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The American Board of Dermatology

Acne Rosacea

Acne Rosacea is a facial rash usually composed of prominent redness and sometimes pimples as well. It tends to occur in the central part of the face and around the nose, cheeks, chin and/or forehead. Contact us to find out more about Acne rosacea treatment and discuss with Dr. Debra Jaliman at her New York practice.

Get the RED out FAST.

Who gets Acne Rosacea?

This is a condition that affects millions of Americans. Many don't even know they have it. People come to my office with a red face and they're very distressed by it. Some try covering it with makeup and often times they can't even cover it. Imagine how bad it is for men who have Acne rosacea they're certainly not wearing  makeup. It is an inflammatory condition that affects people's  self-esteem and for many people not only do they have redness but they have breakouts causing them to avoid social situations.

What does Acne Rosacea look like?

• Acne Rosacea causes redness of the central face. (nose, cheeks, chin, forehead).
• Visible blood vessels
• Pimples
• Redness of the eyes

Can Acne Rosacea be cured?

Acne Rosacea cannot be cured but it certainly can be treated very effectively with both prescription topical and oral medications.

Can laser treat Acne Rosacea?

The redness can also effectively be treated with lasers. The 2 lasers that we use in our office for Acne rosacea  are the Genesis  laser which is a 1064 YAG laser which calms down the redness. This usually requires a series of treatments anywhere from 3 to 6 treatments performed two weeks apart. The treatment shrinks pores, reduces inflammation and helps to decrease redness in the skin. Another laser that we use for Acne rosacea is the Limelight laser which helps to even the skin tone and texture. The Limelight helps to remove a combination of brown pigment and redness. The brown pigment and redness may darken temporarily following treatment. This typically resolves over 7-10 days while the skin sheds the top layer of sun damage. Moisturizer and makeup can be worn to disguise the appearance of the skin during this period.

It is important that there is no recent sun exposure or use of sunless tanner for 3 to 4 weeks prior to the treatment. A broad-spectrum sunscreen with an SPF of 30 or above must be used following the treatment.

What foods cause Acne Rosacea?

  • Cheese
  • Chocolate
  • Spicy foods
  • Citrus fruits (oranges, lemons, etc.)
  • Soy sauce
  • Vanilla
  • Tomatoes and products containing them
  • Caffeine (coffee, tea, cola drinks)
  • Hot drinks
  • Alcohol (especially red wine and beer)

What are other triggers of Acne Rosacea?

  • Temperature: saunas, steam, bats, sun lamps
  • Weather: sun, heat, strong wind, cold
  • Emotions: anger, rage, embarrassment, anxiety
  • Activity: exercise, chronic cough, straining
  • Drugs: niacin, nitroglycerin, topicals (especially corticosteroids, retinoids, alcohol, acetones)
  • Menopause
  • Moisturizers- unless they are oil-free and non-comedogenic
  • Ultraviolet light

Is there a new treatment for Acne Rosacea?

There is a new FDA approved treatment for Acne rosacea. It is a topical treatment called Soolantra. It works better than the existing medications. It is made of 1% ivermectin. It is anti-inflammatory so that it gets rid of redness and it also seems to get rid of excess mites on the skin. Patients have seen results in as little as 2 weeks and it only needs to be used once daily.