What are my options to treat rosacea on both of my cheeks? (Photo)

Question

Everything I have read indicates laser treatment might be the most beneficial. I know about watching foods that can aggravate it - but that is easier said than done :) I would love to be able to have a glass of wine or eat something spicy without having flaming red cheeks.

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Rebecca Fitzgerald, MD · Answer

Rosacea is far more debilitating than most people think.  Only those who have Rosacea know the frustrations.For the majority of people with Rosacea, the most optimal treatment is one of combination.Lasers can definitely reduce flareup intensity, though they are seldom a stand alone solution. Rosacea tends to expand small blood vessels and vascular lasers tend to shrink them, though expect multiple sessions to see a difference and further sessions as maintenance. You may want to consider Excel V, Vbeam, BBL (a form of IPL) and/or Laser Genesis.Trigger avoidance is important, though it's understandable you'd not want to restrict yourself all the time. Red wine has been tagged as causing more flareup than white wine, and the seemingly least offensive alcohol is liquor. Again, it's individual response that counts. Be sure to balance any alcohol intake with plenty of water. Re: spicy foods. Asian cultures view foods as cooling or heating or neutral; not from a heat perspective, but from how the body reacts to the food itself (in India, ice cream is a "hot" food!) I'll assume you are under the care of a dermatologist and use topical RX is recommended and are using proper cleansers - some which can help reduce redness, sunblock (non chemical mineral sunblocks are a better choice), and avoiding skin care products that contain fragrance or irritating ingredients. If you wear makeup, pure mineral makeup can be a good choice.

Yelena Kipervas, DO · Answer

Hello. Laser treatment (IPL or V-Beam) is a good option for our condition. Also avoiding triggering factors like alcohol/ hot showers/ spicy food. You also need to pay careful attention to the ingredients that are in your regular moisturizer and other skincare products. Try to avoid harsh chemicals and fragrance. Also it is advisable to use daily SPF 30 (at least) and studies have shown that SPF containing zinc oxide (or any oxide) work best for Rosacea (avoid SPF with octralene).

Dennis Gross, MD · Answer

Finding the right rosacea treatments and medical therapy can help control and manage this condition. Without treatment, rosacea can often worsen. Since 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, oral medications, and in-office procedures including chemical peels, LED therapy & laser treatment for rosacea. We use the VBeam laser treatment to reduce overall redness and rejuvenate the skin.
Because rosacea is different for everyone, we develop tailored treatment plans to help you see the best results. Acne rosacea treatment is different than ocular rosacea treatment, for example. For some patients, rosacea natural treatment options may work best.
Our patients have achieved remarkable results, often by combining multiple different therapies in order to resolve their individual condition. Our team of experts can prescribe your best course of action to not only heal any current rosacea you may be suffering from, but to also prevent any flare-ups in the future.

What are my options to treat rosacea on both of my cheeks? (Photo)

Answers (10)

Answer: Laser is a good option

Answer: Laser is a good option

Answer: Rosacea Treatment

Answer: Rosacea Treatment

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What are my options to treat rosacea on both of my cheeks? (Photo)

Answers (10)

Answer: Laser is a good option

Answer: Laser is a good option

Answer: Rosacea Treatment

Answer: Rosacea Treatment

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Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.