Modern Rosacea & Resurfacing: Expert Insights with Dr. Walls & Dr. Boen
Release Date: 11/26/2025
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info_outlineIn this episode of More Than A Pretty Face, Dr. Azi speaks with Dr. Tomi Wall about modern rosacea management, including pulsed-dye lasers, V-Beam, combination treatments, and intradermal Botox for flushing. She then sits down with Dr. Monica Boen to discuss the resurgence of CO₂ and Erbium resurfacing lasers, evolving technology, and the cautious excitement around regenerative treatments like exosomes and PDRN. Both dermatologists share practical skincare advice, treatment philosophy, and their go-to in-office approaches for natural, effective results.
Timeline of what was discussed:
00:00 – Podcast intro & welcome
00:07 – Introducing Dr. Tomi Wall
00:55 – Why rosacea emotionally affects patients
01:40 – Types of rosacea explained
02:35 – Top at-home treatments (azelaic acid, ivermectin, sulfur)
03:40 – In-office vascular treatments with PDL
04:40 – How vascular lasers improve rosacea
05:25 – V-Beam for scarring
06:15 – Best timing to start scar laser treatment
07:15 – Treating bruising immediately after filler
08:10 – V-Beam settings for bruising
09:00 – Botox for flushing & neurovascular mechanisms
10:00 – Dilution, dosing, safety precautions
11:05 – Topicals for temporary redness & rebound effects
12:00 – Rapid-fire questions
13:25 – Close of interview 1
15:25 – Introducing Dr. Boen & her practice
15:55 – Why CO₂ & Erbium ablative lasers are returning
16:35 – What ablative lasers do & why patients accept downtime
17:25 – UltraPulse CO₂ & Erbium for deep resurfacing
18:10 – UltraClear: lighter resurfacing with minimal downtime
19:10 – Choosing mild vs aggressive resurfacing settings
19:55 – Combination treatments (Pico, PDL, Fraxel, Clear & Brilliant)
20:40 – PDRN (“salmon DNA”): buzz vs data
21:40 – Exosomes: potential & regulatory concerns
22:50 – Real complications seen from unregulated injectables
23:35 – Dr. Boen's personal favorite treatments
24:10 – Daily skincare must-haves (SPF, retinoids, antioxidants)
25:00 – LED masks: when they help and when they don’t
25:55 – Final message: patient education matters
26:40 – Podcast closing & where to submit questions
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Follow Tomi Wall on Instagram: @dr.tomileewall
Dr. Tomi Wall is a laser fellowship–trained, board-certified dermatologist based in Northern California. With advanced training from Harvard Medical School and extensive experience teaching residents at Stanford, she specializes in vascular and laser-based treatments for rosacea, scarring, and inflammatory skin conditions. Dr. Wall is known for her research-informed approach, dedication to patient-centered care, and expertise in combination therapy to achieve natural, evidence-based outcomes.
Follow Monica Boen on Instagram: @drmonicaboen
Dr. Monica Boen is a board-certified dermatologist practicing in San Diego with advanced specialization in aesthetic and procedural dermatology. Trained in ablative and regenerative laser surgery, she is recognized for bringing modern innovation to legacy resurfacing technologies such as CO₂ and Erbium lasers. Dr. Boen is known for her comprehensive treatment planning, commitment to clinical safety, and ability to blend multiple modalities for powerful yet natural skin rejuvenation results.
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Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email morethanaprettyfacepodcast@gmail.com.
Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/
The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.