Is It Possible in Anyway to Permanently Stop Rosacea Facial Flushing?

Since 18 I have started to to get a deep red, hot facial flush every time I get too hot, too cold, embarrassed, aroused or when I am exercising which is deeply humiliating for my especially in public. If that wasn't bad enough the flushing also highlights my acne scars and makes them painfully obvious. I have also read that rosacea worsens over time if untreated. I am 20 now and desperate to find the best solution since this has had a massive impact on my life. Please Help.

Doctor Answers 7

Sometimes it's hard to imagine having a chronic medical condition that needs

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treatment on a regular basis...especially when you're so young...but that's the current reality of the type of rosacea you seem to be suffering with...but make the best of it...try to avoid whatever triggers the flushing...less hot coffee, limit alcohol, cooler showers, etc...and avoid getting too cold during the winter months...and consider at least temporarily switching to walking or exercise in front of a fan and stop every ten minutes or so for a glass of cool water...and by far the best present VBeam laser...and you'll probably need periodic retreatments with the frequency dependent on how good you keep your body temperature under control...but things are looking therapies probably will address your concerns within the next year or so...

Las Vegas Dermatologist

Rosacea Options

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Hi OR.  Unfortunately Rosacea is not a condition that can be cured or stopped completely.  The best way to slow it's development is to avoid the common triggers below:

Alcohol, spicy foods, caffeine, heavy exercise, saunas, hot tubs and sun and wind exposure.

While I would never suggest that you stop exercising, understanding that this is a trigger for flushing is important.

For treatment, you should consider oral and topical medications first and if those are not working, consider pulsed dye laser treatments.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Stopping rosacea redness

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Rosacea is something that is managed, not cured. There are a variety of treatments available - oral and topical products, laser therapies, light treatments, etc. Many times we use a combination of treatments for each person, addressed at targeting that specific patient's triggers. It would be best for you to see a dermatologist who specializes in traditional and cosmetic dermatology.

Definitely Possible to Control but not Eliminate Facial Flushing!

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Dear OR.Nelson,

Rosacea is a very complex condition, varying in it's severity, it's responsiveness to all forms of treatment, it's inheritance and even it's presentation. Ask ten doctors "do I have rosacea, or something else" you will likely get ten different answers and ten different treatment recommendations. This isn't the doctor's fault or his lack of knowledge, but because in the real world, the distinctions between conditions are subtle, and may not be apparent when he or she is examining you. The history that you try your best to recount accurately may, unfortunately misdirect the doctor. The easiest answer for most happy and successful doctor patient relationships is to simply lump them all into one convenient package and call everything red on your face rosacea. Almost all redness will respond to topical cortisones, but the prolonged use of these otherwise valuable drugs can make your skin "addicted' to the cortisone and then make it that much more difficult to control your symptoms. At that point your doctor may suggest using a laser, the magic tool of the 21st century, but the use of the wrong tool in the "slightly less experienced hands" of a doctor who may be well meaning, but lacks the years of knowledge and skill to understand and truly treat your underlying problem, may lead you down a very expensive and unhappy rabbit hole. Facial flushing, which is perhaps one of the more embarrassing components of rosacea can usually only be partially controlled with a topical vasoconstrictor. The only one on the market today is "Mirvaso" and is a prescription drug which usually lasts about 6-8 hours after application. See your dermatologist for more detailed instructions. Oral drugs have too many side-effects (at least those available at this time) to recommend to most patients. Again see your dermatologist to see if you are a candidate for these chemicals. There is no cure, but with consistent use of the right meds for you, use of sunscreens and possibly the use of lasers for some of the smaller blood vessels that may be bothersome your level of control can be more than satisfactory. See a real expert before wasting your time and hard earned money.

Hope this helped!

Dr. S

Bruce Saal, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Treating rosacea

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The best treatment for rosacea is laser in conjunction with topical prescription medications. The V-beam and the Excel V are two lasers that a dermatologist can use to treat your condition. A dermatologist can also prescribe topical medications, such as Finacea, to help maintain your results. To circumvent flushing you can try taking over-the-counter Allegra before an important event.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

Treatment to Minimize Rosacea

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Unfortunately, there is no permanent solution for curing rosacea, but there are several effective treatments available that can minimize rosacea symptoms. I suggest you visit an experienced dermatologist for treatment, as you may be a good candidate for oral and/or topical medications, or laser treatment such as Intense Pulsed Light therapy or photodynamic therapy to reduce the redness and put the symptoms in remission.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 26 reviews

There are treatments available to regulate and minimize rosacea outbreaks

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While rosacea is not curable, there are treatments available to regulate and minimize rosacea outbreaks. Treatments include both oral and topical prescription medications and laser procedures which can reduce inflammation and other symptoms associated with rosacea. It’s important to identify common triggers of flare-ups including sun-exposure and diet.  Consult with a board certified dermatologist in your area to determine your personalized treatment plan.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.