thereby improving sun spots and age spots. 

If you are concerned about rosacea treatment with lasers because you have melasma and skin pigmentation, you may benefit from combination treatment with Melarase Dark Spot Corrector at the same time as your VBeam or IPL treatment.  Ask our office for details about Melarase and VBeam laser. 

IPL or intense pulsed light provides an outstanding option for rosacea and broken capillaries on the face and chest.  IPL has very broad dermatology use because of its excellent safety profile, and can be used for vascular lesions, skin discoloration, hair removal, and hirsutism.  Our office uses IPL for sun spots and pigmentation alongside topical treatments with Melaquin AM Daily UV Protect and Melaquin PM Night Moisturizer.  The light source for IPL is a light source that is broad spectrum which can easily eliminate broken blood vessels and facial blushing as well as skin melanin.  Dr. Karamanoukian will individualize the wavelength, power, pulse duration, and stacking of the IPL system in order to maximize the benefits to your rosacea skin. The safety of IPL is well known and the treatment can be tailored to your skin type. 

Treatment of rosacea with IPL Intense Pulse Light in our Santa Monica plastic surgery office will help you minimize the effects of rosacea and reduce your dependency on topical creams and topical antibiotics.  For adults with rosacea, IPL is a lifechanging treatment that minimizes facial redness, facial blushing, and rosacea outbreaks. 


The VBeam laser is one of our most sought after cosmetic and medical lasers.  The VBeam is a pulsed dye laser that can be used for vascular and benign skin problems with a wide range of pathologies.  Dr. Raffy Karamanoukian was featured on the television show The Doctors on three separate segments demonstrating the use of the pulsed dye laser and the VBeam laser.  In our office, we use the Vbeam laser for the following conditions: 

  1. Rosacea
  2. Poikiloderma of Civatte ( Neck Sun Damage)
  3. Venous lakes
  4. Facial Veins and Broken capillaries on the face
  5. Red or hypertrophic scars
  6. Keloid scars
  7. Red and inflamed acne scars
  8. Active Acne
  9. Warts
  10. Hemangiomas
  11. Psoriasis
  12. Stretch marks that are red
  13. Port wine stains
  14. Birthmarks with a vascular or reddish tone
  15. Sun damage
  16. Solar sun spots
  17. Angiomas (Cherry Angiomas and Spider Angiomas)


Treatments with the VBeam or pulsed dye laser is safe and effective.  Multiple treatments are typically required, but varies from patient to patient depending on their skin problem.  After your consultation in our Los Angeles office, we can provide you with a basic platform for treatment.  We recommend that you avoid direct sun tanning or sun exposure after your VBeam laser treatment.


  1. Is the VBeam laser FDA approved for the skin? The VBeam laser is manufactured by Candela.  Our office offers the VBeam Perfecta laser which is FDA approved for cosmetic dermatology.  The treatments can provide tremendous benefit for those seeking solutions for benign skin problems and vascular problems as described above. 
  2. How many VBeam treatments will I typically need for my skin condition? Every type of skin condition varies in the number of VBeam treatments needed.  The severity of your condition and the sensitivity of the skin problem to the VBeam laser can help identify the number of treatments required.  Most patients will need between three and five treatments to achieve success with their treatment. 
  3. Does the Vbeam laser burn the skin? The VBeam laser is a non-ablative type laser that does not burn or ablate the skin. However, you may experience some bruising and swelling from the VBeam laser, depending on the type of setting and the severity of your condition. 
  4. How can I schedule a consultation for VBeam pulsed dye laser in Los Angeles? Our office is open Monday through Saturday and appointments are required for a consultation.  Please call our Los Angeles plastic surgery office at (310) 998-5533 and speak to one of our patient care coordinators regarding your particular concerns. 
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