Rosacea can be frustrating and unpredictable. One week your skin feels calm; the next, a hot room, exercise, stress or a glass of wine can trigger a flush and leave you with rosacea-related redness that is difficult to cover.
At Chiswick Clinic, we offer rosacea laser treatment designed to reduce rosacea-associated vessels and redness in suitable patients. Treatment is planned around your rosacea symptoms, your skin sensitivity, and the severity of the condition — with medical oversight and a clear treatment plan rather than a “one device fits all” approach.
Rosacea is a common long-term skin condition that tends to affect the central face, most often the cheeks and nose. It can look like permanent redness, frequent flushing or rosacea-associated vessels (often called thread veins). Some people also develop bumps and spots (papules and pustules), and a smaller group develop thickened skin changes (phymatous rosacea).
Not all facial colour change is rosacea. A facial red tone can also be caused by sun damage, irritation, eczema, contact reactions, steroid overuse, or pigmentation that reads as “red-brown” in certain lighting. A proper consultation matters because laser is most effective when the visible issue is vascular (tiny blood vessels close to the surface of the skin) rather than purely inflammatory.
If your main concern is isolated broken capillaries without other signs of rosacea, or you primarily want facial thread vein treatment rather than rosacea management, we may recommend a different pathway to avoid overlap and to keep expectations honest.
Rosacea laser treatment works by targeting the blood vessel network that contributes to rosacea-related redness and flushing. Our approach uses a yellow-spectrum vascular laser (577 nm) to target blood in dilated facial capillaries caused by rosacea while protecting surrounding skin.
Put simply: controlled laser energy is delivered in carefully timed pulses (a pulse is a short burst of energy). The aim is to gently heat the target blood vessels so they close and are cleared by the body naturally over time. This is why improvements often build gradually after each laser treatment rather than appearing instantly.
You may see terms like “redness laser” online. In practice, laser is most successful when we treat the right pattern: rosacea-related redness driven by dilated vessels. If bumps and spots are dominant (acne rosacea with pustule activity), laser is usually an add-on, and topical or medical rosacea treatment is often the priority.
Some clinics offer IPL treatments (intense pulsed light) for rosacea-related colour change. IPL is broad-spectrum light rather than a single wavelength. It can be helpful for some people, especially when rosacea-related redness sits alongside pigmentation. However, for vascular patterns — thread veins, rosacea-associated vessels, and small visible veins near the nose — a dedicated vascular laser is often the more targeted tool. During your consultation we will explain why one option fits your skin better than another.
Rosacea laser treatment is most commonly performed on the face. Typical zones include the cheeks and nose, chin, and central forehead. In suitable cases, we can also treat the neck and upper chest if chronic facial flushing spreads beyond the face or if sun damage has contributed to visible veins.
The correct approach depends on whether the colour change is diffuse, whether you have rosacea-associated vessels, and how reactive your skin is. Some people need a “field” approach (treating a broader area to settle background colour); others need targeted work on facial veins and thread veins on the face.
Most people searching for “rosacea laser treatment near me” want two things: reassurance it is safe, and a realistic idea of results. Candidacy depends on diagnosis and skin behaviour, not just on what the skin looks like in one photo.
You may be a good candidate if you have:
We may delay or adapt treatment if you have:
A consultation helps us separate vessel-led rosacea symptoms from other treatment methods. If your main goal is to treat rosacea pustules (how to get rid of rosacea pustules is a common question), we often start with medical rosacea treatment and skincare first — then add laser therapy for the vessel component once inflammation is controlled.
Rosacea is a sensitive skin condition. That is why our laser skin treatment approach is conservative at the start and tailored thereafter.
We plan around:
We use cooling, careful pulse selection and conservative first settings to reduce the chance of overheating the surface of the skin. The goal is safe and effective improvement, not dramatic “one session” intensity.
Rosacea is not simply a cosmetic issue. It can affect confidence, comfort and quality of life. That is why you can access dermatology expertise within the clinic.
Treatment may include:
Your consultation is delivered by one of our medical experts. Your treatment can then be carried out either by the same clinician or by one of our experienced laser therapists, depending on your needs and the treatment plan. This means decisions are made clinically, not commercially.
Your initial consultation focuses on your symptoms of rosacea, what makes you flush, what products you are using, and whether you have had IPL treatments or laser therapy before. We examine your skin and map rosacea-associated vessels. We also check for signs of other “lookalike” diagnoses (eczema, contact allergy, steroid rosacea, pigment issues).
We agree a treatment plan based on severity of the condition and whether you have primarily rosacea symptoms, vessel change, or bumps and spots. For many patients, the best possible results come from combining lasers with consistent skincare and appropriate topical support.
Treatment is delivered in pulses of light. Most people describe quick warm snaps. We cool the skin and work steadily rather than rushing. Some areas (especially around the nostrils) can feel sharper.
Immediately after treatment, the skin may look redder and feel warmer. There may be temporary swelling for a few hours. A bruise is uncommon, but can happen in some vascular patterns.
The number of treatments varies. Some people see a reduction after one session; others need three or more treatments. Most courses are planned over several weeks, with adjustments based on response.
We schedule treatment reviews so we can assess progress, refine settings, and decide whether we should add or pause other treatment options.
Good preparation and aftercare protect results.
Before your appointment:
After your session:
If you experience unexpected blistering or worsening pain, contact the clinic promptly.
Patients often ask about the cost of laser surgery for rosacea. Although the phrase is common online, this is not surgery — it is a laser skin treatment carried out in a clinical setting.
Rosacea laser treatment cost depends on treatment area and complexity:
Laser treatment for rosacea cost is usually lower per session when planned as a course. We will explain package options during your consultation.
Rosacea laser treatment cost depends on the area treated and the number of sessions needed. We give a clear quote after consultation and can discuss course pricing if you need multiple sessions.
There is no single best laser for everyone. For vascular rosacea patterns (visible blood vessels and rosacea-related redness), a vascular laser can be very effective. If pigmentation is also a concern, intense pulsed light (IPL) may be discussed. The best choice is the safest match for your skin and rosacea symptoms.
Broken blood vessels (tiny facial capillaries) can be treated with laser technology that targets the blood vessel and encourages it to close. Sun protection and trigger control help reduce recurrence.
Small veins around the nostrils often respond well to targeted vascular laser pulses. These areas can be sensitive, so we use cooling and careful technique.
If you have papules and pustules, laser is not usually the first step. We start with rosacea treatment that reduces inflammation (often topical, sometimes prescription), and then add laser for rosacea-related redness and rosacea-associated vessels once the skin is calmer.
Laser treatment is a safe option when the right patient is selected and the treatment is delivered conservatively with appropriate cooling and aftercare. Risks and side effects will be explained during your consultation, and we will advise honestly if laser is not the right choice for your skin condition.
