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

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

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

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.

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).

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.

Laser treatment for Rosacea is by the far the most effective medical treatment for this condition.  Performed properly, it can remove any visible signs of vasculature in the skin such as broken capillaries and spider veins, and significantly reduce the blushing you are referring to. What is important for patients to understand, is that Rosacea is not just a problem in the most surface layers of the skin (epithelium), but often is caused by weakness in the deeper collagen layers of the dermis as well. Thus, for a truly effective treatment, lasers to strengthen the deeper collage as well as lasers to treat the vasculature are needed.  Without treating the underlying collagen, the rosacea has a tendency to return more quickly.

Thanks for your question and photo.  Rosacea is a very concerning condition socially for a lot of our patients, and it is important to be under the care of a board certified dermatologist so you don't get talked into any treatments that might make it worse or not be of benefit to you and your special skin condition  Your first defense is a physical (mineral) sun screen every day, whether you are going to be spending a lot of time outside or not.  Avoiding triggers can be helpful, but of course you need to live the way you feel best, and alcohol can usually be used in moderation by most of our rosacea patients if they balance it.  There are a few new anti-redness creams in the prescription category that your dermatologist can help you try, and vascular laser treatment or a series of IPL can be helpful for long term management.  See an expert, and best of luck!

Hello there!  YES!.  There are laser options for rosacea. At Monroe Comprehensive Laser Center and Laura A. Katz MD PC in Monroe, Mi, we have had fantastic results with our Candela Gentlemax Pro.  Pts have seen significantly decreased redness and bump even after one treatment.  On average, patients are requiring 2 to 3 monthly treatments for maximum results.  Please see the before and after pictures on our page at Laura A. Katz MD PC.  Here is part one of our Laser Photofacial video so you can see how this works.

In our office, we generally will recommend Laser Genesis to all of our rosacea patients. 
The Laser Genesis procedure utilizes non-invasive laser technology to safely, naturally and effectively treat fine line wrinkles, diffuse redness and scars. You can expect to see consistent results after each treatment. This treatment is often described to be quite relaxing and comfortable. With Laser Genesis, there is very little to no downtime which makes it a popular treatment for all seasons. 
By gently heating the upper dermis well below your skin’s surface, Laser Genesis improves the appearance of wrinkles through collagen stimulation. Additional heat is generated in dilated capillaries to reduce redness.
For patients with concerns of redness/rosacea, we recommend a treatment series of at least 5 scheduled every 2-4 weeks  as well as ongoing maintenance every 1-3 months. 

Hello and thank you for your question and photo. Although it is difficult to properly diagnose from a photograph, I do see redness to your cheeks and nose. There are topical medications that can be effective for treating redness from rosacea, as well as aesthetic procedures such as laser. Other non-pharmacologic treatment includes avoiding triggers, which is definitely easier said than done as you mention. I recommend a consultation by a board certified dermatologist for evaluation and discussion of appropriate treatment. Best of luck.