Female, age 23, incredibly fair - do I have rosacea? (Photos)

Question

I had severe acne a few years ago, and last year I was on accutane for approximately 6 months. I had assumed that what I was left with was just scarring, but I'm beginning to worry I now have rosacea. I am 23 so I'm young, but I'm female and incredibly fair. My cheeks will randomly become very flushed and hot which is very irritating. The first picture is when it is flushed and hot and the second is in it's normal state. Do you think this is rosacea? How would I go about treating this?

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

Thomas Adrian, MD · Answer

Rosacea is a genetic predisposition to develop extraneous superficial blood vessels in which results in a spectrum of manifestations including background facial redness, flushing and blushing, and inflammatory rosacea consisting of papules and pustules. This does not appear to be post inflammatory erythema of acne as that fades with time once acne is treated and typically would not be associated with flushing and blushing. 
Your subtype of rosacea is likely erythemato-telangiectatic. The most effective treatment for ET Rosacea is with vascular lasers such as the Pulsed Dye Laser. 
I would recommend consulting with a Fellowship Trained Dermatologist who has experience treating Rosacea with Vascular Lasers to develop a treatment plan to address your concerns. 
Sincerely, 
Thomas Adrian, MD, FAADBoard Certified DermatologistFellowship Trained Cosmetic & Laser Dermatologist

Female, age 23, incredibly fair - do I have rosacea? (Photos)

Answers (2)

Recommended reading

Everything you need to know about Pulsed Dye Laser

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

Female, age 23, incredibly fair - do I have rosacea? (Photos)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Pulsed Dye Laser

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