Will Ulthera Intensify/worsen People with Rosacea?

Question

Hi, I have Rosacea and would like to know if Ulthera tends to intensify the redness/rashes? I have seen people's faces flared up post-Ulthera and am concerned that it will be make my symptoms worse. Please advise. Thank you.

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy works well in collagen rich skin such as those patients with rosacea. Our office tends to customize Ulthera treatments based on skin type and fascial laxity. Raffy Karamanoukian, Los Angeles

Sabrina Fabi, MD · Answer

There have been no studies to support that Ultherapy worsens rosacea. Ultherapy penetrates much deeper than the vessels responsible for the redness seen in rosacea. If one has rosacea, it is possible to notice some transient flushing after treatment, but this is typically temporary.

Ron Shelton, MD · Answer

Although there is no direct cause and effect with Ultherapy causing rosacea, anyone who has rosacea can have a flare at different times in their life. Sometimes triggers are well known to that person and other times the patient is not aware as to what brings on flushing or new blemishes.  Stress is one trigger for many people and having Ultherapy can be stress from the fear of the unknown, the discomfort or other reasons.

	I have not had a patient of which I am aware whose Rosacea flared after Ultherapy, but I can not imagine if one did, that it would take long to reverse itself provided the patient used their rosacea medicine.

	The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Stephen Prendiville, MD · Answer

I have not seen a worsening or any change in symptoms for those patients who have had Ultherapy and have rosacea.

A. David Rahimi, MD · Answer

Dear patient, I have seen 2 patients whose Rosacea flared for a few days after Ultherapy. They both returned back to their controlled skin after a few days. Ultherapy heats up the deeper and sometimes more superficial layers of the skin (depending on which of the 4 hand pieces are used). Heat and stress are common triggers for Rosacea.Please make sure your doctor gives you a topical Rosacea cream to prevent a temporary flare.I use Cleocin T lotion or Metrogel.yours Dr David R

Michael A. Persky, MD · Answer

Hi Happy,

	Though Ulthera and Ultherapy are not intended to treat Rosacea, we have had a few of our patients with Rosacea report that their skin color improved after their treatment.  We have not seen any occurrences where Rosacea flared or worsened after Ultherapy.  Good luck and be well.

	Dr. P

Lana Kashlan, MD · Answer

Ultherapy should not exacerbate your rosacea as this is a
procedure that is focused deep to the skin. However, immediately after the
procedure, it is not uncommon to have some redness or flushing of the skin
which is temporary and most commony lasts no more than a few hours.

Hratch Karamanoukian, MD, FACS · Answer

Ultherapy patients who have rosacea will experience some more redness (erythema) with Ultherapy as it does increase inflammation in the skin - this is common and goes away and temporary - experienced Ultherapy providers with customize your treatments and use less energy to reduce this effect.

Will Ulthera Intensify/worsen People with Rosacea?

Answers (8)

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