Should I apply Mirvaso before or after I apply sunscreen, moisturizer and makeup?

Thanks for your question.  It is a great concept - shrinking the blood vessels to reduce the redness - but unfortunately some patients experience what you are going through with rebound redness and ineffective or inconsistent results.   If the cost of the Mirvaso outweighs the...

Thanks for your question.  I have not prescribed a lot of Mirvaso due to the risk of rebound and reading reports of unhappy patients with the expensive medication not being worth it.  If redness and broken capillaries are your main issue with rosacea, you might want to look into laser...

Thanks for your question.  Mirvaso and laser treatments don't cause more veins to develop, but perhaps what you are seeing is a sort of uncovering or unmasking of veins that were hidden within diffuse redness.  The Mirvaso can help with general redness, and most experienced laser...

Thank you for the question.  Mirvaso has been found to cause a rebound effect in patients.  There is a new alternative that seems to be doing better: Rhofade. The treatment for rosacea is multifactorial - photofacial, sunscreen, avoidance of triggers, antibiotics, soolantra, etc...

Mirvaso can be good for a very few select rosacea patients, however this is not the be all to end all for rosacea. It takes a week or two before perfecting your Mirvaso regime- if its going to be of benefit. Rosacea is very complex and a tailored treatment program give the best results. This is ...

Rosacea is a very complex condition with many factors and many subtypes.  Mirvaso is only effective on vascular rosacea, progressive and resistant redness.  I like to explain Mirvaso as a "Band-Aid for this type of rosacea."  For some patients, they apply Mirvaso and the...