Dear Darcy,
Thank you for your question. I had the same experience with Metrogel – it worked for a while but like many patients, it only worked for a while. This and oral antibiotics seems to be the mainstay of most patient’s experience with medical practitioners treating their rosacea. Pulsed Dye laser can help with redness and flushing can reduce when the blood vessels are reduced. It seems that your Pulsed Dye laser treatments have been successful and I would wait until flushing returns before booking any further treatments (i.e. save your money). We have many patients who have not had flushing return after Nd:YAG laser treatments. We cant say for certain yet (it hasn’t been long enough) but we are hopeful that the effects may be permanent. Redness tends to return, presumably as rosacea progresses and top up treatments for redness with IPL tend to be required at 6-12 month intervals but with Nd:YAG treatments for flushing relapse tends to be very slow (in some cases we have treated over the past 5 years there has been no return of symptoms which is very encouraging).
I hope that this advice helps,
Kind regards,
Peter
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