My redness will go away? I'm using ointment, some doxycycline and prednisone (Photo)

Question

Hello before i post some pictures how my rosacea was some doctors give me some options. I went with the dermatologist 2 weeks ago and this is my result . But I want to know is my redness will disappear or no? Im gonna put one old picture and the actually.

Jason Emer, MD · Answer

I'm not sure what treatment you had for your rosacea.  For rosacea, I like a combination approach, using lasers (Clear + Brilliant, ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. I recommend getting a formal evaluation with a cosmetic dermatologist.Best, Dr. Emer

Zein E. Obagi, MD · Answer

You have severe rosacea. You must see a dermatologist who will aggressively treat this condition because it will only get worse. For such severe rosacea, we routinely put our patients on Accutane and a comprehensive skincare program. Rosacea does not have a cure but it can be controlled if treated aggressively. Seek a board certified dermatologist with experience treating such severe rosacea.

Gabriel J. Martinez-Diaz, MD, FAAD · Answer

Hello, and thank you for your post. From your photos it appears that you may be suffering from a severe form of papulopustular rosacea. Many times this form is accompanied by demodicosis. Controlling the severity of inflammation and demodicosis will certainly allow you to target the redness much more aggressively through the use of lasers. Please seek the expertise of a board certified dermatologist with skin of color experience, as well. 
Sincerely,
Dr. M-D.

Melvin Elson, MD · Answer

from your photos I think you need to have the diagnosis confirmed Be sure your doctor is a board certified dermatologist and discuss other possibilities with him

Davin Lim, MBBS, FACD - Account Suspended · Answer

Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea. I think you have borderline rosacea fulminant. See a dermatologist for the above treatments. You may need isotretinoin in addition to the below. 
To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. 
  
A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -
  
1. Lasers ( to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 
  
2. Creams - anti inflammatory
  
3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. 
  
4. For females- Mineral make up is recommend, over make up that contains parabens. 
  
For the best results, consult a dermatologist for both medical and laser treatment options. 
  
Kind regards.
  
Dr Davin S. Lim.
  
Laser Dermatologist.
  Brisbane, Australia

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