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What is Rosacea?

January 26th, 2016 | Category: Acne,Cosmetic,Dr. Goldenberg,Rosacea


People often wonder what exactly rosacea is. The simple answer is: rosacea is a chronic skin condition that appears most often on the face causing the skin to turn red and making it vulnerable to pimples and bumps. However, in certain cases, it can spread to the scalp, eyes and chest and may even make the skin swollen and coarse. This widespread skin condition is chronic and about sixteen million Americans are victims of it. Although it affects all skin types, it is most commonly found in individuals with light skin and affects women more than men.

Unfortunately, there are no permanent cures for rosacea – so, even if it disappears after a treatment, it may resurface at a later time. The good news is that it can be dealt with in several different ways. There are many things which trigger its breakout and different individuals have different reasons that make them likely to develop it.

Rosacea is of different stages and subtypes. Moreover, if left untreated, it can become worse and advance through these stages. The four subtypes are:

  • Facial Redness
  • Pimples and Bumps
  • Thickening of Skin
  • Irritated Eyes


Usually, it begins in the first stage as some redness on the face and sometimes causing blood vessels to become visible. In the second stage it evolves into bumps and pimples. After that, the third phase can results in thickened skin, especially around the nose area – in fact, the nose itself may begin to appear bulbous. Lastly, it spreads from that point and begins to cause an irritation in the eyes.

While there are topical creams and ointments available to treat the symptoms of rosacea, the results unfortunately are not always all that fruitful. This is why at Goldenberg Dermatology, Dr. Gary Goldenberg uses the V-Beam Laser and Blue Light therapy to treat rosacea. Both of these are new and innovative methods of treating a wide range of skin conditions, including rosacea.

If you are a victim of rosacea and are considering treatments beyond the typical over-the-counter products, then please schedule a consultation with Dr. Goldenberg at his New York office.

Top 5 Ways To Manage Rosacea

April 22nd, 2015 | Category: Cosmetic,Dr. Goldenberg,Rosacea


Rosacea can cause physical and emotional harm. Whether it’s pimples and breakouts, or redness and irritation, patients suffer from many symptoms that may wax and wane and get worse over time. But there is hope. Listed below are the top 5 ways to manage rosace based on my experience of treating thousands of patients with this condition.


Many patients get worse with certain triggers. These include hot beverages, spicy foods, sun exposure, heat, citrus fruits, tomatoes, stress, and anxiety. While not all these may cause problems in all patients, paying attention to what may trigger your rosacea is important.


Skin care is very important in rosacea patients. I often recommend avoiding hard products, such as facial scrubs, that may irritate your skin. Instead, use products that are gentle and mild that soothe and protect your skin. I mild soap and moisturizer is a must. Several companies make topical products specifically with rosacea patients in mind. These include La Roche-Posay and Eucerin, among others. Try each product and find out what works for your skin type.


And I mean EVERY DAY! Whether is summer or winter, it’s important to use sunscreen daily. UV is one of the most common triggers of rosacea. For some patients, it doesn’t take a lot of exposure to cause a flare. A simple moisturizer with sunscreen, such as CeraVe AM, should be applied every morning. It should be the first thing you put on your skin. Makeup and other products can be applied over top.


Many treatments are available for the acne rosacea component. These range from topical creams and lotions, to oral antibiotic, and procedures which your dermatologist can do in the office. One of my favorite procedures for pimples of rosacea is called Blue Light (PDT). This procedure is done in the office with little to no downtime. Most patients experience mild redness for a day or two and after that recover nicely. The procedure itself is virtually painless. Packages that combine BLU-U treatment with traditional PDT are usually used.


Many patients complain that redness is the most bothersome symptom of rosacea. This has two components – diffuse redness and dilated (telangiectatic) blood vessels. One of the easiest ways to treat this symptom is to cover it with makeup. I recommend green tinted makeup to patients all the time.  But this is simply a cover up, it’s not addressing the underlying problem. One topical agent is already FDA approved to treatment redness and another one should be coming in the next year or so. My experience with the topical products is that they make redness worse in over 10% of patients. So caution is advised. My favorite way to treat with redness of rosacea is with V-Beam Laser. This is a simple and virtually painless procedure and most patients improve.

For more information, you can read an article I published recently. The reference is below:

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