yes this is rosacea and needs laser treatments. you can start accutane anytime in our practice. start enlighten peels regularly. You need proper skincare with skincare lines like faith (specifically the essence serum clay mask and moisture enrich lotion), Restorsea liquid gold and 10x cream, Sente dermal repair cream and 24 hour bio complete serum. At home peels like emerageskin AERIFY with LED light therapy like lightstim can make a big difference. In office, redness is treated with 1. vascular lasers (excel v, vbeam, BBL, IPL, Aerolase, yellow laser) 2. Aquagold or micro ampule infusion (botox topically) 3. microsecond yag lasers (laser genesis, Aerolase) 4. proper medical grade skincare (faith, Restorsea, sente, emerageskin) and LED therapy (light stim) 5. non ablative, low level, low density lasers (clear and brilliant) 6. nano fractional RF (venus viva) see an expert for a full workup. Best, Dr. Emer.