Now we are offering TELEMEDICINE services Please call our office or email for details

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 I get rid of acne rosacea permanently?

Acne rosacea cannot be gotten rid of permanently. It will require an individually designed treatment plan. This may include prescription topical treatment oral treatment or a combination of both. It will also require a rosacea skin care regimen individually designed for you as well as a rosacea treatment diet explaining the foods that will trigger your rosacea.

How can my acne rosacea be treated?

Dr. Jaliman designs the best rosacea skin care regimen for you because there are many different treatments depending upon the severity of the rosacea. A low dose time-released antibiotic can be taken by mouth. There are also a variety of topical treatments that are very effective. They may contain the following ingredients metronidazole, niacinamide, azelaic acid or medical grade honey. These are specially formulated in a non-irritating cream or serum that are available in our office. Each regimen is uniquely designed for your skin. Every step of the regime is important, even the cleanser. So each step is discussed in detail. People with rosacea have very delicate, sensitive, reactive skin and she helps choose the best rosacea treatment whether they are prescription, or over-the-counter products for rosacea.

Can laser treat Acne Rosacea?

The redness can also be effectively treated with lasers. There are three lasers that we use in our office for acne rosacea. The main laser is the Genesis laser, a 1064 YAG laser which calms down the redness. This usually requires a series of 4 to 6 treatments performed two weeks apart. The treatment shrinks pores, reduces inflammation and helps to decrease the redness in the skin. It has no downtime. Another laser that we use for acne rosacea is the Limelight laser which helps to even your skin color. 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 within one week as the skin sheds the top layers of sun damage. Tinted sunscreen or make up 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 self tanner for two weeks prior to the treatment. A broad-spectrum sunscreen with an SPF 30 or above must be used following the treatment.

There is a third laser that can be used if you have individual broken blood vessels causing the redness in your skin. This is called the CoolGlide laser. A series of one to three treatments may be needed. They should be scheduled four weeks apart.

Red and blue lights may also be used to minimize inflammation.

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 prescription treatment for acne rosacea. It is a topical foam containing 1.5% minocycline, an antibiotic. It is called Zilxi. My patients have found it very effective as it helps reduce the redness and decrease the bumps and blemishes.

Are there other prescription treatments for acne rosacea?

Soolantra which is made of 1% Ivermectin is a safe and effective topical treatment which minimizes redness. We also use Oracea, a low dose oral antibiotic which treats the inflammation. It is 40 mgs of doxycycline specifically formulated for rosacea.