Please help! I suffer from severe acne rosacea! How to clear up my face? What treatments could work? (photos)

I suffer from severe acne rosacea for 2.5 years with some clearer periods. I was diag. with ulcerative colitis 2.5 years ago and then my skin broke out all over painful cystic pimples/pustules. Went to many dermatologists. No help! Then BP cleared me up. Now breaking out again + extremely oily clogged skin. Done 1 IPL +on finacea- soolantra was horrible, tried skinoren, doxy,(colitis flare) differin ,Severe Bp irritation+ permanent red skin tone :( every pore on my face is clogged. Help please!

Doctor Answers 5

Clear Skin After Rosacea

This can be treated with isotretinoin, pulsed dye laser treatments and salicylic acid peels.  I suggest you see a well trained cosmetic dermatologist who specializes in lasers, scaring and acne/rosacea.  Best, Dr. Emer.

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Rosacea Treatment

Thank you for your photos. Treating Rosacea depends on the type of Rosacea you have.

The following are subtypes of Rosacea:

Subtype 1 – flushed, red facial skin, facial spider veins, sensitivity, and dry skin

Subtype 2 – acne breakouts, very red skin, oily skin, sensitive skin

Subtype 3 – rare type of rosacea with bumpy portions of skin, especially on the nose, and oily skin

Subtype 4 – affects the eyes causing burning, stinging, blurry vision, and dryness

There are a variety of methods used to treat Rosacea including photodynamic therapy and the Cynergy pulsed dye laser. This laser is FDA-approved and revolutionary at removing redness and scars from your skin. For more information, I recommend getting a in person consultation with a board-certified dermatologist.


Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Rosacea and acne together.

I suspect you have both rosacea and acne. 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

2. Creams - anti inflammatory

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. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 75 reviews

Acne Rosacea

Hi ESLK.  In the past, we have been successful with pulsed dye lasers for acne Rosacea.  Unfortunately, IPL is not a laser and does not have the same capability as a pulsed dye.  If you are not interested in the medication route, this would be where we would direct you.  

See the photos of other Los Angeles patients at the link below that we have treated for Rosacea and acne Rosacea with pulsed dye lasers.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews


It appears you have a severe form of cystic acne and you should not take isotretinoin because you have ulcerative colitis. There are many very good treatments and you should see a board certified dermatologist for help

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 4 reviews

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.