Rosacea Treatment

Rosacea is a chronic inflammatory condition usually limited to the central face. Rosacea symptoms can vary a great deal, but they commonly involve a considerable amount of flushing from widened blood vessels, which are called telangiectasia. Often, small pustules (pimples) are present as well, hence the name “acne rosacea.” Rosacea symptoms occur almost exclusively in adult life and most often begin between the ages of 30 and 50 years. The course of rosacea has a tendency to be rather chronic with flares and remissions that are generally unpredictable. Our experienced physician, Dr. Shehla Ebrahim, can develop a customized treatment plan during your initial consultation based on your symptoms.

Topical antibiotic lotions are often used in rosacea treatment, in conjunction with systemic antibiotics. Unfortunately, these therapies are not effective in all patients, especially those with moderate to severe rosacea symptoms. While there is no cure for this common condition, there are a multitude of techniques that may be able to offer you considerable relief.

Melasma Treatment
For more information about treatments for rosacea, or to schedule a complimentary consultation with Dr. Ebrahim, please contact us today.

Photorejuvenation/ IPL

IPL (intense pulsed light), also known as photorejuvenation, is an innovative, non-invasive aesthetic enhancement technique that involves high-intensity pulsations of light (not lasers) passing through the skin. This method is considered non-ablative, meaning no skin will be removed. Benefits typically include smoother, more revitalized skin, improved texture, and a reduction in pore size.

This breakthrough treatment involves directing energy to the treatment area. The energy will be delivered to both superficial and deep layers of the skin, sparing the epidermis (top layer). As a result, damaged skin will be exfoliated away and collagen production will be stimulated on the skin’s surface. Furthermore, the treatment typically can be used effectively on the face, neck, chest, and hands.

The light used in photorejuvenation does not contain harmful UV waves and is considered to be a very safe, effective, and established treatment for a number of benign skin conditions.

Laser Genesis

An innovative laser skin treatment system, Laser Genesis employs a non-invasive technique that is designed to diffuse redness, as well as reduce the appearance of wrinkles, diminish pore size, and even skin tone and texture. Results are often immediately visible, with benefits often accruing with each additional session. Unlike harsher modalities, Laser Genesis typically produces little to no side effects and does not require the use of anesthetic.

Laser Genesis will be performed in a comfortable, relaxing environment. During treatment, thermal energy will be delivered deep into the dermis (skin), typically leaving the surface layer unharmed. The targeted heat causes the body to react by dilating the capillaries, which reduces redness, and producing collagen for gradual, natural-looking rejuvenation.

Cosmeceuticals

Best Topical Treatment: Metronidazole (available only by prescription)
Other Topical Treatments: Azalaic AcidSulfacetamide

Pyrethrin

Benzoyl Peroxides

New Topical Treatment for erythema: NADH
Best Oral Treatment: Oral antibiotics such as erythromycin, tetracycline and Minocin
Treatment for Vasoreactivity: Clonidine (an anti-hypertensive) which can decrease facial temperature by 10C and has been used to treat flushing.

Other treatments for rosacea may include Rilmenidine (developed by Hyperium), which is designed to treat hypertension and aid in the reduction of flushing. Topical NADH and its derivatives, such as 1- methylnicotinamide (MNA), may also prove beneficial. They have been shown to reduce redness, papules, and pustules but cannot affect telangiectasia. The mechanism of action presumably is due to the anti-inflammatory action.

It’s important to note, the only currently effective means of treating telangiectasia is with laser and light therapy.

In most cases, the best treatment for rosacea will be a combination approach, including topical agents, systemic/topical anti-inflammatory agents, avoidance of provocative behaviors—cold and heat extremes, spicy foods, caffeine, alcohol, excess sun exposure—and laser/light therapies to reduce telangiectasia and erythema. During your initial consultation, Dr. Ebrahim will examine your areas of concern, discuss your experience, and create a customized treatment plan based on your unique anatomic needs and expressed goals.

If you would like additional information about rosacea and the available treatments, or if you would like to schedule a complimentary consultation with Dr. Ebrahim, please contact our office today.

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