Rosacea is a recurring skin disease that commonly appears on the face but can manifest itself in other places on the body. Rosacea causes redness, flushing, and inflammation to arise on the skin's surface. There are several forms of rosacea, including papulopustular rosacea, erythematotelangiectatic rosacea, ocular rosacea, and phymatous rosacea. All present themselves differently and have different treatment options. At Bay Area Dermatology in San Francisco, our team of skin care professionals, including board-certified dermatologists, a physician’s assistant, registered nurses, and estheticians, help patients diagnose and treat rosacea. We use the most advanced pulsed dye lasers - the Syneron Candela Vbeam Perfecta and the Cutera Excel V - to effectively address the signs of rosacea.
Symptoms of rosacea can vary from mild to severe. The tell-tale sign of rosacea is facial redness. In most patients, the central portion of the face is noticeably red. The small blood vessels of the nose and cheeks can swell and become visible. Other symptoms include red and swollen bumps on the face that look similar to acne. Sometimes the bumps are pus-filled. The skin can also feel hot and tender to the touch. Approximately half of rosacea sufferers have eye problems, such as eye irritation, dryness and reddened, swollen eyelids. In rare cases, a patient’s nose will appear enlarged because rosacea can cause the skin of the nose to thicken, which results in a bulbous appearance. Some common symptoms associated with the varying types of rosacea include:
- Papulopustular rosacea: Common symptoms include redness and swollen areas on the face that look like acne-like breakouts.
- Erythematotelangiectatic rosacea: Common symptoms include visible blood vessels along with a red and flushed appearance.
- Ocular rosacea: Common symptoms include red and irritated eyes and swollen eyelids.
- Phymatous rosacea: Common symptoms include thickened skin with a bumpy texture.
Rosacea Treatment Reviews
"During Covid, I had a visit yesterday with Dr. Kathleen Welsh and her nurse, Cynthia, for beauty injections as well as a process to remove the redness from roascia and broken blood vessel's in my face. My experience was wonderful. I was greeted by an assistant in a mask and facial shield at the door who took my temperature. I felt Covid safe in the patient room. All the assistance wore masks. Everybody who treated my face was wearing a mask and shield. My appointment time was honored and I was properly escorted to my patient room. Naturally, the results from my visit are beautiful! I also appreciate Cynthia's sound advice on products to use on my face, as she is very knowledgeable and goes into depth on my morning and evening facial routine. I trust Dr. Walsh with her advice regarding the products to use for my injections, and most importantly, I am extremely satisfied with the results.!!!"- D.B. / Google / Jul 16, 2020
"As an Asian, I know that I have the genetic advantage of looking young for my age. That can be negated by baking in the sun. I decided to stay out of the sun since my late 20s when I finally stopped going to the tanning salon (!!!). I decided rather late in life to finally take care of my skin.I *almost* didn’t want to write this review about Dr. He, fearful that he will get so busy I’ll have to book appointments with him at least a month in advance! Yes, I know that’s selfish of me but I am a little bit proprietary when it comes to good doctors - if I find a doctor who not only has an amazing and compassionate manner AND super knowledgeable in his/her field, I’m a patient for life. I originally went to Dr. He for filler. When I first met him, I couldn’t stop staring at his skin. I wanted my skin to look like his! He told me what he could do for me and not only did he end up educating me about different fillers but suggested different treatments I could get.Because Dr. He is such a good educator about skin, I have gotten various treatments for my rosacea and other issues and have been very happy with everything he suggested."- N.T. / Yelp / Oct 15, 2020
"Dr. Steven Y. He is absolutely amazing! I have visited several dermatology offices around the country and Dr. He is the first to really make a difference and listen to my concerns no matter how big or small. If you have Rosacea (honestly any skin concern run to Dr. He!) I have had 3 vbeam laser treatments by him and always feel at ease under his care. I appreciate his vast knowledge, and attention to detail. I ask many questions and I never feel rushed. He takes his time and really cares about his patients. Just recently he even noticed a mole I had never noticed while he was doing treatments and cares not only about the cosmetic side of dermatology but the true health and safety of your skin. I notice a huge difference in my rosacea and can’t wait to continue more treatments under his care. He has a less is more approach, and patience which I appreciate. Thank you Dr. He for helping my skin glow and making me feel my best without any makeup!"- J.B. / Yelp / Oct 22, 2020
"I am not exaggerating when I say that Dr. Andrea Hui Austin is a LIFE CHANGER. I’ve been seeing her for almost two years now for treatment of my rosacea and acne and skin is clearer than it’s ever been, clearer than I ever hoped it would be. I first started seeing Dr. Austin in 2019, a few months after I turned 31. I’d been diagnosed with rosacea in middle school and had otherwise had fairly clear skin until I reached college. In college, I started breaking out more and more frequently until my acne was basically chronic. Some people in my family had late-bloomer acne, so I told myself it would probably just clear up as I got older, and I tried to take the best care of my skin that I could in the meantime. I tried every OTC treatment under the sun, went on different diets, and saw a series of dermatologists who put me on a range of topical medications and oral antibiotics. Nothing made much of a difference and by my late 20s I’d was so close to giving up and resigning myself to having bad skin for the rest of my life, although it made me feel miserable.That’s when I realized that the one thing I hadn’t tried was seeing a dermatologist who specializes in treating rosacea. I did some googling and Dr. Austin’s name came up again and again, so I scheduled a consult. My expectations weren’t high, given how little luck I’d had before. But Dr. Austin completely blew me away in the consult. Not only was she able to explain why my rosacea was causing these breakouts, but I was blown away by her empathy; she started the appointment by asking me to tell her about my history of rosacea and acne and after I went through the litany of things I’d tried she said, "I’m so sorry you had to go through that." It made me tear up to feel like someone cared and understood how much having bad skin can take a toll on self-esteem.She started me on a routine of oral medication and new topical skincare products, and did an excellent job of answering all my questions and explaining how each product or medication worked and why it was necessary. I noticed a difference in my skin within weeks, and once the breakouts were more under control we began a series of laser treatments to help tame the rosacea. As my skin continued to heal and improve, the treatments became less frequent, and I’m now at the point where I only have them a few times a year. My skin has healed enough that she’s also able to address the scarring I have from acne and, honestly, that’s a milestone I never thought I’d reach until I started working with her. She’s continued to be a thoughtful and kind person, celebrating the milestones with me as my skin healed, remembering details about my personal life, and engaging me in conversation during the treatments; I feel like she really cares.As a bonus, the whole BACD staff is competent, professional, and friendly. They keep things running smoothly, call/email back quickly, and have a very flexible auto-ship program that sends my topical products to me four times a year. BACD has done a sterling job of adapting to the pandemic--they’ve put up signage, spaced out appointments, created physical distance in the waiting room, and changed their payment process so you pay in the treatment room. I’ve noticed some other places get lax with these types of measures as the pandemic has gone on, but BACD has been incredibly consistent, which I appreciate.If you have rosacea and acne, Dr. Austin is your gal. She’s truly and completely changed my skin in a way I never thought possible. I highly, highly recommend her!(The photos I’ve included from her office are from before the acne scarring treatment; the personal photos I included are after one acne scarring treatment. No digital filters, no makeup or concealer in any of these photos!)"- L.S. / Yelp / Jan 18, 2021
"Dr. Austin and team have worked with me on my rosacea and severe keloid scarring for several years. These are skin and body issues that other doctors cannot and will not treat. This clinic specializes in full service patient care. Meaning your medical issue will be addressed as well as the problem that may be causing it. And they work towards restorative care after the treatment. I wouldn’t go anywhere else for my skin needs. If you need basic, cosmetic, or restorative skin care - this is where you need to be! I am leaving this review because people suffering from severe skin issues will need guidance on where to go. And we need this kind of expertise and medical care in the Bay Area."- I.K. / Yelp / Feb 17, 2021
While the exact cause of rosacea is unknown, doctors believe that it’s caused by a combination of hereditary and environmental factors. People of Celtic or Scandinavian ancestry seem to have a higher incidence of rosacea. Patients usually have other family members that suffer from either rosacea or severe acne. People who are prone to have bad acne have a higher risk of developing rosacea. Scientists also believe that immune system overreactions can cause rosacea where a patient’s immune system overreacts to a certain bacterium.
What to Expect
Though there is no cure for rosacea, there are a number of treatment options available, including antibiotics to help with inflammation. Medication is available in a pill form or as a cream, lotion or gel. Our office compounds and dispenses high-quality prescription strength topical gels that effectively combat the symptoms of rosacea. Laser treatments with the Syneron Candela Vbeam Perfecta laser can be used to reduce the appearance of blood vessels and redness around the nose to improve the appearance of rosacea. Typically a series of four to six treatments spaced about four weeks apart are necessary to see best results. Since rosacea is a recurring condition, follow up laser treatments may be required every few months to prevent and treat redness and blood vessels. Our Hydrafacial MD and SilkPeel microdermabrasion treatments are another option using a brush-like tool to exfoliate the top layers of skin.
The severity of the condition can vary and may mimic the symptoms of acne or allergic reactions, but rosacea should be diagnosed and treated properly. With a number of different options available to control and reduce the appearance and symptoms, patients will have greater success if their treatment is customized to their needs. There are a large number of factors that can aggravate rosacea since they increase the blood flow to the surface of the skin. These can include alcohol, spicy foods, hot foods or beverages, sunlight, extreme temperatures, hot baths or showers, stress, embarrassment or anger, strenuous exercise, and certain medications.
Plan Your Procedure
Control Your Rosacea
Rosacea not only has physical symptoms but emotional ones as well. Patients with rosacea may be self-conscious in public and avoids social situations. If you believe you have rosacea, please call our dermatology office to schedule a consultation so that you can put your best face forward today. Our exceptional team offers cutting-edge of treatments that can give you better skin.
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