Combined Erythema and Telangiectasia Respond Quickly to Combination Treatment With the Intense Pulsed Light Laser Followed Immediately by the Long-Pulsed Nd:YAG Laser

Both the intense pulsed light (IPL) laser and the long-pulsed Nd:YAG laser have long been used to treat erythema and telangiectasia. The IPL laser is generally regarded as more effective for erythema and the brown dyschromia associated with sun exposure. The IPL laser also effectively activates aminolevulinic acid (ALA) in treating actinic damage. The long-pulsed Nd:YAG laser is effective in treating visible telangiectasia, often without causing purpura. Many patients present with combined erythema and telangiectasia that is often secondary to sun exposure, rosacea, or both. This article describes the safe, effective use of IPL laser treatment of the entire face (with or without prior ALA application) followed immediately by long-pulsed Nd:YAG laser treatment of visible telangiectasia to quickly and efficiently produce a broad range of aesthetic and medical improvements in facial skin.