PMID- 27869377 OWN - NLM STAT- MEDLINE DCOM- 20170627 LR - 20221207 IS - 1610-0387 (Electronic) IS - 1610-0379 (Linking) VI - 14 Suppl 6 DP - 2016 Dec TI - Physical modalities for the treatment of rosacea. PG - 38-43 LID - 10.1111/ddg.13144 [doi] AB - Rosacea is characterised by a wide variety of vascular changes. Apart from telangiectasia and erythema, often so-called flushing occurs. These vascular abnormalities can be targeted with specific light and laser devices. In addition to KTP laser, pulsed dye laser (PDL) and Nd:YAG laser, also intense pulsed light devices (IPLs) are used. The described therapeutic effects include the reduction of vascular abnormalities and even improvement of papulopustular changes. While the KTP laser shows very good results in telangiectasia, the dye laser and IPL devices are used preferably in erythema. The Nd:YAG laser is also a possibility for patients with telangiectasia and erythema. However, compared to the other laser and light devices the Nd:YAG laser carries the highest risk of unpredictable scarring. Phymatous changes are another clinical manifestation of rosacea, mostly affecting the nose (rhinophyma). Moderate and severe cases are commonly treated with ablation modalities. Traditional surgery is a treatment option, but is often associated with major intraoperative bleeding. Alternative methods include electrosurgery and dermabrasion, although both methods can cause scarring. Newer methods such as CO(2) laser ablation, possibly in combination with the erbium:YAG laser, are safe alternatives with a lower risk of complications. CI - (c) 2016 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd. FAU - Hofmann, Maja A AU - Hofmann MA AD - Department of Dermatology and Allergology, Charite University Medicine Berlin, Germany. FAU - Lehmann, Percy AU - Lehmann P AD - Helios Hospital Centre Wuppertal, Department of Dermatology, Allergology and Dermatosurgery, Wuppertal, Germany. LA - eng PT - Journal Article PT - Review PL - Germany TA - J Dtsch Dermatol Ges JT - Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG JID - 101164708 SB - IM MH - Combined Modality Therapy/*methods MH - Dermabrasion/*methods MH - Electrosurgery/methods MH - Evidence-Based Medicine MH - Facial Dermatoses/diagnosis/*therapy MH - Germany MH - Humans MH - Laser Therapy/*methods MH - Patient-Centered Care/methods MH - Phototherapy/*methods MH - Plastic Surgery Procedures/methods MH - Rosacea/diagnosis/*therapy MH - Symptom Assessment/methods MH - Treatment Outcome EDAT- 2016/11/22 06:00 MHDA- 2017/06/28 06:00 CRDT- 2016/11/22 06:00 PHST- 2016/09/13 00:00 [accepted] PHST- 2016/11/22 06:00 [entrez] PHST- 2016/11/22 06:00 [pubmed] PHST- 2017/06/28 06:00 [medline] AID - 10.1111/ddg.13144 [doi] PST - ppublish SO - J Dtsch Dermatol Ges. 2016 Dec;14 Suppl 6:38-43. doi: 10.1111/ddg.13144.