Is there a skin care routine that would help me get rid of face redness caused by rosacea? (photos)

Question

I'm 21 years old, have been suffering from rosacea for almost 3years now.My face is permanently red on my forehead, cheeks , and chin and my pores became visible.every now and then I get a huge inflamed pimple and it leaves red spot that last for ages especially in summer. I know there's no cure for rosacea but is there anything that would reduce the permanent redness? Also can the redness be caused by dehydration?

Jason Emer, MD · Answer

For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

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

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Sandra M. Johnson, MD · Answer

Congrats for taking care of yourself.  April is National Rosacea Awareness Month.  You may want to peruse the National Rosacea Society website.  You may also want to view the April 2 2017 edition of The Skinny on Skin blog by Nina Copeland.  You can see it on the Johnson Dermatology website also.  I suffer with rosacea.  I love HA5 by Skin Medica. Other great topicals include mirvaso and rhofade.  Best of luck.  Stay #skintastic.

Tracy Evans, MD, FAAD · Answer

Thank you for your question.  I do think it is important you find a dermatologist to help you manage/treat this condition going forward.  There are a so many treatment options for this condition, but I will explain some of the basics of treatment.  I like to start with a topical regimen including high quality skin care and topical medications.  A good skin care regimen provides a healthy environment for your skin, then we add meds to enhance the regimen.  My medication of choice is a combination drug that includes Finacea, Soolantra, and Metrogel as well as a Niacinamide base.  In addition to a topical regimen, there are oral medications (pills) that can be used to enhance the topical regimen.  The drug you will hear a lot about is called Doxycycline/Oracea.  It helps to prevent and treat the "bumps" that can develop with rosacea.  These medications do a great job with rosacea, but there are also a number of cosmetic procedures and treatments that can help too.  My favorite is vascular IPL.  This treatment involves a bright light that we use to treat the redness on the face (cheeks, nose, chin, forehead).  It is very effective after a series of 5 treatments.  After each treatment the redness subsides for a period of time and then returns.  We do the next treatment when the redness returns.  By the fifth treatment, the redness usually doesn't return for some time.  As you can see, there are so many options, let a dermatologist help you decide what is best for you.

Melvin Elson, MD · Answer

Rosacea is a treatable disease and you should see a board certified dermatologist to get it under control. Drugs like Mirvaso really help the redness as well as some laser treatments. There are also treatments for the oil gland activity. Dehydration has no effect

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  There are a multitude of treatment options available to you including medical and cosmetic.  It is best you follow up with a board certified Dermatologist who can get you on a proper treatment protocol.  Typically in your case, I would start with a topical like Soolantra/Finacea in the PM to calm the acne like lesions and oral low dose Doxycycline like Oracea to calm inflammation.  For the redness, options include Mirvaso (when properly used good drug with bad rep) or a new product called Rhofade which would be used in the AM.  If after an appropriate medical treatment and some time you are not satisfied with results you can consider a treatment like the Excel V / Genesis V treatment which in as a few as 3 treatments can safely and effectively eliminate the redness.  Other lasers that will work for redness include the Pulsed Dye laser.  I would advise against IPL.  Regards, Dr. Matt Elias

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes, simple skin care regimes that are non-irritant is the best way forward. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)
To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. 
  
A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -
  
1. Lasers ( to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 
  
2. Creams - anti inflammatory. Skin care- anti-inflammatory range by La Roche Posay can be good. 
3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. 
  
4. For females- Mineral make up is recommend, over make up that contains parabens. 
  
For the best results, consult a dermatologist for both medical and laser treatment options. 
  
Kind regards.
  
Dr Davin S. Lim.
  
Laser Dermatologist.
  
Brisbane, Australia.

Is there a skin care routine that would help me get rid of face redness caused by rosacea? (photos)

Answers (7)

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