Thank you for reaching out with your concerns about managing rosacea and malar bags. It’s understandable that you’re seeking effective non-surgical treatments to address these issues. Here are some professional recommendations that may help: Rosacea Management: Topical Treatments: Prescription topical medications like metronidazole, azelaic acid, or ivermectin can help reduce inflammation and redness associated with rosacea. Laser and Light-Based Therapies: Intense pulsed light (IPL) and pulsed dye laser (PDL) treatments can effectively target and reduce the appearance of redness and visible blood vessels. Proper Skincare: Use gentle, non-irritating skincare products and sun protection daily to minimize flare-ups. Consider products designed specifically for sensitive skin. Addressing Malar Bags: Dermal Fillers: While fillers are minimally invasive, they can sometimes help camouflage the appearance of malar bags by smoothing the transition between the cheek and the under-eye area. Radiofrequency Treatments: Non-ablative radiofrequency devices can tighten the skin and improve the appearance of malar bags by stimulating collagen production. Microneedling: This procedure can help improve skin texture and may reduce the appearance of fine lines, though it is more effective for wrinkles than for malar bags specifically. Overall Skin Health: Hydration and Nutrition: Maintaining a healthy diet, staying hydrated, and possibly incorporating supplements like omega-3 fatty acids can support skin health. Stress Management: Since stress can exacerbate rosacea, consider stress-reduction techniques such as yoga, meditation, or regular exercise. Consultation and Personalized Plan: It’s essential to consult with a dermatologist who can assess your specific skin condition and recommend a personalized treatment plan. They can also ensure that any treatments chosen do not exacerbate your rosacea. Warm regards,