Shereene IdrissBoard Certified Derm, Founder and Chief Nerd

Best Laser for Redness, Texture & Melasma? A Dermatologist Explains

7 Sept 2026 · 0 min

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0:26

Dermatologist Shereene Idriss breaks down laser treatments for three skin issues: vascular lasers for rosacea, resurfacing lasers for texture, and microneedling between sessions. For melasma, skip lasers initially and start with prescription topicals instead.

If you have rosacea and you flush easily, a vascular laser is the gold standard. For texture, nothing replaces a resurfacing laser and even microneedling done more regularly. If you have melasma, lasers aren't necessarily your friend. Instead, focus on an over-the-counter skincare routine and definitely up it with prescription. And once and only once you know your melasma is under control, then you can potentially maybe flirt with the idea of a laser.