Cosmetic & Laser Surgery Institute | Acne Rosacea
Led by Dr. Diana Parnell, dermatology practice located in Marin County, CA offering the latest in medical and cosmetic dermatology
16323
page-template,page-template-full_width,page-template-full_width-php,page,page-id-16323,page-child,parent-pageid-16307,qode-quick-links-1.0,ajax_fade,page_not_loaded,,qode_popup_menu_push_text_right,overlapping_content,footer_responsive_adv,qode-child-theme-ver-,qode-theme-ver-11.0,qode-theme-bridge,wpb-js-composer js-comp-ver-5.1.1,vc_responsive
 

Acne Rosacea

Acne rosacea is a common, chronic skin condition that affects both men and women.  There are four main types of rosacea:

  • erythro-telangiectatic (redness with dilated blood vessels)
  • papulo-pustular
  • phymatous (thickening of the nose (rhinophyma) or chin (gnatophyma, and
  • ocular (involving the eyelids)

Rosacea usually presents in fair skinned adults after the age of 30. Typically, a person may have had parents or grandparents with the same symptoms. It may begin with intermittent flushing of the medial cheeks, nose, or chin. One or any combination of these areas may be involved.  Over time the flushing becomes a persistent redness with many small permanently dilated blood vessels known as telangiectasia. It can also progress to include full-blown acne with papules (small, red, solid bumps), pustules (white heads), and cysts.  More severe or advanced cases of acne rosacea can also cause thickening of the skin on the chin (gnatophyma) and/or nose (rhinophyma). Examples of individuals with rhinophyma are W.C. Fields and Jimmy Durante. The eyes may also be affected in up to one third of patients.  This is manifested by redness on the eyelids and/or white part of the eyes.

Acne Rosacea

Acne Rosacea

Acne Rosacea
Acne Rosacea

Acne Rosacea

Acne Rosacea
Acne Rosacea with Rhinophyma

Acne Rosacea with Rhinophyma

Acne Rosacea with Rhinophyma

Since acne rosacea is a chronic skin condition, the symptoms may come and go and can vary in severity. The best treatment includes early diagnosis and maintenance of treatment in order to halt progression of the disease.

 

There are many options to treat and control acne rosacea. Rosacea can be treated with several topical medications. Some oral antibiotics such as doxycycline are also anti-inflammatory and decrease inflammation, reduce severity of the acne, minimize redness and may halt disease progression. Isotretinoin can cure acne rosacea and may even halt the progression of rhinophyma. Mirvaso (brimonidine tartrate gel) applied every morning will markedly decrease redness in 90% of rosacea patients. Lasers such as the Excel V™, Genesis V™, VariLite™, and the Intense Pulse Light™ will reduce redness and dilated blood vessels. If the acne rosacea has progressed to thickened skin on the nose and chin, laser resurfacing can restore the skin’s appearance to normal.

To learn more about the services we offer or to schedule an appointment, contact The Cosmetic & Laser Surgery Institute today!