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Yeah, there was a very popular doctor in the UK who had a practice combining Nd:YAG and IPL for rosacea, and a few doctors have copied him. I think the YAG probably caused angiogenesis, and Vbeam is...

sorry, you're right. the picture is the perfecta

So you got treated with the original Vbeam machine, not the Vbeam Perfecta (version 2) or Vbeam Prima (version 3)?

That's an interesting point. I've seen a chart from Candela showing peak hemoglobin absorption around 595 nm, but hadn't considered other issues.

One was 660nm with 1250 mcd LEDs.

The other was the Britebox, which at the time (I don't know if it has changed) was 633nm + 830nm (infrared).

I also got LED treatment from another unit in a...

Glad to see you're improving. Can you explain why you might try the Cutera next?

Looks like a bot to me.

LED therapy with red lights also seemed to make me flare up.

You might want to ask Martin Steinhoff or some of the other doctors at UCSF dermatology. They wrote a paper about this condition some years ago. Maybe they'll know of a doctor closer to you....

I would prefer Vbeam as it uses a specific wavelength that targets the vessels, whereas IPL is a broad spectrum light that will get absorbed by all tissues. The IPL can damage melanin and hair...

I'd suggest consulting a dermatologist about the cause of the damage and what to do about it.

It sounds like there might be something wrong with the equipment, the operator, or both. What kind of...

I'm not sure if the Niacid has enough tranexamic acid to help with flushing and persistent redness.

I think it might be worth buying tranexamic acid powder instead of crushing the pills. Your face...

What was your method for applying the tranexamic acid? It can be difficult to get it to soak in.

I did have good luck with the Lumenis One for telangiectasia, but if you had some damage from IPL...

I haven't heard of it but I'm avoiding IPL because it's broad-spectrum light, which will target more tissues than Vbeam. If I recall correctly, you tried Vbeam before and got what sounds like...

What machine are you buying? I don't see how it's possible to do IPL on yourself safely or productively either. You need to use precise settings, observe how the skin is responding, carefully target...

I'd probably try an antihistamine and talk to the doctor about it. Hopefully you're having treatments done by a doctor who is highly experienced with Vbeam and is reachable for post-treatment care.
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I've only used powder. It might be prescription-only depending on where you live. The pills are OTC in some countries, but might be difficult to use for soaking because of the fillers. The solution...

I saw an improvement from the first soak. You probably need to keep it up to keep the veins under control.

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Propranolol, clonidine, mirtazapine, and mepacrine. Propranolol helped, but not that much and made me unable to exercise. Clonidine gave me Reynaud's in winter and years later one of my toes looks...

Btw, you might like topical tranexamic acid instead of the pills. Perhaps the doctor could make a solution for you, or prescribe ampoules for soaking? i would suggest asking if there is a risk of...

I'd probably try Vbeam, but only if you trust the practitioner. There are a lot of people out there who shouldn't be treating patients with lasers.

I'd never heard of copper bromide lasers before,...

595 nm is best for destroying veins without damaging other tissues. Longer wavelengths made me worse too. Is there a vbeam specialist near you? I'd look for a doctor who has done thousands of Vbeam...

This is the 4th treatment and the 1st time I bruised. Not sure about the settings but he's been raising the energy used each time.

It has helped a lot -- but I've only had one non-Prima Vbeam treatment, and it was with an inexperienced Vbeam practitioner and non-purpuric, so it's hard for me to compare.

I went back for my 4th treatment today. This time I got some small bruises around my nose, which are probably not really noticeable under sunscreen, and a larger circular one on my forehead that will...