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04-30-10 | Posted by

Red-faced? Frequent flushing and blushing? Acne-like pimples around your nose and cheeks? You could be suffering from rosacea. As Rosacea Awareness Month comes to a close, we present part II in our rosacea series: treatments that will help you fight the flushing and blushing year round.

Redness is actually a sign of aging and skin thinning – tiny red veins peek through the skin that creates blushing. The hallmark of rosacea, also called “the curse of the Celts,” is facial flushing in response to sun exposure, red wine, spices, smoking, and steam heat. The exact origin is often related to the blood vessels; most people have some broken capillaries and redness around the nose, cheeks, and chin. Hormones play a role in rosacea, and flare ups are more likely during your monthly period or with menopause.

The National Rosacea Society (NRS)  estimates the number of Americans with rosacea is 16 million – which does not include millions more who may be in temporary remission.

Rosacea typically begins between the 30 and 60 as redness on the cheeks, nose, chin or forehead that comes and goes.  Over time, the redness tends to become ruddier and more persistent, and visible blood vessels may appear.  Left untreated, bumps and pimples often develop.  Rosacea is more common in fair-skinned individuals – but almost anyone can have it.


  • Sun exposure
  • Hot or cold weather
  • Wind
  • Alcohol
  • Spicy foods
  • Hot drinks
  • Humidity


  • Redness on the cheeks, nose, chin or forehead
  • Small visible blood vessels on the face
  • Bumps or pimples on the face
  • Watery or irritated eyes


Early diagnosis and treatment are key to controlling rosacea. Treatments range from topical prescriptions, to prescription medications, and laser and light based therapies or a combination. Flushing and spider veins can be treated with a small electric needle, a laser or intense pulse light therapy. Usually, multiple treatments are required for best results and treatment does not prevent new veins for showing up.


PyratineXR Lotion or Cream Clinically proven to relieve redness, soothe irritation, increase moisture and repair damaged skin. Pyratine XR contains cytokinins, plant-based growth factors that can help regulate the skin’s inflammatory response.

Finacea – Finacea gel is an azelaic acid that helps the skin to renew itself more quickly and therefore reduces pimples and bacteria that causes rosacea.

Azelex Cream – Topical azelaic acid based antibacterial that fights bacteria.

Noritate, Metrogel, Metrocream, Metrolotion, Rozex – This category of topical antibiotics is called Metronidazole and fights the infection caused by rosacea.

Klaron Lotion – Sodium Sulfacetamide lotion is also used to control inflammation.


Oracea – The first and only oral therapy that targets the bumps and pimples of rosacea and help get your condition under control, it is taken once daily.

Doryx Delayed-Release Capsules – Tetracycline antibiotic pellets.

Doxycycline, Minocycline, Amoxicillin, Tetracycline – These antiobiotics may all be prescribed to treat rosacea.


Cutera Laser Genesis – By gently heating the upper dermis below the skin’s surface, Laser Genesis simulates collagen regrowth and additional heat is generated in dilated capillaries to reduce redness. A series of Laser Genesis treatments can help keep vascular lesions under control.

Before and After photos depicting treatment results with Cutera Laser Genesis

(results depicted are 3 months after 3rd treatment)

Photo Credit: David Goldberg MD

Cutera CoolGlide Xeo – The CoolGlide Xeo targets the lower layers of the epidermis to treat rosacea and other skin conditions that cause redness. CoolGlide XEO combines two types of laser energy : pulsed light for treating pigmented lesions and long-pulsed Nd: YAG.

Candela V-Beam – Pulsed dye laser and intense pulsed light are the gold standards for zapping the redness of rosacea. V-Beam is a pulsed dye laser that works best for thicker blood vessels, while intense pulsed light treatments work nicely for fine vessels.

Syneron eMatrix Sublative Rejuvenation – Using a combination of Bi-Polar Radio Frequency (RF) and high-power Diode Laser energies for effective treatment of vascular lesions.

Photodynamic therapy (PDT) – PDT uses Levulan (aminolevulonic acid), a topical photosensitizer liquid that is applied to the skin and a blue light to activate it.

If you think you have rosacea, visit www.rosacea.org, or call 1-888-NO-BLUSH.


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