Would you recommend botox for rosacea?

If you would like to try Botox for rosacea, I would suggest micro-Botox, or very dilute Botox dosages. This has helped some patients with rosacea, but it is not a home run for all patients. Some patients with flushing from rosacea have had good luck with Rhofade, a topical medication that has a much lower change of rebound flushing than with Mirvaso. Schedule an in-person consultation with a board-certified cosmetic dermatologist for further assessment and the best treatment recommendations for you.

Botox has been shown to help with the flushing from rosacea - it is injected very superficially, in very dilute amounts, and usually with a microchanneling device, such as the Aquagold. Your pores will look smaller and your texture will improve, and the muscles shouldn't be affected. However, there are better options for the treatment of rosacea - the ones you've already had don't really address the underlying inflammation and skin barrier issues that trigger rosacea - commonly used topicals are azelaic acid, metronidazole, ivermectin, and sulfur, and the prescription pills doxycyline, minocycline, and tetracyline treat the inflammation, while zinc and B vitamin supplementation can also help. See a dermatologist to figure the out best plan  - get your skin under control first, and then you can use lasers to erase the broken blood vessels. 

In my professional opinion there is NO way that botox or any neurotoxin would help with rosacea. A neurotoxin is used to relax muscles resulting a decrease fine lines. I would however, highly recommend a series of IPL treatments to help reduce rosacea. You will also want to be careful with any exfoliations you may be using at home that can make your rosacea worsen. Hope this helps.

Thank you for sharing your excellent question and I am sorry to hear of your difficulties with rosacea.  Unfortunately botox will not improve your symptoms of flushing and I would continue to pursue the other treatments for steady improvement.  Hope this helps.

Botox is a treatment meant to improve wrinkles by relaxing muscles in the face. It will do nothing for Rosacea.