How many laser sessions are needed for rosacea?

Usually two to five, because some vessels reopen and need treating again.

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Redness and rosacea

Laser treatment for rosacea and redness in Valencia

Q: What is the best treatment for rosacea?

Vascular laser: it is the only way to eliminate the blood vessels and also greatly reduces inflammation, the two main components of rosacea. Spots are treated with topical and often oral medication.

Q: Which laser is best for visible facial vessels?

It depends on depth: KTP for superficial vessels, alexandrite for intermediate vessels and Nd:YAG for deep vessels, often combined with intense pulsed light.

Q: Is medication needed as well as laser?

Laser treats vessels and inflammation. The sebaceous gland component is always treated with topical treatment and often oral treatment.

Vascular laser is the best treatment available for rosacea: it is the only way to eliminate the blood vessels and also greatly reduces inflammation, its two main components. As vessels lie at different depths, I combine wavelengths according to each vessel. Usually two to five sessions are needed.

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A laser for each vessel

Depth determines the wavelength

Superficial

KTP

Fine red vessels near the skin surface, such as those on the cheeks and nose.

Intermediate

Alexandrite

Medium-sized, somewhat deeper vessels that do not respond well to superficial wavelengths.

Deep

Nd:YAG

Larger, bluer or deeper vessels that need a more penetrating wavelength.

All depths

Intense pulsed light

A pass with Stellar M22 treats diffuse redness, improves pigmentation and some texture, and its acne filter helps with rosacea-related spots.

How I treat it

Laser and medical treatment together

Combined vascular laser

I can use several wavelengths in the same session: Nd:YAG for deep vessels, alexandrite for intermediate vessels and KTP for superficial ones. I often finish with a pass of intense pulsed light to treat background redness and skin quality.

Devices: Element (KTP, alexandrite, Nd:YAG) and Stellar M22
Sessions: Usually two to five, every three to six weeks
Afterwards: Mild redness and swelling that usually settle within a few days
Before and after: Avoid tanning and use daily sun protection

Topical and oral treatment for the sebaceous component

Laser addresses the vessels and much of the inflammation. I always use topical treatment, and often oral treatment, for the sebaceous gland component associated with spots.

Topical: Always
Oral: Often, depending on the type of rosacea
Aim: Control spots and flare-ups
Follow-up: Treatment adjusted at review appointments

Realistic expectations

What I will explain during your consultation

The vascular component is more complex

Some vessels reopen after treatment and need treating again. That is why two to five sessions are usually required.

The underlying cause remains

Rosacea depends on each person's genetics and biology, which laser cannot change. New vessels may appear over the years.

Occasional maintenance

Once the result has been achieved, an occasional maintenance session is usually needed to prevent new vessels from accumulating.

Real cases

Before and after

Pending: real patient cases with signed consent for promotional use, including dates, number of sessions and techniques used.

Frequently asked questions

Rosacea and redness

What is the best treatment for rosacea?

Vascular laser. It is the only way to eliminate the blood vessels and also greatly reduces inflammation, the two main components of rosacea. Spots are treated with topical and often oral medication.

Does laser cure rosacea?

No. Laser eliminates vessels and greatly reduces redness, but rosacea depends on each person's genetics and biology. New vessels may appear over time and some maintenance will be needed.

How many sessions are needed?

Usually two to five, spaced three to six weeks apart. It is best not to wait longer: some vessels refill after each session, and treating them promptly gives a better result.

Which laser is best for visible facial vessels?

It depends on vessel depth. I use KTP for superficial vessels, alexandrite for intermediate vessels and Nd:YAG for deep vessels, often combined with intense pulsed light in the same session.

Is medication needed as well as laser?

Laser treats the vessels and inflammation. For the sebaceous gland component associated with spots, I always use topical treatment and often oral treatment.

Can intense pulsed light also help rosacea-related spots?

Stellar M22 has a dedicated acne filter that may help with rosacea-related spots, always alongside medical treatment.

How much does it cost?

It depends on the extent and number of sessions. The initial consultation costs €150, and you leave with a treatment plan and a quote.

Would you like to know what type of redness you have?

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Content reviewed by Dr. Ignacio Torres Navarro, dermatologist (registration no. 46-24-287). Last reviewed: October 2026. This information does not replace a medical consultation; results vary from patient to patient.