Pariser dermatologist examining a patient's facial skin
Medical / Common Concerns / Rosacea

Rosacea, brought
back under control.

A common skin disease that often begins with a tendency to blush or flush more easily than other people. Left untreated, rosacea can get worse.

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Overview

It starts with a flush, and it can spread.

Rosacea (rose-AY-sha) is a common skin disease. It often begins with a tendency to blush or flush more easily than other people.

The redness can slowly spread beyond the nose and cheeks to the forehead and chin. Even the ears, chest and back can be red all the time.

With time, people who have rosacea often see permanent redness in the center of their face, which is why early treatment matters.

Subtypes

Four subtypes, because rosacea is more than redness.

There are so many signs and symptoms that rosacea is divided into four subtypes, and different signs need different treatment.

Erythematotelangiectatic

Redness, flushing and visible blood vessels, most often across the nose and cheeks.

Papulopustular

Redness and swelling with acne-like breakouts, often mistaken for adult acne.

Phymatous

Skin thickens and takes on a bumpy texture, most commonly on the nose.

Ocular

Eyes are red and irritated, eyelids can be swollen, and the person may have what looks like a sty.

Not sure where to start? Start with a visit.

Dr. Buehler performing a facial skin exam at Pariser Dermatology
Diagnosis & treatment

Treat every sign, not just the redness.

To diagnose rosacea, a dermatologist examines the skin and eyes and asks a series of questions about your history and triggers.

To treat rosacea, a dermatologist first finds all of the patient's signs and symptoms. This is crucial, because different signs and symptoms need different treatment.

Treatment for the skin includes medicine applied to the rosacea, daily sunscreen to help prevent flare-ups, an emollient to help repair the skin, lasers and other light treatments, and antibiotics applied to the skin or taken as pills. Thickening skin on the nose and other parts of the face can be removed with lasers, dermabrasion or electrocautery. When rosacea affects the eyes, your dermatologist may give instructions for washing the eyelids several times a day along with a prescription eye medicine.

01

Examine

The dermatologist examines both the skin and the eyes and reviews your history.

02

Identify

Every sign and symptom is catalogued, since each subtype needs different therapy.

03

Treat

Topicals, antibiotics, emollients, sunscreen, and laser or light treatments.

04

Maintain

Learn your triggers, avoid them, and follow a rosacea skin-care plan.

Treatment options

Matched to where rosacea shows up.

Skin

Redness and breakouts

  • Medicine that is applied directly to the rosacea.
  • Sunscreen worn every day to help prevent flare-ups.
  • An emollient to help repair the skin barrier.
  • Lasers and other light treatments.
  • Antibiotics, applied to the skin or taken as pills.
Thickening

Phymatous changes

  • Lasers to reshape and resurface thickened skin.
  • Dermabrasion, a procedure that removes the outer skin.
  • Electrocautery, which sends electric current into the skin to treat it.
  • Ongoing monitoring so changes are addressed before they progress.
Eyes

Ocular rosacea

  • Instructions for washing the eyelids several times a day.
  • A prescription for eye medicine.
  • Coordination with your eye doctor when symptoms are severe.
  • Attention to triggers that worsen eye irritation.

To get the best results, people with rosacea should also learn what triggers their rosacea, try to avoid those triggers, and follow a rosacea skin-care plan.

Answers are one call or one visit away.

Outcome

There's no cure, but treatment changes the course.

People often have rosacea for years. In one study, researchers asked 48 people who had seen a dermatologist about their rosacea: more than half (52 percent) had rosacea that came and went, for an average of 13 years. The rest (48 percent) had seen their rosacea clear, after an average of 9 years.

Some people have flare-ups for life. Treatment can prevent rosacea from getting worse, and can also reduce the acne-like breakouts, the redness, and the number of flare-ups.

Begin your care

Schedule with the practice Hampton Roads has trusted since 1946.

Call (757) 622-6315 or schedule an appointment online to have your rosacea evaluated by a board-certified dermatologist.

Seven Hampton Roads Locations

Wherever you are in Hampton Roads, we're close.

From Norfolk to Williamsburg, seven offices, each staffed with board-certified dermatologists and supported by an in-house dermatopathology lab.

Norfolk · Norfolk, VA
01Norfolk
6160 Kempsville Circle, Suite 200A
(757) 622-6315 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
02Virginia Beach
1248 Perimeter Pkwy. Suite 482
(757) 496-5085 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
03Chesapeake
510 Independence Parkway, Suite 600
(757) 389-5544 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
04Newport News
11842 Rock Landing Dr, Suite 120
(757) 595-8816 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
05Suffolk
3907 Bridge Road, Suite 200
(757) 622-6315 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
06Williamsburg
207 Bulifants Blvd, Suite C
(757) 564-8535 Mon–Thu 8:00a–4:30p · Fri 8:00a–3:00p
07New Town
4808 Courthouse Street, Suite 102
(757) 622-6315 Mon–Thu 8:00a–4:00p · Fri 8:00a–3:00p
Begin Your Care

Schedule with the practice generations of Hampton Roads families have trusted since 1946.

Book online in under a minute, or call the office nearest you. New patients welcome.