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Rosacea, Flushing & Redness

Rosacea is difficult to diagnose. Let our cosmetic physicians walk you through the signs, symptoms, and triggers of rosacea. Free Consult!

Understanding Rosacea & Treating It Well

While prescription medications help reduce the bumps, skin thickening, and swelling of rosacea, lasers are the only option to effectively reduce the diffuse redness, flushing, and associated “stinging” and “burning” sensations that are the most common symptoms experienced.

 

Over 16 million Americans suffer from Rosacea, but nearly 60% of them don’t know a laser treatment option exists. We’re trying to change that. Over half of rosacea sufferers have canceled social plans or called out of work because they were too embarrassed by their skin condition to go out that day. Help us spread the word by sharing with a friend who needs to know!

Persistent facial redness can impact your confidence in work and social situations. Often rosacea is so red and inflamed that makeup can’t camouflage it very well. Most patients who suffer from rosacea say it dramatically affects their lives. New technologies have given us the ability to reduce and, in some cases, completely eliminate the signs and symptoms of rosacea.

Top Asked Questions For Rosacea

  • Do I have rosacea?
    Red skin is not just a sign of rosacea. Other skin conditions like sebaceous hyperplasia, broken capillaries, spider veins, lupus, eczema, psoriasis, and allergic reactions (dermatitis) can sometimes be mistaken for rosacea. Below, you will find a list and pictures of rosacea symptoms, which may help you to determine whether rosacea is a possible diagnosis for your symptoms. Rosacea can be difficult to diagnose by yourself so it is best to see a specialist who can properly rule out other causes and provide appropriate care. We specialize in treating patients who have already been diagnosed with rosacea, tried traditional treatment methods, and found their rosacea is particularly stubborn or advanced in nature.
  • Who get rosacea?
    Approximately 16 million people in the United States have rosacea. It most often affects adults between the ages of 30 and 60. Rosacea is more common in women (particularly during menopause) than men. Although rosacea can develop in people of any skin color, it tends to occur most frequently and is most apparent in people with fair skin.
  • Is rosacea inherited from your parents?
    It is believed that the predisposition to rosacea is inherited through genes, but that the onset of rosacea is triggered by environmental factors. This means that anyone, regardless of whether their parents or family members experienced rosacea symptoms, can develop rosacea. In a survey by the National Rosacea Society, 33 percent of rosacea sufferers reported having at least one parent of Irish heritage and 26 percent had a parent of English descent. Those of Scandinavian, Scottish, Welsh, or Eastern European descent also appear to be at an elevated risk for developing rosacea. However, individuals of all races and ethnicities have developed rosacea.
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What is Rosacea?

Rosacea is a chronic (or long-term) skin disease that affects sensitive skin and sometimes the eyes. Rosacea symptoms often include flare-ups of visible blood vessels for weeks or months which then reduce or fade altogether for a while. Rosacea patients are often misdiagnosed with an allergic reaction or acne, especially when it causes small pus-filled bumps more than thickened skin. Rosacea affects the face; other upper body parts are rarely involved.

When left untreated, each new flare tends to be worse than the last, making this a progressive skin condition. Left untreated, it can cause thickening of the skin and knobby bumps on the nose. Past methods to treat rosacea have traditionally focused on reducing the symptoms of rosacea and using a gentle skin care routine to keep the condition from worsening over time. However, new research and treatments are helping us better prevent new flares.


Causes & Symptoms of Rosacea

We don’t know exactly what causes rosacea, but it usually strikes people in their thirties and forties. It can also irritate the eyes and other parts of the body and tends to run in families. Middle-aged women with fair skin are the most commonly affected group. Early intervention is key when dealing with rosacea and with an early diagnosis and treatment, it is possible to stop the condition from worsening.

Frequently Flushing Of the Center of the Face

Flushing or red patches may appear on the forehead, nose, cheeks, and chin, occurring in the earliest stage of rosacea. The flushing often is accompanied by a burning sensation, particularly when creams or cosmetics are applied to the face. Sometimes the face is swollen slightly. Lasers work very well in these early stages to clear away the redness, but you also want a doctor who is going to help you slow down the progression of rosacea at this point so that you minimize the severity of symptoms long-term.

Vascular Rosacea

A condition called vascular rosacea causes persistent flushing and redness. Blood vessels under the skin of the face may dilate (enlarge), showing through the skin as small red lines. This is called telangiectasia and is often confused with broken capillaries and spider veins. The affected skin may be swollen slightly and feel warm.
At this point, rosacea gets harder to fuller clear, although there have been some advances in rosacea treatment in recent years that offer some hope – such as MicroBotox and the newly updated VBeam Prima (perfecta is the older model of this laser).

Inflammatory Rosacea

A condition called inflammatory rosacea causes persistent redness and papules (pink bumps) and pustules (bumps containing pus) on the skin. Eye inflammation and sensitivity, as well as telangiectasia, also may occur.

Rhinophyma

In the most advanced stage of rosacea, the skin becomes a deep shade of red and inflammation of the eye is more apparent. Numerous telangiectasia are often present, and nodules in the skin may become painful. A condition called rhinophyma, characterized by an enlarged, bulbous and red nose also may develop in some men.

Our Favorite Treatments for Rosacea

  • Flushing
  • Flushing can be tricky to get under control, even though it’s the very first symptom for many patients.
    At this stage, it’s important to pair lasers and treatment technologies with at-home prescription care to help keep any results you achieve.

    Vbeam Laser

    Vbeam is specifically designed to target redness in the skin caused by red blood cells, which is what flushing is. Flushing is essentially the blood vessels near the skin overgrowing and dilating, allowing more of the fresh blood in these vessels to be seen through the skin.

    Since the Vbeam laser can target just those vessels and remove a portion of them with each treatment, you get great results that are very safe on all skin types without the risk of any surrounding tissue being damaged or long downtime. It’s also pretty cost-effective, which patients love. Most patients require a series of treatments with occasional maintenance.

    MicroBotox

    If VBeam alone isn’t effective, MicroBotox can be a game-changer for managing persistent redness. Our patients have experienced dramatic improvements, even with severe cases. Even in patients with bright red skin, the results can be profound. We don’t typically start with this as our first treatment because there is maintenance needed every 3-4 months, and that makes both the cost and inconvenience factor higher with this option versus the VBeam laser.

    However, most practices don’t understand how to use MicroBotox in the context of managing rosacea as a disease and ongoing maintenance. If you’re interested in MicroBotox, we are happy to become your rosacea doctors and help you with the full scale of treatment.

    Prescription Medications

    Prescription medications are very important for keeping flushing at bay and keeping rosacea under control. The most common ones we use for patients with flushing are Rhofade and Mirvaso.

  • Vascular (Visible Broken Capillaries)
  • VBeam Laser

    The newly upgraded VBeam Prima laser is really our favorite laser for removing redness, including both flushing and broken capillaries. It is the safest and most effective, and it’s very cost effective and has very little downtime or impact on your lifestyle.

    IPL: Intense Pulsed Light

    We stopped using the IPL for rosacea many years ago when VBeam came out because VBeam is so much more precise. VBeam offers better customization of its settings, making the IPL a much inferior treatment option for the vast majority of patients.

    Skin Classic

    Skin Classic is a high frequency radiofrequency device that can be used to treat individual thread veins or broken capillaries. It does carry a higher risk of scarring and complications, so we almost always defer to VBeam for this reason.

  • Rosacea Pustules or Pimples
  • VBeam Laser

    VBeam laser is the best at treating redness in the skin, which includes individual pimples or pustules, which are red and inflamed.

    Topical Prescription Medications

    Prescription medications are very important for controlling these rosacea breakouts and getting skin to stay clear. Our doctors will write you prescriptions for your rosacea, most of which are covered by insurance.

  • Rhinophyma
  • Rhinophyma has 2 stages – a preliminary stage where the nose is red with broken capillaries and inflamed, and then it begins to grow and distort in shape over time. We do not treat those patients who have full-blown rhinophyma, as this requires a highly specialized surgical intervention.

    For a Red Nose with Broken Capillaries

    VBeam laser and prescription medications can help manage the early stages of rhinophyma and slow its progression. We are happy to provide this kind of care for patients who are in this stage.

    Rhinophyma Surgery

    Once rhinophyma has progressed to the point where excess layers of skin are forming and starting to make the nose appear larger and misshapen, we refer out for treatment, which generally involves surgery.

    Our Patients’ Rosacea Treatment Stories

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    “The [skin]care products I got were really good - I've used them religiously and my skin is so much better than before I went.”

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    “ would HIGHLY recommend this place for its efficiency, warm, comfortable atmosphere, fair pricing and thorough description of what to except for procedures and the healing process!!”

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    “ Joe Torrillo is a retired Firefighter from New York City who bravely fought to help others survive the 9/11 attacks, and found himself fighting for his life as he was caught in towers'...”

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    Discover Fast and Effective Treatment for Rosacea and Facial Redness

    Rosacea and skin redness can be frustrating for those who live with it on a daily basis. What’s worse is that it can cause painful side effects. At Reflections, our cosmetic physicians are dedicated to discovering the root cause of your skin symptoms, so that we can effectively and efficiently treat these conditions at the source. We are constantly researching the newest medical innovations to bring the best treatments to our practice. Our goal is to treat every patient who comes into our office with compassionate and knowledgeable care.

    Schedule a Complimentary Skin Consultation

    Your complimentary skin consultation will start with an examination and medical history, which will allow us to properly diagnose you. From there, we’ll create a treatment plan that suits your budget, skin type, and lifestyle, so that you can enjoy clear skin, fast.

    Call our offices at (732) 356-1666 to schedule your complimentary skin consultation today. We look forward to helping you achieve healthy skin and feel more confident about your appearance!

    Frequently Asked Questions

    How can I make rosacea treatment results last?

    The papules and pustules symptomatic of rosacea may respond quickly to prescription medications, but the redness and flushing are less likely to improve without other types of therapies. Rosacea is a chronic condition and requires ongoing management following treatment. Many patients find it helpful to avoid certain “triggers” such as sun exposure, certain foods, or alcohol, and to follow an effective skin care regimen including sunblock, gentle cleansing, and moisturizing.

    How much does rosacea treatment cost?

    Pricing for rosacea treatment varies by the technology used, and overall cost of treatment will vary by the severity of your symptoms and the number of treatments you require. However, the range of cost per treatment session for the targeted treatments above typically ranges from $250-$450, depending on the technologies used and the size of the area treated, with one exception – CO2 Laser skin resurfacing (generally used only in the most severe cases) is much more expensive, at $2500 or more per treatment. The tradeoff is that this laser provides a very substantial improvement for the most severe cases of rosacea in a single treatment. Your complimentary rosacea consultation will include an exact price quote and a detailed treatment plan.

    How much downtime do these treatments have?

    When it comes to downtime for rosacea treatment, we have to clarify what that means. In terms of taking time off from work or social events, almost all of these treatments have no downtime whatsoever (except the CO2 Laser treatments which are really reserved for the most severe cases). MicroBotox, Skin Classic, IPL, GentleYag, and Vbeam Perfecta, the most commonly used rosacea treatments, can leave some redness for a few hours and while your skin is red and sensitive, so we ask that you not reapply makeup or skincare products. However, that redness is almost always gone after an hour or two. PDT can vary in intensity based on the needs of the individual patient, but usually, redness does not persist after 24 hours of our rosacea treatments. You can find much more detailed information about the downtime of each of these treatments by clicking on their titles above and visiting their information pages on our website.

    What type of rosacea treatment will work best?

    Every patient is different. The severity and type of rosacea varies by patient, as does the individual’s triggers and response to certain treatments. This is why treating rosacea effectively can take some trial-and-error, even with the best physicians. Our physicians have experience working with patients who are resistant to standard treatment protocols, and that means we have the most knowledge about how to remove redness and prevent flare-ups in patients who have failed with prescription medications, dietary changes, and other at-home remedies. We do recommend patients try these options, which are generally covered by insurance, before coming to see us for Botox, lasers, and other treatment options that are not covered by health insurance. That having been said, the best treatment for your rosacea is going to be unique to you and that’s why our consultations are complimentary because we believe every patient has the right to the information they need in order to make the best choices about their treatment and care.

    How can I treat rosacea at home?

    It’s unlikely your flare-ups will resolve without interventional treatment, but once you have cleared up any flare-ups, it’s important you work to prevent future flare-ups, and that can be done through the treatment of your rosacea at home with: Wearing sunscreen (sunlight is a trigger for many, and sunburn is certainly going to create more broken blood vessels and red spots) Avoiding triggers like red wine, certain skincare products (that produce a stinging sensation), and anything that causes your skin to flush Using any and all prescribed treatments consistently If you are dealing with a current flare-up, please contact us. We can help you develop a plan to reduce your current symptoms and help you maintain those results.

    I have cleared up most of the redness and bumps from my rosacea, but I have red spider veins that just arent going away. What can I do?

    This is very common because those red spider veins are broken capillaries, and they are too deep and too big to be treated by anything other than a laser or radiofrequency treatment (i.e. they’re not able to be treated by your medications or skincare). For those, generally, we use Vbeam, which is a pulse-dyed laser that is specifically attracted to red pigment. It works very well to permanently remove these visible blood vessels (telangiectasia). Most can be removed in a single treatment, but some bigger vessels will require a few treatments to completely remove. We can give you an idea of what the treatment plan will look like for you during your free consultation with the doctor. The good news is Vbeam laser is very affordable and produces substantial results for rosacea sufferers.

    Read Our Blogs About Rosacea

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    Laser Treatment for Rosacea: What is It and How Does It Help?

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    Nutritious diet may combat rosacea

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    Understanding Rosacea: History of Treatments

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    Sources:

    1. Adam M. Rotunda, Anand R. Bhupathy, Thomas E. Rohrer;  The new age of acne therapy: Light, lasers, and radiofrequency; Published online: 12 Jul 2009; pages 191-200
    2. Stephen R. Tan, MD, FRCPCa, Whitney D. Tope, MPhil, MD; Pulsed dye laser treatment of rosacea improves erythema, symptomatology, and quality of life; Journal of the American Academy of Dermatology; Volume 51, Issue 4, October 2004, Pages 592–599
    3. NEUHAUS, I. M., ZANE, L. T. and TOPE, W. D. (2009), Comparative Efficacy of Nonpurpuragenic Pulsed Dye Laser and Intense Pulsed Light for Erythematotelangiectatic Rosacea. Dermatologic Surgery, 35: 920–928. doi: 10.1111/j.1524-4725.2009.01156.
    4. Chia-Lun Chou & Ying-Yi Chiang; Moderate rhinophyma successfully treated with a Smoothbeam laser; Journal of Dermatological Treatment; Volume 23, Issue 2, 2012
    5. Lynn Drake, MD; Rosacea Now Estimated to Affect at Least 16 Million Americans; Rosacea Review, Winter 2010 Issue

    Dr. Mitchell Chasin

    Dr. Mitchell Chasin is a Cosmetic & Laser Physician at Reflections Center. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.