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Best Course of Treatment for Mild-Moderate Rosacea

asked 10 months ago by SC Mom in San Clemente, CA
Latest answer by Nancy Samolitis, MD
Question viewed 278 times
Tags: best, mild, moderate, options

I have mild-moderate Rosacea. I have telangiectasias on my nose, constantflusing in my cheeks, and a few spider veins on my cheeks and the area between my nose/ upper lip. Several weeks ago, my doc prescribed Finacea (once/day). I have not noticed improvement, and I now have several acne papules on my cheeks -- I am worried it is getting worse. I am wondering whether specific antibiotics, IPL, a pulsed-dye laser, or some combination of all of the above should be used to help my condition?

3 answers to Best Course of Treatment for Mild-Moderate Rosacea

+1

Combining medical and laser therapy for rosacea

Rosacea is a chronic condition that can present with variable symptoms. Most people with rosacea turn red or flush easily, especially with exposure to sun, heat, exercise, alcohol, or spicy foods. Repeated flushing and sun damaged skin can result in the appearance of enlarged blood vessels (telangiectasias) on the skin. Some people with rosacea also may develop acne-like papules (usually on the nose and cheeks) and thickening of the skin with the appearance of enlarged... more
Nancy Samolitis, MD

Beverly Hills Dermatologic Surgeon
+1

Pulsed Dye Lasers For Rosacea

While there is no cure for rosacea, there are many things you can do to manage this frustrating condition. One viable option for rosacea treatment is Pulsed Dye Laser therapy. Unlike topical modalities, pulsed dye lasers are addressing the superficial vessels that are responsible for redness, flushing, and teleangiectasias. The goal is to use laser energy to shut down the walls of these vessels. Laser therapy provides improvement in texture as well.... more
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon
+1

Rosacea Treatment

Since Finacea isn't helping, your doc probably has other treatments in mind. MetroGel is the other most commonly prescribed topical for rosacea. You should pair whatever topical medication with a non-irritating cleanser and sunscreen. A very effective way of improving almost everything you describe is one of the tetracycline antibiotics by mouth. They go by names such as doxycycline, minocycline, and Oracea and have proven the most powerful tool in fighting rosacea. Lasers... more
T. Wayne Day, MD

Nashville Dermatologic Surgeon

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