Hi, after reading your thread I did a search and found this information have you tried all this. Is is really necessary to have the laser treatment.
Although there’s no way to eliminate rosacea altogether, effective treatment can relieve its signs and symptoms. Most often this requires a combination of prescription treatments and certain self-care measures on your part. Your doctor also may recommend certain moisturizers, soaps, sunscreens and other products to improve the health of your skin. If hot flashes appear to trigger your rosacea, you might ask your doctor what treatment options are available for the signs and symptoms of menopause.
Doctors often prescribe topical antibiotics to treat rosacea, more for their anti-inflammatory properties than to kill bacteria. A common topical antibiotic prescribed is metronidazole (Metrocream, Metrogel, Noritate). Another prescription medication is azelaic acid (Azelex, Finacea), which reduces redness and inflammation.
Oral antibiotics also are prescribed because they tend to work faster than topical ones. In many cases, dermatologists first prescribe both oral and topical antibiotics to lessen signs and symptoms, followed by long-term use of a topical antibiotic alone to maintain remission. Some of the most common prescription oral antibiotics include tetracycline, minocycline, doxycycline and erythromycin.
Isotretinoin (Accutane) is a powerful medication sometimes used for more severe cases of inflammatory rosacea. Doctors don’t prescribe it for the treatment of mild cases or for telangiectasia or for redness of the face. Usually prescribed for cystic acne, it works to inhibit the production of oil by sebaceous glands. People who take it need close monitoring by a dermatologist because of the possibility of serious side effects. Isotretinoin is associated with severe birth defects, so it can’t be taken by pregnant women or women who may become pregnant during the course of treatment or within several weeks of concluding treatment. In fact, the drug carries such serious potential side effects that women of reproductive age must participate in an Food and Drug Administration-approved monitoring program to receive a prescription for the drug. In addition, isotretinoin may increase the levels of triglycerides and cholesterol in the blood and may increase liver enzyme levels. For most people, however, these levels return to normal when the medication is stopped.
Your doctor may treat ocular rosacea with oral antibiotics.
The duration of your treatment depends on the type and severity of your symptoms, but typically you’ll notice an improvement within one to two months. Because symptoms may recur if you stop taking medications, long-term regular treatment is often necessary.
Enlarged blood vessels, some redness and changes due to rhinophyma often become permanent. In these cases, surgical methods, such as laser surgery and electrosurgery, may reduce the visibility of blood vessels, remove tissue buildup around your nose and generally improve your appearance.
In addition to getting treatment from your doctor, you can play an active part in your treatment. One of the most important things you can do if you have rosacea is to minimize your exposure to anything that causes a flare-up. Because everyone is different, find out what factors affect you so that you can avoid them. Keeping a running list of your own flare-up triggers might help you identify the things that are a problem for you.
Here are other suggestions for preventing flare-ups:
Wear sunscreen with a sun protection factor (SPF) of 15 or higher to protect your face from the sun.
Protect your face in the winter with a scarf or ski mask.
Avoid irritating your facial skin by rubbing or touching it too much.
Avoid facial products that contain alcohol or other skin irritants.
When using moisturizer with a topical medication, apply the moisturizer after the medication has dried.
Use products that are labeled noncomedogenic. These won’t clog your oil and sweat gland openings (pores) as much.
If you wear makeup, consider using green- or yellow-tinted pre-foundation creams and powders, because they’re designed to counter skin redness.