Rosacea can present in a number of different ways. One common type of rosacea affects the fine blood vessels in the skin, resulting in flushing, redness of the skin and visible fine vessels. This vascular form of rosacea is caused by the blood vessels being more responsive to or receiving to many nerve signals. Traditional medical therapies, such as anti-inflammatory antibiotics are often ineffective for this redness.
We treat flushing, redness and visible vessels with our BBL. With the BBL, the enlarged blood vessels absorb the energy of the BBL light pulse, which heats them and results in a mild injury to their lining. This injury then stimulates the blood vessel to shrink to its normal size. We carefully select the correct wavelengths and settings to maximize the amount of energy the blood vessels receive, while minimizing any absorption to the surrounding skin.
In some patients with flushing, we augment the BBL treatments with microbotox injections. Botox blocks the release of a chemical called acetylcholine from the nerve endings. Acetylcholine can be an important trigger of flushing in some patients, and as a result Botox can be effective in reducing flushing. The Botox is injected in very small doses into the deeper layer of the skin where the vessels are located to give the desired result.
There are also a number of topical medications that can be helpful with flushing and redness.