Q Can rosacea be completely cured? Will the telangiectasia (visible vessels) also disappear with treatment?
A With active treatment and trigger management, the redness and papules/pustules of rosacea can be significantly improved, but already-dilated capillaries (visible vessels) are difficult to reverse without laser treatment. Managing symptoms and preventing worsening is a more realistic goal than a complete cure.
Detailed Answer
The goals of rosacea treatment follow a stepwise approach: ①removing papules/pustules (antibiotics, azelaic acid) ②reducing persistent erythema (brimonidine gel, oxymetazoline) ③removing telangiectasia (laser/IPL) ④preventing recurrence (trigger management). Dermatological lasers (Nd:YAG, 585 nm PDL, IPL) effectively destroy dilated capillaries to reduce vascular erythema, with significant improvement seen after 2–3 sessions.
Korean Medicine Perspective
At Dongjedang, we support recovery before and after laser procedures with herbal prescriptions that strengthen Spleen-Stomach and Liver function, and combine acupuncture (Baek-hoe, Hap-gok, Gok-ji) to reduce vascular reactivity. To prevent recurrence after the procedure, constitutional correction is essential, so combining laser and Korean medicine treatment in an integrative approach is more favourable for long-term prognosis.
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