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Goldenberg Dermatology, PC

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Rosacea is a chronic condition primarily of the facial skin that is characterized by redness, flushing, acne flare-ups and remissions. Redness may occur on the cheeks, nose, chin or forehead that may come and go. In some cases, rosacea may also show up on the neck, chest, scalp or ears. Although rosacea can affect all skin types, individuals with fair skin are more at risk, and it is more common in women. While there is no cure for rosacea and the cause is unknown, treatment to improve this condition is possible.

Many triggers of rosacea exist. These include the following: 1. Foods – spicy foods, hot beverages (such as hot coffee or tea), tomatoes, alcoholic beverages and red wine in particular, citrus fruits, and many others. 2. Climate – extremes of hot or cold weather, UV/Sun exposure, polluted air. 3. Stress and anxiety. 4. Harsh skin care products. Other factors may also exist for some patients. Avoiding and minimizing triggers is very important.

Treatment of breakouts (pimples and pustules) can be accomplished by using topical creams or oral antibiotics. These treatments are highly effective for most patients. Another way to treat the acne breakouts of rosacea is with Blue Light (PDT) – see below. This is a highly effective way to treat this condition that may offer a longer period of remission.

The redness of rosacea can also be treated. While one topical agents are available, these products do not work as well as laser procedures and may actually make the redness worse. V-Beam Laser is a highly effective and virtually painless procedure that can improve the overall redness and dilated blood vessels of rasacea.

Top 5 ways to manage Rosacea can be found here.


Dr. Goldenberg gives his tips and advice on Rosacea treatment.

Blue Light (PDT)

Photodynamic blue light therapy (PDT) is a non-invasive method used to treat rosacea and other skin conditions. A special light-sensitive medication called AminoLevulinic Acid (ALA) is applied to the skin affected and allowed to remain there. Then the blue light is directly to the skin and the cells that have absorbed the medication respond. The application of ALA followed by the exposure of specific blue light causes selective destruction of targeted cells. Many patients can achieve excellent results with a course of treatments using ALA and pulsed light.


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