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

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.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

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.

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

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.