What is the best product or treatment for acne rosacea?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Rosacea is a very common skin condition that affects millions. There are several treatments for Rosacea -- they range from topical prescription creams to antibiotic pills to in-office laser treatments. All are effective depending on the type of rosacea and your board-certified dermatologist can help you decide which is best for you.  

The redness that you see in acne rosacea is due to tiny, active blood vessels close to the skin’s surface. Getting rid of the blood vessels can be accomplished with a laser like V-beam. This laser uses the 595nm wavelength which is specialized for entering the blood vessels in order to seal them up, rendering them as useless tissue. The 595nm is readily absorbed by the hemoglobin in your blood. So its function is very specific and ideal for clearing unwanted blood vessels in the skin.



 

Thank you for posting your question.  Once diagnosed clinically, acne rosacea can be treated in a similar way to other types of rosacea through topical application of an anti-bacterial agent such as Metronidazole or oral medication such as tetracycline or doxycycline, which keeps the bacterial component under control and also has an anti-inflammatory benefit.


In extreme cases, Isotretinoin can have a benefit as well.  I hope that this has been helpful and I wish you well in your treatment.  Best wishes, Dr Ariel Haus, London.

There are many options available for treatment of rosacea. In our practice, many patients are satisfied with the Excel V laser for treating rosacea. The Cutera Excel V Laser treatment is best used to improve Rosacea, and overall facial redness. Two different lasers used to treat acne rosacea. The first laser treats more superficially, right below the skin. The second laser has a longer wavelength that can penetrate deeper. This laser can penetrate the deeper blood vessels, providing a more comprehensive, accurate treatment for rosacea.  The result: Pores tighten, glands shrink, facial rejuvenation, nice glow due to collagen reformation. Skin starts to clear, redness is reduced. We don’t just treat surface blood vessels, we go deeper since the vessels have a variety of depth. So to achieve the best results, you should not treat the surface alone, but also target the deeper layers. For best results, it is best to have an in-person consultation with a board certified dermatologist. Thank you for your question, best of luck!

Dear aroman:

Unfortunately there is no single "best" treatment for rosacea as this varies from patient to patient.  It is important to remember to decrease risk of recurrence by decreasing exposure to triggers which include sun, alcohol, spicy foods, caffeine, stress, etc  For acne rosacea, along with decreased trigger exposure, I would suggest initial treatment with topical antibiotics followed by oral antibiotics. Hope this information helps.

Rosacea is a chronic, inflammatory skin condition that primarily affects the face, though it can sometimes appear on the neck, chest, scalp, or ears. It causes redness and small, red, pus-filled bumps, which can sometimes be mistaken for acne. Over time, visible blood vessels may occur on the skin as well. Although rosacea often affects people with fair skin who flush or blush easily, it can affect anyone.But as we tell our patients, the right rosacea treatments and medical therapy can help control and manage this condition. Without treatment, the condition can get worse. Because the signs and symptoms of rosacea can vary from one patient to another, we customize treatments based on each individual patient.These rosacea treatments can include a mix of topical treatments (including antibiotics and anti-inflammatory gels) and oral medications (including antibiotics), only if absolutely necessary. We try to avoid oral prescriptions and our patients appreciate our approach which is unique to our practice. Oral medications can help to reduce inflammation and clear up breakouts.Our patients have achieved impressive results with our state-of-the-art lasers and/or intense pulsed light therapy; these treatments help to remove the visible blood vessels from the face—clearing up redness and dramatically improving the overall look of skin.

There is no one best treatment for rosacea. Treatment regimens chosen
depend on severity of condition. Typically a combination of an oral antibiotic
and topical creams can be very helpful. In long standing cases where broken
blood vessels are noticeable, vascular lasers such as the Vbeam laser can be
extremely effective.

obviously it's important to get the right kind of therapy for the type of rosacea you have...an improper selection will irritate the skin and not improve its appearance...

if it looks like acne (pimples)...then antibiotics and acne creams or metronidazole seem to work well...

if it looks more red or with dilated blood vessels then the treatment is avoidance of heat along with laser therapy with the VBeam as the optimal device...antibiotics and creams tend not to work very well for this stage...

 


 

Most of my patients that have Rosacea do very well with Finacea gel. This is a prescription product that contains azelaic acid, which significantly reduces redness and bumps.

As this is a prescription medication, you will need to see your doctor for an evaluation to find out if it is right for you.