Rosacea Treatment NYC

In rosacea, the small blood vessels in the skin (capillaries) are more reactive and prone to dilation. This leads to persistent flushing and visible redness, especially on the cheeks, nose, chin, and forehead.

Rosacea is linked to chronic inflammation, which increases blood flow to the skin and contributes to persistent redness.

Yes, rosacea can run in families, and having a close relative with the condition increases the likelihood of developing it. People with fair skin (Fitzpatrick skin types I and II) are more prone, and men often experience more severe symptoms. While the exact cause is not fully understood, genetic factors, immune system response, and environmental triggers like H. pylori bacteria and skin mites all play a role.

This is a condition that affects millions of Americans. It actually affects 5 percent of the general population. Many don’t even know they have it. People come to my office with red faces, 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 if they’re 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 also have breakouts, causing them to avoid social situations. The onset usually occurs in adults anywhere after the age of 30. There is an age range from 30 to 50 when it is most likely to be diagnosed. It can occur in anyone, but a person with fair skin is more at risk. Also, if there are cases of acne rosacea in your family, then you are more likely to develop it, as it can run in families. If you have a history of smoking, that also puts you at higher risk.

Acne rosacea, often called rosacea, is a skin condition that can cause various signs and symptoms. While it's essential to consult a dermatologist for a proper diagnosis and treatment plan, here are some common signs of rosacea:

• Facial Redness: One of the hallmark signs of rosacea is persistent redness in the central part of the face, particularly the cheeks, nose, forehead, and chin. This redness can be mistaken for a flush or sunburn.
• Pimple-Like Bumps: Acne-like bumps, also known as papules and pustules, often develop. These are not true acne pimples but can be similar in appearance. They can be sensitive and sometimes filled with pus.
• Burning or Stinging Sensation: Many people with Rosacea report a burning or stinging sensation in their affected areas, which can be uncomfortable.
• Eye Irritation: Ocular rosacea is a subtype of rosacea that affects the eyes. Symptoms may include redness, dryness, itching, and a gritty eye feeling. In severe cases, it can even lead to vision problems.
• Thickened Skin: Over time, some individuals with rosacea may develop thickened skin, particularly around the nose. It is known as rhinophyma and is more common in men.
• Flushing: Rosacea can cause episodes of facial flushing, which can trigger various factors like spicy foods, alcohol, hot beverages, and stress.
• Swelling: Some individuals may experience facial swelling, particularly around the eyes, making the face feel puffy.

It's important to remember that rosacea varies from person to person, and not everyone with rosacea will experience all of these symptoms. If you suspect you have rosacea or are experiencing any of these signs, it's essential to consult a dermatologist in NYC.

Due to the complexity of rosacea, the condition has been subdivided into subtypes identified by how the skin looks. This division aids in the classification of rosacea. Patients may, however, have symptoms from several different subtypes at the same time.

• Cheese
• Chocolate
• Spicy foods (chili peppers, jalapenos, hot sauce, Tabasco)
• Cinnamon
• Citrus fruits (oranges, lemons, etc.)
• Soy sauce
• Vanilla
• Tomatoes and products containing them
• Caffeine (beverages: coffee, tea, cola drinks)
• Hot drinks (wait for the drink to cool down)
• Alcohol (especially red wine and beer) drink white wine

• Temperature: saunas, steam, hot baths (take cooler showers)
• Weather: sun, heat, strong wind, cold (wear a silk scarf, not wool, to protect the face)
• Emotions: anger, rage, embarrassment, anxiety (meditation can help)
• Activity: exercise, chronic cough, straining
• Drugs: niacin (Vitamin B3), nitroglycerin, some blood pressure medication, topicals (especially corticosteroids, retinoids, alcohol, acetones)
• Menopause (changes in hormone levels)
• Moisturizers or lotions (unless they are oil-free and non-comedogenic)
• Ultraviolet light, sun lamps (apply sunscreen daily, wear a hat)
• Household cleansers (ammonia)
• Hair spray
• Fragrance
• Acids (glycolic and lactic)
• Sodium lauryl sulfate (in shampoo and foaming face cleansers)
• Menthol
• Heavy oils (can clog pores)
• Essential oils (contain fragrance)
• Makeup (containing heavy oils; look for non-comedogenic products)
• products containing alcohol
• Shea butter used for hydration

Test new products for a few days on your arm before putting them on your face. Don't use exfoliating scrubs, loofahs, or harsh sponges. Use calming products and ingredients. Don't wash your face with your hands, as there are bacteria under the fingernails. Use a cotton round or a baby washcloth. Treat the surface of your skin gently. Don't rub your skin to dry it. Pat it dry gently with a towel. Use a mild cleanser to wash with or micellar water. Make certain to clean your skin every night to remove the free radicals and pollutants from the environment before going to bed. It may be advisable to use a gentle product containing antioxidants to guard against free radical damage.

To prevent flare-ups in a city with high pollution levels, consider protecting your skin with broad-spectrum sunscreen, using gentle skin care products, avoiding triggers like spicy foods and alcohol, and using protective clothing like hats and scarves.

Absolutely. Managing stress is vital for acne rosacea patients in New York City. Stress can trigger flare-ups, so incorporating stress reduction techniques like meditation, yoga, and deep breathing into your daily routine can be beneficial.

The redness can also be effectively treated with rosacea laser treatments. There is no surgery involved, and these are quick, easy, in-office services we provide. There are three lasers that we use in our office for rosacea treatments. The main laser is the Genesis laser, a 1064 YAG laser that calms down the redness and improves the facial lesions. This usually requires a number of treatments. A series of 4 to 6 treatments is performed two weeks to four weeks apart. The treatment addresses the signs of rosacea as it shrinks pores, reduces inflammation, and helps to decrease the redness in the skin. It has no downtime and no discomfort or pain. It uses a low level of laser energy, so it is gentle on the skin. It is such an effective laser that we use it for redness in other locations on the body, like the neck, chest, back, and even the legs. Another added benefit of this laser is that it stimulates collagen production, so we find that it gives the skin a glow and even diminishes fine lines and wrinkles. It's one of our lasers that always gets the best reviews.

Another laser that we use for acne rosacea is the Limelight laser, which is an IPL (Intense Pulsed Light) that 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 this procedure. 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. The skin cannot be tanned or artificially darkened, which will affect the laser treatment. Application of a broad-spectrum sunscreen with an SPF 30 or above is recommended for the areas treated following laser therapy. We always recommend sunscreen with a high concentration of zinc oxide (zinc oxide with a concentration of at least 10%). Physical sunscreens are very effective and less likely to aggravate sensitive rosacea-prone skin. Sometimes, the chemicals in sunscreen can inflame the already red, rosacea-sensitive skin. We are experts at finding suitable sunscreen that you can tolerate, and it is essential that you wear sunscreen on a regular basis. There is a lot of research to suggest that UV light plays an essential role in rosacea. It causes inflammation and breaks blood vessels, which contribute to the redness that we see, and some scientists suggest it may even initiate the process.

There is a third laser that can be used if you have broken individual blood vessels, causing 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. Sometimes, patients call a day or two after the treatment, thinking that the treatment didn't work, but it is important to note that it takes a full four weeks with this laser to see the results. Only then can we decide if we need to do another treatment or not.

Red and blue lights may also be used to minimize inflammation. These treatments take 30 minutes and usually require six treatments in total. We do not currently use the vbeam laser or the pulse dye laser. We do not recommend these laser procedures during pregnancy. Insurance does not cover laser treatments for acne rosacea.

Individuals with persistent redness, visible blood vessels, or flushing that haven’t responded well to topical treatments or oral medications.

For the best results, multiple laser treatments are usually needed for rosacea. Most patients require 4-6 sessions. During your in-office appointment, Dr. Debra Jaliman will assess your skin and discuss the details with you.

Laser for rosacea is painless and does not require anesthesia.

After rosacea laser treatment, little to no downtime is needed, and most patients can quickly return to their regular activities. You may experience slight sensitivity or redness for a few minutes after the procedure. In the weeks following treatment, it’s important to apply sunscreen and moisturizer regularly while avoiding excessive sun exposure.

Laser therapy helps reduce facial redness, improve your skin’s appearance, and diminish the visible signs of rosacea. Laser Genesis offers lasting results for a clearer, more even complexion.

Rosacea typically affects the cheeks, chin, nose, forehead, and central upper face, causing transient redness and erythema. While it was once thought to be limited to these areas, some experts now believe it can appear on other parts of the body as well.

For a long time, rosacea has been confused with acne vulgaris. Dermatologists recommend that anyone with acne vulgaris see a rosacea specialist before starting treatment, as the differences between these two conditions are significant. According to the University of Arizona study, individuals with rosacea have different follicle sizes than those with acne.

At Dr. Debra Jaliman’s office, we understand how challenging rosacea can be—and we’re here to help. Our personalized treatment plans combine prescription medications, custom skincare, and advanced laser technology to effectively reduce rosacea symptoms. Contact us today to schedule a consultation and take the first step toward calmer, clearer skin.

The exact cause of rosacea flare-ups, including flushing, redness, visible blood vessels, and other symptoms, is not fully understood, even by top rosacea specialists in NYC. However, research suggests that a combination of factors can trigger these symptoms. Lifestyle factors like stress and lack of sleep, medical conditions such as autoimmune disorders, and certain medications can contribute. Additionally, common triggers like spicy foods, fever, alcohol, hot weather, and sun exposure can cause flare-ups, leading to the characteristic redness and irritation associated with rosacea.

Rosacea is a chronic skin condition that primarily affects the face, causing redness, swelling, pimples (pustules), and visible blood vessels. If left untreated, rosacea can worsen over time and lead to more severe complications, such as rhinophyma (thickening of the skin), persistent burning or stinging sensations, and even vision problems in rare cases. While some people experience mild symptoms, others may face long-term damage to the skin and facial deformities. Early intervention is key to preventing these serious effects. Treatments such as antibiotics and laser therapy can help manage symptoms and improve your skin’s appearance. Don’t wait for your rosacea to worsen—consult with a rosacea specialist in NYC to find the right treatment for your condition.

Dermatologist visits for rosacea treatment are often covered by insurance, so it’s recommended to check with your insurance provider to verify your coverage.

Rosacea can significantly impact your appearance and emotional well-being, especially when left untreated. Dr. Debra Jaliman understands the sensitive nature of this condition and offers a personalized approach to care. Your treatment plan may include a combination of prescription oral and topical medications, customized skincare products, and identifying personal triggers.