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 struggle with self-confidence due to their skin condition. Rosacea is among the most common skin conditions treated by board-certified dermatologist Dr. Michele Green in her private dermatology office in New York City. Dr. Green offers cutting-edge treatments for rosacea, including the best topical creams, cleansers, medications, chemical peels, and laser therapies. If you are looking to treat your rosacea and manage its symptoms, Dr. Green is here to help.

The symptoms of rosacea are usually quite apparent. However, understanding the underlying environmental factors, common triggers, types of rosacea, and the best treatment options can be far more complex. Every patient with rosacea has unique symptoms, skincare needs, and personal aesthetic preferences. 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 personalized combination of treatment options, including topical creams and gels, laser treatments such as the V-Beam and Intense Pulsed Light, oral antibiotics, 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, embracing a less-is-more philosophy, and customizes each patient’s treatment plan to address their unique skin condition and personal needs. She is consistently recognized as one of New York’s top 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, and carefully designed MGSKINLAB products, as well as topical treatments, to leave you with clear, healthy, and 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 on the face?

Rosacea is a common skin condition marked by flushing and persistent facial redness. Other typical symptoms of rosacea can include pimple-like bumps, visible blood vessels, eye irritation, dry skin, and a burning or stinging sensation. Rosacea usually affects the forehead, cheeks, chin, and nose, but it can also impact other areas of the body, including the neck, chest, and back. Most commonly, rosacea affects fair-skinned, middle-aged women, although it can impact anyone. While women are more likely to develop rosacea than men, men tend to experience more severe symptoms. The American Academy of Dermatology reports that approximately 14 million Americans are affected by rosacea, with more than 3 million new cases diagnosed annually. Rosacea is a chronic inflammatory skin condition that has no cure. However, various treatment options are available that can help prevent flare-ups and manage the symptoms of rosacea, including topical treatments, oral antibiotics, and laser therapies.

Correctly diagnosing rosacea with an experienced healthcare professional, such as Dr. Michele Green in NYC, is essential to ensure 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 acne vulgaris, eczema, psoriasis, or allergic contact dermatitis. When you consult with Dr. Green, she can physically assess your skin condition, thoroughly review your medical history, and analyze possible environmental triggers to provide an accurate diagnosis and determine the most appropriate treatment options.

Before & After photo: Male VBeam for 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. Additionally, the condition tends to run in families, suggesting 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, specifically Demodex folliculorum, have been linked to an increased susceptibility to rosacea.
• Helicobacter pylori (H. pylori) is a bacterium that normally lives in the gut. It is believed that this bacterium can trigger rosacea flares by producing an enzyme that causes facial flushing.

What are the symptoms of Rosacea?

Some telltale signs of rosacea include facial redness, visible blood vessels, and pimple-like breakouts. In addition to these signs, other symptoms can include eye irritation, dryness, skin thickening, a burning or stinging sensation, swelling, and flushing. Red papules or pustules, similar to acne lesions, may feel warm, be painful, or swollen. Sometimes, these pustules become infected and exude pus, which may require antibiotics for effective control. When the eyes are affected, it is referred to as ocular rosacea. Symptoms of rosacea can 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 individual needs.

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

What are the common triggers for rosacea symptoms?

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

• Stress
• Genetics
• Heat, hot baths, steam rooms, and saunas
• Sunlight or ultraviolet light
• Cold weather or wind exposure
• Caffeine and caffeinated drinks, like coffee
• Dairy products
• Spicy food, spices, and seasonings with such ingredients as cayenne pepper or red pepper
• Foods containing cinnamaldehyde, such as citrus fruits, tomatoes, and chocolate
• Smoking or alcohol
• Intense exercise
• 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 cream, or creams that have fragrance or alcohol-based ingredients

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

What are the types of rosacea?

Because rosacea is a complex condition, it has been categorized into four subtypes, which are determined by 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). Patients with this type of rosacea often experience facial flushing, especially after exposure to rosacea triggers. Broken blood vessels, called telangiectasias, may be present, and the skin may feel irritated, sensitive, and uncomfortable, much like a sunburn.

Subtype 2 – Papulopustular Rosacea

Subtype 2 is characterized by facial redness and acne-like bumps and pimples. The lesions often contain fluid or pus, resembling acne papules and pustules. Patients with this type of rosacea frequently experience an oilier skin texture and raised skin patches.

Subtype 3 – Phymatous Rosacea

Subtype 3, known as phymatous rosacea, is characterized by skin thickening and swelling, also referred to as edema, particularly around the nose. When the nose is affected in this way, it is termed rhinophyma.

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 experience 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.

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 about your symptoms is important, as rosacea is a chronic skin condition with symptoms that can come and go. Depending on her evaluation, Dr. Green may request specific laboratory tests, such as a skin biopsy or blood tests, to rule out other chronic skin conditions, including lupus, psoriasis, and granulomatous rosacea. A skin biopsy involves using a local anesthetic to numb the affected area 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 can help prevent flare-ups and manage symptoms. An experienced healthcare professional, such as a board-certified dermatologist like Dr. Michele Green in NYC, can tailor the treatment options in your plan to best suit your individual needs.

To treat rosacea, an expert 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 does not contribute to any discomfort. The final step is to develop a plan to prevent future flare-ups or the worsening of your rosacea, thereby improving your overall quality of life. To effectively manage the various symptoms of rosacea, patients typically rely on a personalized combination of oral medications, topical treatments, gentle skincare 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.

Before & After photo: VBeam laser to treat Rosacea

Laser treatments for facial rosacea

V-Beam Laser Treatment

The V-Beam pulsed dye laser treatment is the gold standard for eliminating facial redness associated with rosacea. The VBeam laser operates at a 595 nm wavelength, specifically targeting the red pigment in the skin while leaving the surrounding tissue untouched. This makes it an ideal treatment option for diminishing facial redness linked to flushing and visible blood vessels that occur with rosacea. The pigmentation within blood vessels absorbs the laser energy to eliminate them. Since the laser treatment targets red pigment, this means that not only does the V-Beam effectively treat rosacea, but it can also diminish the appearance of stretch marks, post-inflammatory hyperpigmentation, acne scars, broken capillaries, surgical scars, and more. Patients appreciate that there is zero downtime involved with the V-Beam laser treatment, which can be completed in minutes, allowing them to immediately resume their usual daily activities following the procedure. Additionally, the laser is equipped with a patented Dynamic Cooling Device, which emits a burst of cool air prior to each laser pulse, thereby enhancing patient comfort during the laser treatment.

Most patients do not require any numbing cream for V-Beam laser treatment. Patients with very sensitive skin or those treating a more extensive body area may choose to use numbing cream. In this case, Dr. Green can send a prescription for topical numbing cream to your preferred 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. 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.

Intense Pulsed Light (IPL) Therapy

IPL treatment, also known as photo rejuvenation or a photo facial, is an anti-aging procedure that uses various wavelengths of light to address a range of skin conditions, including facial redness and broken blood vessels related to rosacea. When the IPL device is applied to the skin, it emits a wavelength of light that is absorbed by the red pigmentation within the skin, helping to reduce rosacea symptoms. Patients dealing with recurrent symptoms of rosacea generally need an average of 4 to 6 IPL treatment sessions, each scheduled approximately four weeks apart, to achieve the desired final results. Most patients also undergo an annual maintenance treatment session to maintain optimal results.

VBeam for Rosacea – 4 months

Photodynamic Therapy for Rosacea

Photodynamic therapy (PDT) is a non-invasive treatment option for various conditions, including rosacea, skin cancer, precancerous lesions, psoriasis, and age-related macular degeneration. The PDT process consists of two parts: first, a topical photosensitizer—a chemical sensitive to a specific wavelength of light—is applied to the treatment area. In the second part, the targeted wavelength of light activates the photosensitizer at the treatment site. Once the photosensitizing agent is activated by exposure to light, it generates oxygen radicals that destroy the targeted cells that have absorbed the agent. Various sources of PDT light are available, including lasers, intense pulsed light, blue light, red light, and visible light, such as natural sunlight. It is highly recommended to avoid direct light or sunlight in the treatment area for 24 to 72 hours following your Photodynamic Therapy procedure. Typically, a series of three to five Photodynamic Therapy treatments is conducted at four-week intervals. Dr. Green will determine the number of sessions needed during your consultation, which will depend on the severity of your rosacea.

Red and Blue Light Therapy with HydraFacials for Rosacea

A HydraFacial is a three-step, medical-grade facial that effectively improves the health and appearance of the skin while being 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 the skin, then gently exfoliates it. During the exfoliation step, dirt, debris, and dead cells are removed from the pores to minimize acne and keep them clear. The final step involves infusing beneficial antioxidants and peptides to nourish, hydrate, and protect the skin. The Rozatrol Booster is specifically designed to complement your HydraFacial and enhance the appearance of facial rosacea. 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 eliminating acne-causing bacteria on the skin. Dr. Green incorporates this light therapy into the medical-grade HydraFacial for rosacea. Not only do HydraFacials treat acne, rosacea, and facial redness, but they can also effectively address uneven skin tone and texture. HydraFacials are recommended as monthly treatments to improve facial tone, texture, and red and brown spots, as well as to reduce enlarged pores.

Oral medications for rosacea treatment

Oral medications, including antibiotics and Isotretinoin, are typically reserved for treating moderate to severe cases of rosacea. These treatment options may also be recommended when symptoms of rosacea include bumps or pimple-like breakouts. Dr. Green often prescribes an oral antibiotic such as doxycycline, Oracea, or Flagyl (Metronidazole) to manage rosacea and clear breakout of pimples for her patients. Once the pimple-like breakouts associated with rosacea have resolved, patients may be able to discontinue oral antibiotics and manage their other rosacea symptoms with topical treatments. Oral antibiotics are not considered a long-term solution for treating rosacea due to the potential side effects linked to prolonged antibiotic use. The main side effects of chronic oral antibiotic use include yeast infections, gastrointestinal upset, and photosensitivity. Notify the prescribing healthcare provider of any side effects you may experience while taking oral antibiotics. Ocular rosacea, a type of rosacea that affects the eyes, can be treated with oral antibiotics, eye washes, and antibiotic eye drops. In more severe cases of ocular rosacea, Dr. Green will refer you for a consultation with a board-certified ophthalmologist.

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 rather an oral medication derived from vitamin A. Although Isotretinoin is typically a treatment option for traditional acne vulgaris, it can also effectively 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 do not experience 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 review your medical history and physically assess your skin condition.

Topical treatments for rosacea

To treat rosacea symptoms and prevent future flare-ups, the best dermatologists, like Dr. Michele Green in NYC, will review your skincare regimen. Since patients with rosacea have some of the most sensitive skin, Dr. Green will always recommend using gentle skincare products, including cleansers and non-comedogenic, oil-free moisturizers to nourish and soothe the skin. The topical treatments listed below are typically the first to be prescribed, especially if rosacea symptoms are mild. Her personalized recommendations regarding topical treatments and skincare products will depend on her in-person evaluation of your skin condition and a discussion of your medical and family history. Some of the best prescription topicals for rosacea skin care include:

• Metrogel, also known as Metronidazole cream, is a classic topical medication that prevents and treats facial rosacea and its associated 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 applied once daily.

• Rhofade (Oxymetazoline) is a topical cream similar to Mirvaso, as it causes blood vessels to constrict, thereby reducing facial redness. Rhofade should be used only once a day, too.

Best Skincare products for rosacea

Patients with rosacea can greatly benefit from a skincare regimen that incorporates the right active ingredients to minimize their symptoms. Internationally renowned board-certified dermatologist Dr. Michele Green has developed a line of topical skincare products that effectively reduce redness and maintain a clear complexion. Three essential skincare products for patients with rosacea include Vitamin C, sunscreen, and a moisturizer.

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 ideal for patients looking to minimize facial redness, hyperpigmentation, and discoloration.

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. 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.

Moisturizer is a crucial step in any skincare regimen, particularly for patients with rosacea. It helps strengthen and repair the skin’s natural barrier. A healthy skin barrier retains moisture and protects against external irritants and environmental triggers that can worsen rosacea symptoms. Many patients with rosacea who experience acne-like breakouts prefer to use a lightweight, oil-free moisturizer that won’t clog their pores. MGSKINLABS, Inc.’s Ultimately Sheer Hydrating Lotion is the perfect product for sensitive skin as it is rich in aloe and rosewater, instantly hydrating the skin without feeling heavy or clogging pores.

When you consult with Dr. Green, you will have the opportunity to discuss a proper skincare routine, including which products should be part of your regimen. She will work with you to create a customized skincare protocol that incorporates the right topical medications and products to provide you with a healthy, clear, smooth complexion that lasts.

Rhinophyma and treatment options

Rhinophyma is characterized by large, red bumps on the nose that tend to increase in size and become bulbous. It is believed that rhinophyma develops gradually over many years when rosacea is poorly treated or left untreated. The large masses that form at the tip of the nose occur when the skin becomes thick and firm, and for many, this presents a serious cosmetic concern. Rhinophyma affects men more often than women, and the onset of the condition tends to worsen with age. As rhinophyma clinically advances, there is typically an increase in facial redness, thickening of the skin, rough and waxy appearance of the epidermis, enlarged facial pores, and a rise in the number and size of oil glands. Treating rhinophyma is challenging since it generally responds poorly to oral or topical antibiotics once it has developed. Isotretinoin (Accutane) can help reduce the increase in sebaceous glands and inflammation.

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

Frequently Asked Questions (FAQs) about Rosacea

Do I have rosacea? What does rosacea look like?

The hallmark of rosacea is persistent redness in the central portion of the face. 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 typically do not 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 begins in the center of the face and then spreads 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 lead to persistent redness with visible blood vessels, pimples, and blemishes. Over time, the facial redness can become more pronounced and persistent. In more severe cases, the nose may become swollen and bumpy, a condition medically known as rhinophyma. There is no diagnostic test for rosacea. A dermatologist diagnoses rosacea by 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 persistent flare-ups, Dr. Green is here to help.

Is laser treatment for rosacea permanent?

The appearance of broken visible blood vessels treated with laser treatments will not return, although new blood vessels may develop. Unfortunately, no treatment for rosacea yields permanent results, as it is a chronic skin condition with symptoms that continually progress. Various treatment options, including lasers, can be effective 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 specifically designed to target the red pigment in the skin, destroying it while leaving the surrounding skin unharmed. Most patients require a short initial series of treatments to achieve their desired results, with many opting for maintenance treatment sessions for future flare-ups. Each laser treatment session should be spaced approximately one month apart. There is zero downtime involved, allowing patients to easily integrate their laser treatments into their busy schedules and resume normal activities immediately after 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 assess your skin condition to determine whether you are a suitable candidate for VBeam laser treatment for rosacea.

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. Dr. Green may also recommend additional topical creams to help manage symptoms and prevent 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 or laser treatments, and topical medications. 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 to schedule a consultation with an experienced, board-certified dermatologist, such as 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 fluctuate. However, various treatment options are available to manage rosacea symptoms, prevent flare-ups, and minimize its appearance on the skin’s surface. Light therapies and laser treatments are excellent choices for patients looking to reduce the risk of broken blood vessels and promote skin healing during and after a flare-up. The key to successfully treating rosacea is maintaining proper skin care, using adequate sun protection, following a healthy, anti-inflammatory diet, and avoiding common known triggers for rosacea. Many patients with rosacea may be sensitive to certain skincare products, including sunscreens. If sunscreens are too irritating for topical application, pure zinc oxide can shield the skin from sun exposure and help prevent rosacea flares. Additionally, many topical prescription creams, gels, and lotions can be safely used alongside other treatments to effectively alleviate the symptoms of rosacea.

Does rosacea itch?

Many patients with rosacea also experience associated itchiness. This typically occurs alongside facial redness and is often described by patients as a feeling of dry skin or a stinging sensation on the skin’s surface. Treatment options that can help relieve itchiness or pruritus related to rosacea include medicated creams, gentle skin care, and oral antibiotics. When you consult with board-certified dermatologist Dr. Michele Green, she will prescribe any necessary medications and treatment options that can help alleviate itching and other symptoms of rosacea.

Does Rosacea Burn?

Burning, stinging, and itching sensations can occur with rosacea, a chronic inflammatory skin condition characterized by flushing and increased skin sensitivity. During a flare-up, or after using irritating skincare products or being exposed to other skin irritants, the skin can sometimes feel hot and tender. As untreated rosacea progresses, burning sensations may also develop. This burning sensation typically accompanies flushing and facial redness, which is commonly classified as subtype one rosacea or erythematotelangiectatic rosacea (ETR).

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. Rosacea is a chronic skin condition that can flare intermittently. Fortunately, a range of treatment options and lifestyle modifications can be employed to manage symptoms and prevent flare-ups. 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, it is essential to consult an expert dermatologist for monitoring and treatment of rosacea. Dr. Green is a board-certified dermatologist with over 25 years of experience diagnosing and treating all types of 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! You should not pop the bumps and acne lesions that can occur with rosacea. One of the symptoms of rosacea is pimple-like breakouts. If one of your rosacea symptoms includes 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 to decrease your rosacea breakouts.

Is rosacea a disease?

Rosacea is genetic but it is not considered a disease, nor are its symptoms contagious. Although it is a common skin condition that affects millions of patients annually, rosacea does not spread from person to person, and it is not classified as an autoimmune disease. However, individuals with rosacea may have a higher likelihood of being associated with another autoimmune disease. Considered a chronic inflammatory skin condition, rosacea shares genetic loci with other autoimmune diseases such as type 1 diabetes mellitus and celiac disease. Each person with rosacea may experience varying symptoms, influenced by different environmental factors and triggers that can aggravate their condition. Further studies are necessary to understand the mechanisms involved in the development of rosacea. 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, and healthy skin that lasts.

Is rosacea hereditary?

A common question in Dr. Green’s boutique dermatology office is, “Is rosacea genetic?” The leading cause of rosacea remains unknown. However, this skin condition tends to run in families, suggesting a genetic component. Those with a family member who has rosacea are more likely to develop it. Individuals with fair skin, specifically those with Fitzpatrick skin types I or II, are more prone to rosacea than those with other skin types. Women are more likely to develop rosacea than men, although men tend to experience more severe symptoms. Rosacea is a complex condition influenced by both genetic and environmental factors. Other contributing factors may include the immune system, infection with H. pylori, and an overpopulation of a naturally occurring mite on the skin, among others.

Does rosacea affect your eyes?

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

How to treat a rosacea flare-up?

A common question asked is, “How to soothe rosacea?” especially during a flare-up. 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, adopting simple lifestyle practices, and using prescription medications.

Using an appropriate skincare regimen and gentle, non-irritating products, such as Cetaphil, is essential for patients with rosacea. Non-comedogenic moisturizers, hydrating creams, and topical medications can also help control rosacea flares.

Minimizing sun exposure and applying sunscreen daily can assist in preventing rosacea flare-ups. Ideally, your sunscreen should be a broad-spectrum formula that blocks both UVA and UVB rays. Dr. Green recommends using an SPF of 30 or higher for daily protection. Covering up with a wide-brimmed hat can also help prevent flare-ups.

It’s best to avoid factors that exacerbate rosacea, such as sun exposure, irritating makeup, hot beverages, cigarette smoke, caffeine, and other skin irritants.

Prescription creams and oral medications can quickly calm rosacea symptoms and minimize flare-ups. Rhofade and Mirvaso are topical medications that can help decrease the visibility of blood vessels during a flare-up. Oral antibiotics, such as doxycycline, act as anti-inflammatory medications to soothe a rosacea flare.

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 typically limited to the areas of the skin where active pimples are present. Rosacea is an inflammatory skin condition characterized by 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 frequently accompany breakouts. If you are struggling with facial redness and breakouts and are unsure whether you are experiencing rosacea or acne vulgaris, consider scheduling a consultation with Dr. Green in New York City. Dr. Green will evaluate your skin condition to determine whether it is acne or rosacea, and then develop a personalized treatment plan to help you achieve and maintain smooth, clear skin.

How can I treat my rosacea?

Many patients ask Dr. Green, “How to fix rosacea?” Fortunately, various treatments are available to help manage rosacea and alleviate its symptoms. Oral antibiotics, topical creams, and laser treatments are some of the most effective options for treating rosacea. Because rosacea symptoms can vary and everyone’s skin condition is unique, it is essential to consult with an experienced healthcare professional, such as board-certified dermatologist Dr. Michele Green in New York City, for effective treatment. Oral antibiotics, such as doxycycline, have anti-inflammatory properties, so they are often prescribed to address the pimple-like breakouts common with rosacea. Oral antibiotics provide a short-term solution for flare-ups but should not be used for extended periods. Metronidazole is a topical medication that has been 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 red pigment in the skin, leaving the surrounding skin tissue undamaged. Most patients require a short series of four to six V-Beam treatment sessions to achieve optimal results, with each session spaced approximately one month apart. After achieving the desired results, many patients opt for maintenance sessions to keep their skin consistently clear. Everyone affected by rosacea experiences unique symptoms, 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 best suit your skin condition.

How to treat facial rosacea ?

While there is currently no cure for rosacea, this chronic skin condition can be effectively managed with a combination of oral medications, topical treatments, and lifestyle adjustments. Flare-ups may come and go, but avoiding common triggers, such as spicy foods, extreme temperatures, alcohol, and stress, can help minimize symptoms. Without treatment, rosacea symptoms can worsen over time, leading to significant discomfort, persistent facial redness, and even permanent scarring. The best way to clear up rosacea and prevent worsening symptoms is to consult an experienced healthcare professional, such as a board-certified dermatologist like 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. Dr. Green will work with you to create a customized rosacea treatment plan tailored to your needs, designed to clear up your complexion.

Does insurance cover rosacea treatment?

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

How to reduce rosacea?

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. Some factors that can exacerbate rosacea symptoms and worsen facial redness include sun and wind exposure, spicy foods, alcohol, extreme hot or cold temperatures, exercise, emotional stress, skincare or cosmetic products containing skin irritants, and certain prescription medications. One of the best ways to reduce rosacea flares is to identify and avoid triggers. 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 once a flare-up occurs. Dr. Green will create an individualized treatment plan that includes topical medications, oral medications, in-office procedures, or a combination of treatments to reduce and manage your rosacea symptoms.

Can rosacea get worse with age?

There is evidence suggesting that the symptoms of rosacea can worsen with age. Collagen and sebum production decrease due to the aging process, which can lead to thin, dry skin and increase susceptibility to irritation and inflammation, potentially worsening rosacea. This can manifest 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, beginning in our mid-to-late 20s and early 30s. Exposure to the sun’s UV rays can accelerate the natural process of collagen breakdown, leading to premature signs of aging and making the skin more vulnerable to damage. Patients with rosacea should use a broad-spectrum sunscreen with a minimum SPF of 30. In addition to utilizing proper sun protection, a board-certified dermatologist can provide a wide array of treatment options for managing rosacea symptoms as well as premature aging.

At her private dermatology office on Manhattan’s Upper East Side, Dr. Green offers a range of rosacea treatment options, including 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 customized treatment plans to some of the world’s most discerning individuals, addressing their unique concerns and aesthetic goals.

How to treat rosacea on the cheeks

Rosacea is an inflammatory skin condition that commonly affects the face, particularly the nose and cheeks. While rosacea is a chronic skin condition that cannot be cured, a variety of treatment options are available for managing its various symptoms. 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, an oral antibiotic may be recommended, such as doxycycline. Other common treatment options include laser treatments, such as the VBeam and IPL, which can address background redness and telangiectasias. 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?

Papulopustular rosacea is a subtype of rosacea characterized by red, pimple-like bumps on the skin’s surface. These bumps may resemble 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 pimples can become infected with bacteria or filled with pus, leading to inflammatory acne. The appearance of papulopustular rosacea differs from traditional acne in that the blemishes caused by rosacea are often accompanied by visible blood vessels and diffuse facial redness. Traditional acne, on the other hand, usually only has redness visible on the pimples themselves.

Currently, there isn’t a cure for rosacea, as it is a chronic inflammatory skin condition with symptoms that may come and go. However, various treatment options are available to manage symptoms, including pimple-like bumps. To address rosacea acne, Dr. Green may recommend several treatment methods, including photodynamic treatments, laser treatments, topical medications, oral medications, and specially formulated skin care products. Dr. Green typically recommends an oral antibiotic called doxycycline to treat rosacea acne. If the oral antibiotic is ineffective or if the rosacea is accompanied by moderate to severe cystic acne, Dr. Green may suggest 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 crucial first step in treating both acne vulgaris and rosacea is to consult an expert dermatologist, such as Dr. Green, who can accurately identify your skin condition and determine the safest and most effective treatment options for you.

Does retinol help rosacea?

Retinols provide several anti-aging and anti-acne benefits; however, when it comes to rosacea, these topicals should be avoided. Retinols are over-the-counter vitamin A derivatives that stimulate cell turnover, removing dead skin cells to reveal new, healthy ones. For individuals with sensitive skin or those suffering from rosacea, topical retinols may not be the best option, as they can cause dryness, redness, and flaking, potentially triggering a rosacea flare-up. When you consult with Dr. Green about your rosacea treatment, she will create an individualized skincare routine tailored to the best ingredients to help you achieve clear, rosacea-free skin.

How to treat rosacea naturally?

Managing rosacea naturally involves using gentle skincare and making lifestyle changes that reduce inflammation and minimize triggers. Skincare products should be free from irritating ingredients such as fragrance and alcohol, which can cause redness, dryness, and worsen rosacea. Before starting any new skincare products, individuals with rosacea should conduct a small patch test to ensure there is no irritation. Additionally, using a broad-spectrum sunscreen with an SPF of 30 or higher can help minimize sun damage, which can exacerbate rosacea symptoms. Patients should aim to eat a well-balanced diet and avoid common triggers such as spicy food, alcohol, and caffeinated beverages like coffee. Stress is another significant trigger for rosacea, so managing stress through various techniques can help lessen rosacea symptoms.

Can stress cause rosacea?

Stress cannot cause rosacea to develop. However, many patients with rosacea experience flare-ups when they are stressed. When people feel stressed or anxious, their bodies produce cortisol and adrenaline, which can increase inflammation and dilate blood vessels. While stress can trigger rosacea flare-ups, the symptoms of a flare-up can lead to even more stress, creating a devastating cycle. Managing stress is one of the most important lifestyle changes for treating and managing rosacea. Everyone handles stress differently, so finding the right tools for yourself is essential to limit your rosacea.

Does alcohol cause rosacea?

While not a direct cause of rosacea, alcohol is a common trigger for flare-ups. As a vasodilator, it can contribute to the facial flushing often associated with this condition. Red wine, in particular, has been shown to trigger these episodes. To reduce the occurrence and severity of rosacea flares, many healthcare providers recommend that individuals with rosacea limit their alcohol consumption as much as possible.

How to get started with rosacea treatment today

For many, rosacea symptoms can be a source of frustration and can negatively impact their overall quality of life and self-esteem. Although rosacea is a chronic skin condition that cannot be cured, numerous non-invasive treatment options are available to help manage various symptoms, allowing you to look and feel your best. It can be challenging to determine the unique combination of in-office procedures, prescription medications, and specially formulated skincare products that is best suited to address 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 for managing 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 specific skin conditions and unique needs. Dr. Green employs the most innovative treatment techniques and cutting-edge modalities at her private dermatology office in Manhattan’s Upper East Side neighborhood. She is consistently voted one of New York City’s top dermatologists by Castle Connolly, New York Magazine, The New York Times, and Super Doctors, recognized for her dedication to her patients and her 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 evaluate your skin condition. Dr. Green will then work with you to customize a treatment plan best suited to help you achieve a clear, smooth, and healthy complexion that lasts. To schedule a consultation with Dr. Green and explore non-invasive treatment options for rosacea and skin rejuvenation, please contact us online or call the NYC office at 212-535-3088.