ROSACEA

Rosacea is an inflammatory process of unknown cause. People affected by rosacea may have facial erythema, telangiectasia, papules and pustules, or sebaceous hyperplasia of the nose (rhinophyma). Effective medical treatment is available for the papular and pustular components. The telangiectasia and rhinophyma may be with lasers or surgically.

Rosacea Program

Stop or taper off all topical corticosteroids. If not already using, immediately begin using a good sunblock (SPF 30 or higher), and avoid sun exposure as much as possible.  Sunscreen used should be noncomedogenic. A good alternative would be to use a moisturizing cream with UVA coverage.  Avoid consumption of alcohol.

For mild-to-moderate papulopustular rosacea, topical metronidazole 0.75% cream or gel twice daily or 1% cream once daily is recommended. For moderate-to-severe papulopustular rosacea, an antibiotic is prescribed (oral tetracycline 250 mg to 500 mg twice daily, or doxycycline 50 mg to 100 mg once daily).  Cases of mild rosacea may be controlled with topical antibiotics, such as clindamycin.  For mild papulopustular rosacea, creams or washes containing sodium sulfacetamide and sulfur can be very effective alone, or as an adjunct to oral antibiotics. Avoid products with tretinoin and benzoyl peroxide.

Laser therapy is used for both the persistent erythema and the telangiectasia. Laser ablation may also be used for the treatment of rhinophyma. Our facility offers a treatment series of PhotoGenesis and LaserGenesis in that is very effective improving and controlling of Rosacea, along with a carefully selected skin care regiment.