title: Consensus recommendations from the American acne & rosacea society on the management of rosacea, part 4: a status report on physical modalities and devices.
abstract: The fourth article in this 5-part series reviews physical modalities and devices used to treat cutaneous rosacea based on consensus recommendations from the American Acne & Rosacea Society (AARS) on the management of the common presentations of cutaneous rosacea. The major therapeutic uses of physical modalities and devices, especially laser and light-based systems, are for treatment of telangiectases and persistent facial erythema (background erythema). Phymas, especially rhinophyma, also are treated with physical modalities such as ablative lasers or surgical devices (eg, electrosurgical loop). Appropriately selected and properly used lasers and intense pulsed light (IPL) devices can successfully address specific clinical manifestations of rosacea that exhibit limited or no response to available medical therapies, such as telangiectases and background centrofacial erythema. Rosacea-associated symptoms also may improve. In most cases, treatment will need to be repeated intermittently to sustain improvement.
authors.forename: Emil
authors.initials: E
authors.lastname: Tanghetti
authors.affiliation: jqdelrosso@yahoo.com.
authors.forename: James Q
authors.initials: JQ
authors.lastname: Del Rosso
authors.forename: Diane
authors.initials: D
authors.lastname: Thiboutot
authors.forename: Richard
authors.initials: R
authors.lastname: Gallo
authors.forename: Guy
authors.initials: G
authors.lastname: Webster
authors.forename: Lawrence F
authors.initials: LF
authors.lastname: Eichenfield
authors.forename: Linda
authors.initials: L
authors.lastname: Stein-Gold
authors.forename: Diane
authors.initials: D
authors.lastname: Berson
authors.forename: Andrea
authors.initials: A
authors.lastname: Zaenglein
mesh_terms: D004890:Erythema / Q000209:etiology / Q000628:therapy*; D006801:Humans; D062325:Intense Pulsed Light Therapy / Q000379:methods*; D053685:Laser Therapy / Q000379:methods*; D054025:Lasers, Dye / Q000627:therapeutic use*; D028022:Low-Level Light Therapy / Q000379:methods*; D012393:Rosacea / Q000150:complications / Q000628:therapy*; D012955:Societies, Medical; D013684:Telangiectasis / Q000209:etiology / Q000628:therapy*