Rosacea Treatment in NYC

Rosacea is a common inflammatory skin condition characterized by facial redness, visible blood vessels, pimples, and acne-like breakouts. According to the American Academy of Dermatology, rosacea affects approximately 14 million adults, or 1 in 10 individuals in the United States. The National Rosacea Society has reported that most individuals with rosacea have struggled with self-confidence due to their skin condition. Rosacea is one of the most common skin conditions that board-certified dermatologist Dr. Michele Green in New York City treats in her private dermatology office. Dr. Green provides cutting-edge treatment for rosacea, including the best topical creams, cleansers, medications, chemical peels, and laser treatments. Dr. Green has been successfully treating rosacea, preventing flare-ups, and managing the symptoms of rosacea to provide a clear, healthy, luminous complexion.

The symptoms of rosacea are usually quite apparent. However, understanding the underlying environmental factors, common triggers, types of rosacea, and best treatment options can be far more complex. Every patient with rosacea has unique symptoms, skincare needs, and ideal personal aesthetics. With expert guidance and a personalized rosacea treatment plan, board-certified dermatologist Dr. Michele Green will help you achieve the best cosmetic results utilizing the gold standard rosacea treatment options. Depending on her assessment of your skin condition, Dr. Green will recommend a unique combination of treatment options, including topical creams and gels, laser treatments like the V-Beam and Intense Pulsed Light, oral antibiotics, light chemical peels, and specially formulated skincare products.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including those for rosacea symptoms. Dr. Green takes a holistic approach and embraces a less-is-more philosophy, customizing each patient’s treatment plan to cater to their unique skin condition and personal needs. She is consistently identified as one of New York’s best dermatologists by Castle Connolly, New York Magazine, the New York Times, and Super Doctors for her dedication to her patients and expertise. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical and family history, physically evaluate your skin condition, and review any previous treatment options you may have tried. Dr. Green will then work with you to select the most appropriate combination of laser treatments, oral antibiotics, carefully designed MGSKINLAB’s line of products, and topical treatments to leave you with clear, healthy, luminous skin. If you’re frustrated by facial redness, pustules, visible blood vessels, or other rosacea symptoms, Dr. Green is here to help.

What is rosacea?

Rosacea is a common skin condition that causes flushing and facial redness. Other common symptoms of rosacea can include pimple-like bumps, visible blood vessels, eye irritation, dry skin, and a burning or stinging sensation. Rosacea typically affects the forehead, cheeks, chin, and nose, but it can also affect areas of the body like the neck, chest, and back. Rosacea most commonly affects fair-skinned, middle-aged women, although it can affect anyone. While women are more likely to get rosacea than men, men tend to have more severe symptoms of rosacea. The American Academy of Dermatology reports that approximately 14 million Americans are affected by rosacea, with more than 3 million new cases diagnosed yearly. Rosacea is a chronic inflammatory skin condition that does not have a cure. However, there are treatment options available that can help prevent flare-ups and manage the symptoms of rosacea, including various topical treatments, oral antibiotics, and laser treatments.

Correctly diagnosing rosacea with an experienced healthcare professional, such as Dr. Michele Green in NYC, is essential in order to guarantee that your treatment plan is best suited to your needs. Rosacea can often be misdiagnosed as skin conditions that present with similar symptoms, such as eczema, psoriasis, or allergic contact dermatitis. When you consult with Dr. Green, she can physically assess your skin condition, review your medical history in-depth, and analyze possible environmental triggers to provide an accurate diagnosis and determine the most suitable treatment options.

Before & After photo: Male VBeam for Rosacea

How does a dermatologist diagnose rosacea?

A board-certified dermatologist, such as Dr. Michele Green in NYC, can diagnose your rosacea by physically assessing your skin condition and eyes, reviewing your medical and family history, and discussing your symptoms. Consulting with an experienced healthcare professional regarding your symptoms is important since rosacea is a skin condition with symptoms that may come and go. Depending on her evaluation, Dr. Green may request certain laboratory tests, such as a skin biopsy or blood tests, to rule out skin conditions like lupus, psoriasis, and granulomatous rosacea. A skin biopsy entails using a local anesthetic to numb an affected area of the body and removing a small piece of skin with a surgical blade. The biopsy is sent to a lab for evaluation under a microscope to aid in the diagnosis of the skin condition. If your symptoms of rosacea also include eye irritation, Dr. Green may refer you to an ophthalmologist (eye doctor) for further evaluation.

How does a dermatologist treat rosacea?

While there is no cure for rosacea, various treatment options are available that can help prevent flare-ups and manage symptoms. An experienced healthcare professional, such as board-certified dermatologist Dr. Green, can customize the treatment options in your plan to best suit your individual needs.

To treat rosacea, a dermatologist like Dr. Green has three primary goals. The first is to reduce or eliminate the visible symptoms of rosacea, including facial redness, pimples, and visible blood vessels. The second is to ensure that your skin condition is not contributing to any discomfort. The last is to develop a plan to prevent future flare-ups or the worsening of your rosacea to improve your overall quality of life. To adequately manage the various symptoms of rosacea, patients typically rely on a personalized combination of oral medications, topical treatments, gentle skin care products, and photodynamic or laser treatments. Details regarding these various treatment options will be provided in the following sections. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood regarding rosacea treatment options, she will work with you to create a plan that leaves you with healthy, clear, luminous skin that lasts.

Best topical treatments and skin care for rosacea

To treat rosacea symptoms and prevent future flare-ups, the best dermatologists, like Dr. Michele Green in NYC, will be sure to analyze your basic skin care regimen. Since patients with rosacea have some of the most sensitive skin, Dr. Green will always suggest using gentle skin care products, including cleansers and toners for cleansing your skin and non-comedogenic, oil-free moisturizers to nourish and soothe your skin. Topical treatments included in the list below are usually the first to be recommended, especially if the rosacea symptoms are mild. Her personalized recommendations regarding topical treatments and skin care products will depend on her in-person evaluation of your skin condition and discussion of your medical and family history. Some of the most popularly recommended topicals for rosacea skin care include:

• Metrogel, or Metronidazole cream, is a classic topical medication that prevents and treats facial rosacea and its accompanying facial redness by reducing inflammation and inhibiting bacterial growth on the skin.
• Soolantra (Ivermectin) is an excellent choice to reduce inflammation and facial redness characteristic of rosacea.
• Mirvaso (Brimonidine) gel is a topical cream that reduces the visible blood vessels associated with rosacea and is used once a day.
• Rhofade (Oxymetazoline) is a topical cream similar to Mirvaso in that it causes blood vessels to narrow, reducing facial redness. Rhofade should be used only once a day, too.
• Azelaic acid is a gel that treats rosacea’s papules, pustules, and inflammatory components. 
• Vitamin C Serum is an excellent antioxidant serum that offers many benefits, including reducing facial redness and rejuvenating the face by stimulating new collagen production and accelerating the rate of skin cell turnover. Dr. Green’s best-selling Vita-C-Serum from her proprietary line, MGSKINLABs, Inc.,  is available online here.

Sunscreen and rosacea

Sun exposure can exacerbate rosacea symptoms, so limiting sun exposure and using proper sun protection is essential. Dr. Green’s number one rosacea skin care tip is using a fragrance-free, non-comedogenic, broad-spectrum sunscreen with a minimum SPF of 30 to protect the skin without irritating it. When sunscreen is labeled as broad-spectrum, that indicates that it offers protection against both UVA and UVB rays. To ensure optimal coverage, Dr. Green recommends layering two types of sunscreens. First, apply a chemical sunscreen containing active ingredients such as avobenzone, octinoxate, or oxybenzone. Chemical sunscreens work by absorbing heat energy from the sun’s rays and undergoing a chemical reaction within the skin to prevent UV damage. Next, apply a physical or mineral sunscreen containing either titanium dioxide or zinc oxide. These sunscreens work by sitting atop the skin’s surface, acting as a physical barrier against harsh UV rays and keeping them from penetrating the skin.

Please remember that sunscreen must be applied every ninety minutes to maintain the best coverage. For even more protection, patients with rosacea are urged to wear protective clothing, such as a wide-brimmed hat and sunglasses. Those with rosacea are also advised to do their best to avoid sun exposure, especially when UV rays are at their strongest between 10 A.M. and 4 P.M. For patients with rosacea that have particularly sensitive skin or very dry skin, Dr. Green has specially formulated the Hydrating Sunscreen with SPF 50 from her MGSKINLABs Inc. line of skincare products, which provides broad-spectrum coverage and a silky finish to ensure sun protection and comfort.

Oral medications to treat rosacea

Oral medications, including oral antibiotics and Isotretinoin, are usually reserved to treat rosacea cases that are moderate to severe. These treatment options may also be recommended when symptoms of rosacea include bumps or pimple-like breakouts. Commonly prescribed oral antibiotics to treat rosacea include Doxycycline, minocycline, and tetracycline. Dr. Green traditionally prescribes Doxycycline, Oracea, or Flagyl (Metronidazole) to treat rosacea and eliminate breakouts of pimples. Once the pimple-like breakouts associated with rosacea have resolved, patients may be able to discontinue oral antibiotics and manage their other symptoms of rosacea with topical treatment options. The main side effects of chronic oral antibiotic usage are yeast infections, gastrointestinal upset, and photosensitivity. Alert the prescribing healthcare provider of any side effects you may encounter for management. Ocular rosacea, a rosacea that affects the eyes, can be treated with oral antibiotics, eye washes, and antibiotic drops. In more severe cases of ocular rosacea, Dr. Green will refer you for consultation with a board-certified ophthalmologist (eye doctor).

In some cases, Dr. Green may recommend using Isotretinoin (Accutane) to treat chronic papules or pustules caused by rosacea. Isotretinoin is not an oral antibiotic but an oral medication derived from vitamin A. Although Isotretinoin is typically a treatment option for traditional acne vulgaris, it can successfully treat rosacea pustules. Isotretinoin works by accelerating the rate of skin cell turnover and reducing the size and activity of the oil glands in the skin. Most patients require a five-month course to eliminate their pimples, and the majority don’t have a recurrence of breakouts. The most common side effect of Isotretinoin is dry skin. To determine whether you would benefit more from oral antibiotics, Isotretinoin, or another alternative, Dr. Green will consult you regarding your medical history and physically assess your skin condition.

Laser treatments for facial rosacea

V-Beam Pulsed Dye Laser Treatment

The V-Beam pulsed dye laser treatment is the gold standard for eliminating facial redness associated with rosacea. The VBeam laser therapy operates on a wavelength that specifically targets the red pigment in the skin, leaving the surrounding skin untouched, making it the perfect treatment option for diminishing facial redness associated with flushing and visible blood vessels that occur with rosacea. The laser energy is transmitted to the blood vessel wall, causing the blood vessels to collapse, reabsorb, and later be eliminated. Since the laser treatment targets red pigment, this means that not only does the V-Beam effectively treat rosacea, but it can be used to diminish the appearance of stretch marks, post-inflammatory hyperpigmentation, acne scars, broken capillaries, surgical scars, and more. Patients appreciate the fact that there is zero downtime involved with the V-Beam laser treatment, which can be completed in minutes, meaning they can immediately resume their usual daily activities following the procedure. For this reason, Dr. Green often refers to the V-Beam laser as the “lunchtime” laser. In addition, the laser is equipped with a patented Dynamic Cooling Device, which emits a burst of cool air before each laser pulse, enhancing the comfortability of the laser treatment for the patient.

Most patients do not require any numbing cream for the V-Beam laser treatment. Patients with very sensitive skin or treating a more extensive body area may choose to use a numbing cream. In this case, Dr. Green can give a topical numbing cream to your chosen pharmacy. The cream should be applied to the entire treatment area in a thick layer one hour before your laser treatment. Once you arrive at Dr. Green’s private dermatology office in Manhattan’s Upper East Side neighborhood, the numbing cream will be removed and the skin sterilized to prepare you for the laser treatment.

Typically, patients require between four and six treatment sessions to eliminate the appearance of their rosacea and achieve their ideal cosmetic results, which can be maintained by avoiding common triggers and using the right skincare products and topical treatments. The American Academy of Dermatology reports that most patients observe a 50–75% reduction in visible blood vessels after the first three laser treatments, and many patients achieve a 100% reduction. Since rosacea is a chronic skin condition with symptoms that may come and go, patients may require subsequent treatments for future flare-ups. When you consult with Dr. Green, she will physically assess your skin condition and determine whether you are a good candidate for V-Beam laser treatment. She will then work with you to construct a customized rosacea treatment plan that best suits your specific needs and concerns.

Intense Pulsed Light (IPL) Therapy

IPL treatment, also called photo rejuvenation or a photo facial, is an anti-aging treatment that utilizes different wavelengths of light to improve the tone and texture of skin with minimal downtime. Intense Pulsed Light (IPL) is another cosmetic treatment for reducing facial redness and visible blood vessels associated with rosacea. The Sciton IPL uses intense pulsed light to reduce facial redness and pigmentation in the same session. Patients treating the recurrent symptoms of rosacea typically require an average of 3 to 6 IPL treatment sessions, each spaced approximately four weeks apart, to achieve the final desired results. Most patients undergo an annual maintenance treatment session to keep up the best results.

Photodynamic Therapy for Rosacea

Photodynamic therapy is an exciting treatment option for patients with active pimples, rosacea, or psoriasis, among other skin conditions. Photodynamic therapy uses a photosensitizing molecule and intense blue light to heal the skin. Levulan, a topical medication, is placed on your facial skin for one hour. After one hour, the Levulan solution is removed. Then, you are directly exposed to the Blue light for 16 minutes. The blue light will activate the acne/rosacea lesions and help heal your rosacea and its associated breakout.

Red and Blue Light Therapy with HydraFacial Treatment

Red/Blue Light Therapy, in the form of LED light therapy, helps reduce facial redness and pustules by improving blood circulation in the treatment area and killing acne-causing bacteria on the skin. Dr. Green incorporates this light therapy into the medical-grade HydraFacial for rosacea. Rosacea patients can benefit from the Hydrafacial further by enhancing their treatment with a specialized serum called Rozatrol. Rozatral is a Hydrafacial booster serum designed to reduce the facial redness and inflammation associated with rosacea. The Hydrafacial is an incredibly effective yet gentle treatment option, making it suitable for even the most sensitive skin types. Most patients undergo a series of at least three Hydrafacial treatments, each one month apart, to manage their symptoms and improve their skin condition. Many patients continue to have their Hydrafacial treatments on a monthly basis to keep their skin looking and feeling its best.

HydraFacials for Rosacea

A HydraFacial is a three-step medical-grade facial that is powerfully effective for improving the health and appearance of the skin yet gentle enough for patients with sensitive skin, including those struggling with rosacea. HydraFacial infuses specialized skincare serums into the skin using innovative vortex technology while cleansing and extracting impurities. The HydraFacial first deeply cleanses, then gently exfoliates the skin. The final step is the infusion of beneficial antioxidants and peptides to nourish, hydrate, and protect the skin. The Rozatrol Booster is specifically designed to complement your HydraFacial and improve the appearance of facial rosacea. Not only do HydraFacials treat acne, rosacea, and facial redness, but they can also be used to treat uneven skin tone and skin texture effectively. HydraFacials are recommended as monthly treatments to improve facial tone, texture, and red and brown spots, as well as reduce enlarged pores.

Is laser treatment for rosacea permanent?

The appearance of broken visible blood vessels corrected with laser treatments will not return, although new blood vessels may appear. Unfortunately, no treatment of rosacea results in permanent results since it is a chronic skin condition with symptoms that may come and go. Various treatment options, including lasers, can be useful for the ongoing management of rosacea symptoms. The V-Beam laser treatment is the gold standard for reducing facial redness and visible blood vessels associated with rosacea. The VBeam laser operates on a wavelength that exclusively targets the red pigment in the skin, destroying it while the surrounding skin is unharmed. Most patients require a short initial series of treatments to get their final desired results, with many choosing to undergo maintenance treatment sessions for future flare-ups. Each laser treatment session should be spaced approximately one month apart. Zero downtime is involved, meaning patients can easily fit their laser treatments into their busy schedules and resume normal activities immediately following the procedure. The American Academy of Dermatology reports that most patients observe a 50–75% reduction in visible blood vessels after the first three treatments, and many patients achieve a 100% reduction. When you consult with Dr. Green at her private dermatology office in NYC’s Upper East Side neighborhood, she will physically assess your skin condition to determine whether you are a good candidate for VBeam laser treatment for rosacea.

Before & After photo: VBeam laser to treat Rosacea

How common is rosacea?

According to the American Academy of Dermatology, approximately 14 million adults, or 1 in 10 individuals in the United States, are affected by rosacea. Most people with rosacea are fair-skinned and between the ages of 30 and 50. Many individuals affected by rosacea also have a family member with a skin condition. Women are more likely than men to get rosacea, although men tend to experience more severe rosacea symptoms.

What causes rosacea?

Rosacea is a complex skin condition whose exact etiology is still unknown. Although the precise cause of rosacea is unknown, several contributing factors are known to play a role in its development. For example, the condition is more common in women than in men. In addition, the condition tends to run in families, which suggests a genetic component. Below are a few possible explanations for rosacea that are currently being researched:

• Genetic predisposition: patients with a family history of rosacea have been observed to have an increased risk of rosacea
• Immune System: Rosacea may also be caused by an overactive immune system. Testing with a peripheral blood monoclonal proliferation assay revealed that Bacillus oleronius stimulates an immune response in 79 percent of 22 patients with subtype 2 (papulopustular type) rosacea.
• Microscopic mites on the human face, Demodex folliculorum, have been associated with an increased propensity for rosacea.
• Helicobacter pylori (h. pylori) is a bacteria that normally lives in the gut. It is believed that this bacteria can cause rosacea to flare by producing an enzyme that causes facial flushing. How common is rosacea? According to the American Academy of Dermatology, approximately 14 million individuals in the United States are affected by rosacea. Most people with rosacea are fair-skinned and between the ages of 30-50. Many individuals affected by rosacea also have a family member with a skin condition. Women are more likely than men to get rosacea, although men tend to experience more severe symptoms.

What is the main cause of rosacea?

The leading cause of rosacea remains unknown. Some contributing factors can include blood vessel abnormalities, a high concentration of microscopic mites on the skin, an overactive immune system, environmental factors, a genetic predisposition, or any combination. Below are some additional details regarding factors that may contribute to rosacea.

Do I have rosacea? What does rosacea look like?

The hallmark of rosacea is persistent redness in the central portion of the face, which persists for at least three months. Facial redness may be associated with flushing, broken capillaries or visible blood vessels, telangiectasias, and acne-like breakouts. However, unlike acne vulgaris, the breakouts associated with rosacea do not typically include comedones, whiteheads, or blackheads.

Patients often find that the first symptom of rosacea is a tendency to flush or blush easily. The condition generally starts in the center of the face and then extends to involve the cheeks, forehead, chin, and nose. While less common, rosacea symptoms may also affect the neck, chest, and back. Over an extended period, potentially years, the condition can involve persistent redness with visible blood vessels and pimples and blemishes. With time, the facial redness can become ruddier and more persistent. The nose may grow swollen and bumpy in more severe cases, medically known as rhinophyma. There is no diagnostic test for rosacea. A dermatologist diagnoses rosacea upon discussing your medical and family history and physically assessing your skin condition. Whether you are experiencing rosacea symptoms for the first time or dealing with a flare-up, Dr. Green is here to help.

VBeam for Rosacea – 4 months

What are the signs and Symptoms of Rosacea?

Some telltale signs of rosacea include facial redness, visible blood vessels, and pimple-like breakouts. In addition to these signs of rosacea, other symptoms can include eye irritation, dryness, skin thickening, a burning or stinging sensation, swelling, and flushing. Red papules or pustules are similar to acne lesions and can be warm, painful, or swollen. Sometimes, these pustules become infected and exude pus, which may require antibiotics to control effectively. When the eyes are affected, it is called ocular rosacea. Rosacea symptoms may vary widely from patient to patient. For example, some patients may only experience facial redness and flushing, while others may present with bumps, pimples, thickened skin, pruritus, a burning sensation, or eye involvement. For this reason, Dr. Green always provides a customized treatment plan based on your individual needs.

Facial redness, however, is the hallmark of rosacea. It is defined by persistent redness along the central facial skin, with small blood vessels often appearing around the nose, cheeks, and chin. In untreated rosacea, the visible blood vessels can worsen over time, becoming more visibly prominent and sometimes developing a burning or itching sensation.

What are the types of rosacea?

Because rosacea is a complex condition, it has been divided into subtypes, which are determined based on the appearance of the skin. This subdivision helps classify rosacea. However, patients may have symptoms of more than one subtype simultaneously.

Subtype 1 – Erythematotelangiectatic Rosacea

Subtype 1 is characterized by persistent facial redness (or erythema). Broken blood vessels, called telangiectasias, may be present, and the skin may feel irritated, sensitive, and uncomfortable, akin to a sunburn.

Subtype 2 – Papulopustular Rosacea

Subtype 2 is characterized by facial redness and acne-like bumps and pimples. Patients with this type of rosacea tend to experience more oily skin texture and raised skin patches.

Subtype 3 – Phymatous Rosacea

Subtype 3 (medically called phymatous rosacea) is characterized by skin thickening and enlargement, especially around the nose. When the nose is involved in this manner, it is referred to as a rhinophyma. It is believed that W.C. Fields had this type of rosacea involving his nose.

Subtype 4 – Ocular Rosacea

Subtype 4 is characterized by eye symptoms, including watery eyes, red eyes, a foreign body sensation, eye burning, dry eyes, styes, and blurred vision. A board-certified ophthalmologist can effectively manage and help treat ocular rosacea.

What is Ocular Rosacea? 

Ocular rosacea is defined by pruritic, dry, irritated, and red eyes. In some cases, the eyes can also be photophobic. Almost half of the patients with rosacea suffer from ocular rosacea. Many patients complain of eyelid irritation, also called blepharitis or eyelid swelling, which can lead to severe vision problems if left untreated. Ocular rosacea can be associated with conjunctivitis, which can cause redness and inflammation of the eye itself. Steroid eye drops, such as Blephamide, may be prescribed. Styes are also a common occurrence with ocular rosacea. Mild cases of ocular rosacea can be managed by applying warm compresses to the area, using artificial tears, and practicing good eyelid hygiene, including cleansing the lids and lashes with watered-down baby shampoo or a gentle eyelid cleanser.

What are the common triggers for rosacea?

For many patients, rosacea can be aggravated or triggered by specific dietary, lifestyle, or environmental factors, including:

• Stress
• Heat
• Genetics
• Spicy foods 
• Caffeine and caffeinated hot drinks, like coffee
• Dairy products
• Spices and seasonings with such ingredients as cayenne pepper or red pepper
• Foods containing cinnamaldehyde, such as citrus fruits, tomatoes, and chocolate
• Smoking
• Wind
• Hot baths
• Exercise such as hot yoga. 
• Extreme heat or cold weather
• Steam rooms
• Intense exercise
• Sun exposure
• Wind exposure
• Alcohol
• Hormonal or endocrine problems, such as thyroid diseases or menopause
• Hypertension
• Medications that dilate the blood vessels, such as certain blood pressure medications such as blood pressure medications
• Specific skincare or cosmetic products such as Retin-A creams or creams that have fragrance or alcohol-based

It is essential to identify these “triggers” that can exacerbate rosacea and avoid them to keep it under control and avoid flare-ups.

Rhinophyma and treatment options

Rhinophyma is characterized by red, large bumps on the nose that tend to increase in size and become bulbous. It is thought that rhinophyma gradually forms over many years when rosacea is improperly treated or left untreated. The large masses formed at the end of the nose occur when skin becomes thick and firm and, for many, is a serious cosmetic concern. Rhinophyma affects men more often than women, and the after-onset of the disease gets worse with age. As rhinophyma clinically worsens, typically, you see an increase in facial redness, a thinking of the skin, a rough and waxy appearance to the epidermis, enlarged facial pores, and an increase in the number and size of oil glands. Treating rhinophyma is difficult since it typically responds poorly to oral or topical antibiotics once it develops. Isotretinoin (Accutane) can help decrease the increase in sebaceous glands and inflammation.

Typically, surgery is the most effective treatment for rhinophyma, as the overgrowth of blood vessels and tissue classically causes facial disfigurement around the nose. The main therapeutic, surgical approaches to rhinophyma include traditional surgery, laser resurfacing with CO2 lasers, cryosurgery, and dermabrasion. Using these surgical and laser modalities, the shape of the nose can be restored, and the overgrowth of tissue can be improved cosmetically.

What areas of the body are affected by rosacea?

Rosacea most commonly affects the nose, cheeks, chin, and forehead. Approximately 50% of individuals with rosacea have ocular symptoms. While much less common, rosacea may also affect areas of the body such as the neck, chest, scalp, and back. Since rosacea commonly affects the same areas of the face and body as acne and can be associated with pimple-like breakouts, it can often be mistaken for acne vulgaris. Acne vulgaris, however, is a skin condition different from rosacea. Some acne and rosacea treatment options may overlap to some degree, such as oral antibiotics and V-beam laser treatment. There are additional topical creams that Dr. Green may recommend for managing symptoms and preventing flare-ups. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical history and physically assess your skin condition to provide the proper diagnosis and develop a personalized treatment plan that best suits your needs.

How do I get rid of rosacea permanently?

Unfortunately, there is no cure for rosacea. Rosacea is a chronic skin condition, and the rosacea symptoms may come and go. It is possible to manage and treat rosacea symptoms with various treatment options, including oral antibiotics, Isotretinoin, light/ laser treatments, and various topicals. Limiting exposure to the known common triggers of rosacea can also be helpful. The first step in developing a safe and effective rosacea treatment plan is scheduling a consultation with an experienced board-certified dermatologist like Dr. Michele Green.

Can rosacea be cured?

Currently, there is no known cure for rosacea. Rosacea is a chronic skin condition with symptoms that may come and go. However, various treatment options exist that can be used to manage rosacea symptoms, prevent flare-ups, and limit, reduce, and eliminate the appearance of rosacea on the skin’s surface. Light therapies and laser treatments are excellent options for patients looking to reduce the likelihood of broken blood vessels and heal the skin during and after a flare-up. The key to successfully treating rosacea is maintenance, proper skin care, adequate sun protection, a healthy, anti-inflammatory diet, and avoiding the known common triggers for rosacea. Many patients with rosacea may be sensitive to certain skincare products, including sunscreens. If sunscreens are too irritating for topical use, pure zinc oxide can protect the skin from sun exposure and prevent rosacea flares. Additionally, many topical prescription creams, gels, and lotions can be used safely in conjunction with other treatments to reduce symptoms of rosacea effectively.

Does rosacea itch?

Many patients who deal with rosacea also, unfortunately, have some accompanying itchiness. This typically comes in tandem with facial redness and is described by many patients as a sense of dry skin or a stinging sensation on the skin’s surface. Treatment options that can help relieve itchiness or pruritus associated with rosacea include topical treatments, medicated creams, gentle skin care, and oral antibiotics. When you consult with experienced board-certified dermatologist Dr. Michele Green, she will prescribe any necessary medications and treatment options that can help alleviate itching and other rosacea symptoms.

Does Rosacea Burn? Is Rosacea painful?

Burning, stinging, and itching sensations can occur with rosacea. Rosacea is an inflammatory skin condition associated with flushing and increased skin sensitivity. Sometimes, the skin can feel hot and tender during a flare-up or after using irritating skincare products or being exposed to other skin irritants. Burning sensations can also develop as untreated rosacea progresses. This burning sensation is typically accompanied by flushing and facial redness, commonly classified as subtype one rosacea or erythematotelangiectatic rosacea (ETR). Because of this flushing reaction, many patients experience pain and need to treat the rosacea to relieve this side effect of the skin condition.

How do you get rosacea? Is rosacea contagious?

Rosacea and its symptoms are not contagious. Although rosacea is a very common skin condition that affects millions of patients annually, it does not spread from person to person. The exact underlying cause of rosacea remains unknown. However, several factors have been linked to its presence, including genetic and environmental factors. Each individual with rosacea can experience different symptoms and have other environmental factors and triggers aggravating their symptoms. A healthcare professional, such as board-certified dermatologist Dr. Michele Green in NYC, can work with you to diagnose your skin condition and develop an individualized treatment plan to achieve clear, smooth, healthy skin that lasts.

VBeam, 2 sessions, 2 months before and after

Will rosacea go away?

Rosacea is not a skin condition that goes away, and there is no cure. While rosacea is a chronic skin condition, and symptoms may come and go, there is a variety of treatment options and lifestyle implementations that can be used to manage symptoms and prevent flare-ups. The common triggers for rosacea flare-ups include caffeine, alcohol, sun exposure, hot or cold weather, spicy foods, strenuous exercise, wind exposure, and stress. As a chronic skin condition that can potentially worsen if left untreated, an expert dermatologist should monitor and treat rosacea. Dr. Green is a board-certified dermatologist with over 25 years of experience diagnosing are-upsetting rosacea. She works with patients encountering rosacea symptoms for the first time and those who have dealt with flare-ups for years and will be able to develop a sustainable treatment plan that best fits your current needs.

Can you pop rosacea bumps?

No! One of the symptoms of rosacea is pimple-like breakouts. If one of your rosacea symptoms is the presence of such pustules, do not pop them! Trying to pop rosacea pimples can lead to worsened inflammation and further skin irritation, potentially causing permanent scarring. A permanent scar forms when skin inflammation causes irreparable damage to the underlying tissue, and it can be even more challenging to treat than the original lesion. Instead of risking permanent damage, schedule a consultation with board-certified dermatologist Dr. Green in New York City. Dr. Green will collect a thorough medical history and physically evaluate your skin condition to develop a personalized rosacea treatment plan that includes a unique combination of topical treatments, laser treatments, oral medications, and specially formulated skincare products best suited to your particular needs.

Is rosacea autoimmune?

Rosacea is not considered a classical autoimmune disease. However, having rosacea makes you twice as likely to be associated with another autoimmune disease. Rosacea is considered an inflammatory skin condition. However, it shares genetic loci with other autoimmune diseases, such as type 1 diabetes mellitus and celiac disease. Recent studies have also associated rosacea with an increase in thyroid disease. Further studies are needed to understand the actual mechanism involved in developing rosacea.

Why rosacea happens: Is rosacea genetic?

The leading cause of rosacea remains unknown. However, rosacea is a skin condition that tends to run in families, and there appears to be an inherited or genetic component to rosacea. Those with a family member who has rosacea are more likely to develop the skin condition. Fair-skinned individuals with Fitzpatrick skin types I or II are more likely to develop rosacea than other skin types. Women are more likely to get rosacea than men, although men are more likely to have severe symptoms. Rosacea is a complex skin condition influenced by genetic and environmental factors. Other factors that may contribute to the development of rosacea include the immune system, infection of H. pylori, and overpopulation of a naturally found mite on the skin, among others.

Does H. pylori aggravate rosacea?

Some studies suggest that an elevated level of H. pylori in one’s gut increases the amount of gastrin produced. Trosaceareased gastrin production may cause or exacerbate the flushing/ facial redness associated with rosacea. Many people, however, may have an infection of H. pylori that does not cause or worsen rosacea symptoms.

What causes rosacea on the face? Do mites cause rosacea?

Although rosacea is a common skin condition, the exact underlying cause of rosacea is still unknown. It is thought that some cases of rosacea may be due to an overpopulation of mites that can naturally be found on the skin’s surface. Demodex folliculorum is the name of the mite that usually lives harmlessly on human skin but can sometimes be found in particularly high concentrations in rosacea patients. For many, the presence of these mites does not cause any issues. Some patients are thought to be susceptible to these mites, which may cause the inflammation associated with rosacea.

Does rosacea affect your eyes?

Yes, 50% of patients suffering from rosacea have some aspect of ocular rosacea, meaning their rosacea symptoms affect their eyes. Patients with ocular rosacea may experience redness, itching, burning, or other irritation. Ocular rosacea is often confused for allergies, and many patients with this skin condition may be unaware that they have rosacea that affects their eyes. If ocular rosacea remains untreated, vision problems can develop. When a dermatologist like Dr. Green diagnoses rosacea, they will physically assess your skin condition and your eyes. It is recommended to consult with a board-certified ophthalmologist should you experience symptoms of ocular rosacea.

What triggers rosacea flare-ups? How to calm a rosacea flare-up fast

Rosacea is a chronic skin condition that cannot be cured. However, it is possible to soothe and prevent future flare-ups by limiting exposure to common triggers and adopting simple lifestyle practices.

• Using a proper skincare regimen and gentle, non-irritating skincare products, such as Cetaphil, is essential for patients with rosacea. Non-comedogenic moisturizers, hydrating creams, and topical medications can also control rosacea flares.
• Minimizing sun exposure and applying sunscreen daily can help prevent rosacea flare-ups. Ideally, your sunscreen should be a broad-spectrum formula that blocks UVA and UVB rays, and Dr. Green recommends SPF 30 or higher for daily use. Covering up by wearing a wide-brimmed hat can also help prevent rosacea flare-ups.
• Proper eye care, such as re-wetting eye drops (artificial tears) and special eye rinses, help with ocular rosacea.
• Avoid spicy foods.
• Avoid exposure to extreme temperatures, like very hot or very cold weather.
• It’s best to avoid things that exacerbate rosacea’s effects, such as sun exposure, irritating makeup, hot beverages, cigarette rosacea, caffeine, and other skin irritants.
• Try meditation rosacea as a way to manage stress.

How is rosacea diagnosed?

There is no specific diagnostic test for rosacea—a dermatologist diagnoses rosacea after reviewing your medical history and physical evaluation of your skin condition. If you are exposed to rosacea, Dr. Green will work with you to develop a treatment plan that helps you manage symptoms and flare-ups. Some testing may be ordered to rule out other skin conditions that may be confused for rosacea, such as acne vulgaris, eczema, psoriasis, dermatitis, and lupus.

Is rosacea acne?

While rosacea may present with pimple-like bumps and be mistaken for acne vulgaris, these are two distinct skin conditions. Acne is a skin condition that occurs when sebum, dead skin cells, and bacteria clog the skin’s pores, leading to pimples, blemishes, cysts, nodules, blackheads, or whiteheads. Facial redness and inflammation associated with acne are usually limited to the areas of the skin where the active pimples are. Rosacea is an inflammatory skin condition related to diffuse facial redness and flushing. Often, rosacea is accompanied by pustules, which are pus-filled, pimple-like bumps. Rosacea does not cause blackheads or comedonal acne, and visible blood vessels often accompany breakouts. If you are struggling with facial redness and breakouts and are unsure whether you are experiencing rosacea or acne vulgaris, schedule a consultation with Dr. Green in NYC. Dr. Green is a board-certified dermatologist with over 25 years of experience helping patients understand their skin condition and manage their breakouts to achieve and maintain healthy, clear, smooth skin that lasts.

Who gets rosacea?

Rosacea is a common chronic skin condition that affects at least 14 million adults, or 1 in 10 individuals in the United States, according to the American Academy of Dermatology. While rosacea is a skin condition that can affect anyone, some individuals are more likely than others to be affected. Rosacea is a skin condition that most commonly affects fair-skinned middle-aged women. While women are more likely to get rosacea than men, men tend to have more severe rosacea symptoms. Rosacea can affect children and adolescents, but it is rare. Those who have a family member with rosacea are more likely to develop the skin condition.

What is the most effective treatment option for rosacea?

Oral antibiotics, topical creams, and laser treatments are the most effective rosacea treatment options. Since rosacea symptoms can vary and everyone’s skin condition is unique, it is important to consult with an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green in NYC, to treat rosacea successfully. Oral antibiotics like Doxycycline are often prescribed to treat the pimple-like breakouts that are common with rosacea. Oral antibiotics are typically stopped once the breakouts are under control, after which patients may stick with topical treatments to maintain their clear complexion. If oral antibiotics are ineffective, Isotretinoin may be recommended to eliminate pimples. Isotretinoin is an oral derivative of vitamin A commonly used to treat acne vulgaris. It is an effective treatment option for rosacea that has not responded well to other forms of therapy. Isotretinoin is an oral medication only available via prescription from a dermatologist. Metronidazole is a topical medication, known as gel or cream, prescribed for decades to manage and treat rosacea symptoms, including facial redness and acne-like breakouts.

The V-Beam laser treatment is the gold standard for improving the appearance of facial redness associated with rosacea. This laser treatment operates on a wavelength of light that exclusively targets any red pigment in the skin, leaving surrounding skin tissue undamaged. Most patients require a short series of four to six VBeam treatment sessions to achieve optimal results, with each spaced approximately one month apart. Everyone affected by rosacea has unique symptoms of rosacea, flare-up triggers, and skincare needs. The most effective rosacea treatment plan is customized by a board-certified dermatologist, such as Dr. Michele Green in NYC, to suit your skin condition best.

How can I clear up my rosacea?

Currently, there is no cure for rosacea; it is a chronic skin condition with symptoms that may come and go over time. However, it is possible to manage flare-ups and symptoms of rosacea through various oral medications, topical treatments, and lifestyle behaviors. To help prevent future flare-ups, avoid common triggers like spicy foods, extreme hot or cold weather, alcohol, and stress. Without treatment, rosacea symptoms can worsen over time and lead to significant discomfort, persistent facial redness, and even permanent scarring. The best way to clear up rosacea and prevent worsening symptoms is by consulting an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green. Dr. Green is a board-certified dermatologist with over 25 years of experience treating some of the world’s most discerning individuals. She is consistently identified as one of NYC’s best healthcare providers by Castle Connolly, New York Magazine, and Super Doctors for her dedication to her patients and expertise. Dr. Green will work with you to create a customized rosacea treatment plan for clearing up your complexion that best suits your needs.

Does insurance cover rosacea treatment?

Most oral antibiotics and topical treatments that are prescribed to treat rosacea by a healthcare provider, such as a board-certified dermatologist, are covered by insurance. Laser treatments for rosacea, such as the V-Beam laser, are usually considered cosmetic procedures by insurance companies and are typically not covered. The best way to determine whether your insurance will cover your rosacea treatment is by contacting your insurance company by calling the phone number on your insurance card.

What causes rosacea redness? How to get rid of rosacea redness

The visible redness associated with rosacea is caused by inflammation, flushing, and broken blood vessels. While the exact underlying cause of rosacea remains unknown, it is thought to be influenced by genetics, an overactive immune system, and various lifestyle factors. There are a variety of components that can trigger a rosacea flare-up. Some of the factors that can contribute to exacerbating the symptoms of rosacea and worsening facial redness include sun and wind exposure, spicy food, alcohol, extreme hot or cold temperatures, exercise, emotional stress, skincare or other cosmetic products containing skin irritants, and even some prescription medications. Working with a board-certified dermatologist, such as Dr. Michele Green in NYC, can be helpful in both identifying triggers for flare-ups and managing symptoms of rosacea. The VBeam laser treatment, detailed in a previous section, is the most popular treatment option and is considered the gold standard for eliminating facial redness associated with rosacea.

Does rosacea get worse with age?

There is some evidence that suggests that the symptoms of rosacea can worsen with age. Collagen and sebum production decreases due to the aging process, which can lead to thin, dry skin and make one more susceptible to irritation and inflammation, potentially worsening rosacea. This can present as more frequent facial redness and telangiectasia. One of the most important considerations for preventing the progression of rosacea over time is to use adequate sun protection and limit sun exposure. Collagen loss occurs at a rate of approximately 1-1.5% annually, starting in our mid-to-late 20s and early 30s. Exposure to the sun’s U.V. rays can accelerate the natural process of collagen breakdown, leading to premature signs of aging and making the skin more susceptible to damage. Patients with rosacea should use a broadspectrum sunscreen with a minimum SPF of 30. In addition to utilizing proper sun protection, there is a wide array of treatment options that a board-certified dermatologist can provide to lead to improved outcomes.

At her private dermatology office in Manhattan’s Upper East Side neighborhood, Dr. Green offers rosacea treatment options such as topical creams and gels, specially formulated skincare products, oral medications, laser treatments, and light chemical peels. Dr. Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with customized treatment plans to suit their unique concerns and aesthetic goals best.

How to treat rosacea on the cheeks

Rosacea is an inflammatory skin condition that commonly affects areas of the face like the nose and cheeks. While rosacea is a chronic skin condition that can not be cured, there is a variety of treatment options available for managing the various symptoms of rosacea. Some of the most common skincare products used to relieve rosacea symptoms include those with active ingredients such as azelaic acid and niacinamide. The best rosacea skincare products are fragrance-free and non-comedogenic. Topical treatments, usually available as creams or gels, include metronidazole, Soolantra, rhofade, and Mirvaso. If one of your symptoms of rosacea is pimple-like bumps or pimples, an oral antibiotic may be recommended. Other common treatment options include laser treatments, such as the VBeam and IPL, and light chemical peels. The best way to determine which combination of skincare products, prescriptions, and in-office treatment options is best suited to your unique skin condition and personal needs is by consulting an experienced board-certified dermatologist, such as Dr. Michele Green in NYC.

How to get rid of rosacea bumps, pustules, and pimples

Papulopustular Rosacea is a subtype of rosacea characterized by red pimple-like bumps on the skin’s surface. These bumps may look similar to pimples associated with traditional acne, but they have several key differences. Traditional acne vulgaris occurs when the pores on the skin become clogged with dead skin cells, excess sebum, and other debris. In some acne breakouts, the pimple can become infected with bacteria or filled with pus, leading to inflammatory acne. The exact underlying cause of acne Rosacea is unknown, though there are biological and environmental risk factors that can lead to their development. The appearance of papulopustular rosacea also differs from traditional acne in that blemishes caused by rosacea are often accompanied by the presence of visible blood vessels and diffuse facial redness. Traditional acne, on the other hand, usually only has visible redness around the pimples themselves. A board-certified dermatologist, such as Dr. Green in NYC, can provide you with a personalized treatment plan that best suits your needs, whether you’re dealing with traditional acne or rosacea acne.

Currently, there isn’t a cure for rosacea, as it is a chronic inflammatory skin condition with symptoms that may come and go. However, there are various treatment options available that can be used to manage the symptoms, including pimple-like bumps. To get rid of rosacea acne, Dr. Green may recommend treatment options such as photodynamic treatments, laser treatments, topical treatments, oral medications, and specially formulated skin care products. Dr. Green usually recommends an oral antibiotic called Doxycycline to treat rosacea acne. If the oral antibiotic is unsuccessful, or if the rosacea is accompanied by moderate to severe cystic acne, Dr. Green may recommend Isotretinoin, also known as Accutane. Accutane is an oral derivative of vitamin A that works by increasing the rate of skin cell turnover and reducing sebum production. The most critical first step for both acne vulgaris and rosacea treatment is to consult an expert dermatologist, such as Dr. Green, who can correctly identify your skin condition and determine the treatment options that will be safest and most effective for you.

How to get started with rosacea treatment today

For many, rosacea symptoms can be a source of frustration and negatively impact their overall quality of life and self-esteem. Although rosacea is a chronic skin condition that can not be cured, numerous non-invasive treatment options can help manage various symptoms of rosacea so that you can look and feel like the best version of yourself. It can be a challenge to determine which unique combination of in-office procedures, prescription medications, and specially formulated skincare products are best suited to addressing your particular skin concerns. Luckily, Dr. Green is here to help.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including for treating rosacea symptoms. She takes a holistic approach and embraces a less-is-more philosophy regarding skincare and facial rejuvenation. She customizes each patient’s treatment plan to suit their skin condition and unique needs best. Dr. Green utilizes the most innovative treatment techniques and cutting-edge treatment modalities at her private dermatology office in Manhattan’s Upper East Side neighborhood. She is consistently voted one of New York City’s best dermatologists by Castle Connolly, New York Magazine, the New York Times, and Super Doctors for her dedication to her patients and expertise. When you consult with Dr. Green to develop a treatment plan for managing your rosacea symptoms, she will collect a thorough medical and family history and physically evaluate your skin condition. Dr. Green will then work with you to customize a treatment plan that is best suited to helping you achieve a clear, smooth, healthy complexion that lasts. To schedule a consultation with Dr. Green and learn about non-invasive treatment options for rosacea and skin rejuvenation, contact us online or call the NYC office at 212-535-3088.