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Shows Rosacea condition on a patient

Rosacea at Pure Dermatology

Rosacea is a skin disease that affects more than 16 million Americans. As a board-certified dermatologist and member of the American Acne and Rosacea Society, Dr. Kate Holcomb is passionate about diagnosing and treating rosacea in all skin types. Dr. Holcomb is both a speaker on rosacea treatments and was involved in the ANSWER clinical trial for combination therapy of FDA approved treatments for rosacea.

At Pure Dermatology it has become evident that a patient’s rosacea may change over time. Some patients will have pimples and pustules, with or without dryness. Other patients may have no bumps, but they will have broken blood vessels or complain of a red face. Patients often complain of very sensitive skin with stinging and burning or red flushing of the face due to certain foods, heat, alcohol, or out of the blue which can be very socially troubling. Perioral dermatitis is another complaint that often responds to rosacea treatment. The common symptoms are bumps and dryness around the mouth or eyes. The eyes can also be affected by rosacea with irritation, dryness, redness or that patients describe a feeling of having something in the eye.

Pure Dermatology recommends that all patients with rosacea use gentle skin products that have no fragrance and always wear sunscreen daily. There are new theories on how heat plays a role in worsening rosacea; therefore, Pure Dermatology recommends that rosacea patients only wear sunscreens that contain physical blockers. These blockers should include, titanium dioxide and zinc oxide which reflect light away from the skin.

Aside from prescribing medications for rosacea, Dr. Holcomb and Dr. Haseltine offer chemical peels and lasers tailored to each patients’ skin needs. Pure Dermatology has extensive experience treating sensitive rosacea skin by leveraging combination therapy.

Treatment Options for Rosacea

Medical grade topical treatments are critical to prevent and treat redness and scarring from rosacea. We offer and help select medical grade cosmeceuticals specific to your skin needs like Avene Antirougeurs Clean Refreshing Cleansing Lotion, ISDIN Eryfotona Actinica Broad Spectrum SPF 50+, and SkinMedica Essential Defence Mineral Shield SPF 35. We are also able to help you get on an anti-aging routine depending on your rosacea and your specific skin needs. Our favorites include skinbetter science AlphaRet Overnight Cream, skinbetter science Alto Defense Serum, and ALASTIN Skincare Regenerating Skin Nectar. 

Excel V is one of our favorite treatments for rosacea in New Orleans. It is highly effective at treating redness and broken blood vessels. The laser heats and eliminates the abnormal vessels, ultimately restoring normal skin tone and color. The settings used for Excel V are unique and customizable and Excel V does not disrupt the skin barrier meaning you can return to normal activities immediately after. However, expect swelling for a number of days depending on the extent of redness, your health, and the quality of your skin. You should expect downtime but this will give the fastest results. Excel V treatments vary from 2-5 treatments spaced 2-4 weeks apart and cost $150-$525 per treatment depending the size of the area treated.

Excel V also treats the following skin concerns:

  • Diffuse redness (red face)
  • Bruising seen after fillers, surgery, or injury
  • Scars
  • Poikiloderma (sun damage)
  • Blue veins under or around eyes
  • Broken blood vessels (Telangiectasias)
  • Acne
  • Acne scarring
  • Large pores
  • Melasma (in specific cases)
  • Pigmented brown lesions or brown spots
  • Folliculitis or hair bumps
  • Laser hair removal in dark skin types 
  • Spider veins
  • Stretch marks (early red color)
  • Leg Veins
  • Cherry angiomas (hemangiomas)

At Pure Dermatology, we offer several peels that are gentle and help to reduce inflammation associated with rosacea.  Salicylic Acid and Mandelic Acid are two common anti-inflammatory peels used to treat rosacea.  They help with active breakouts, prevention of new rosacea, and treatment of scars. As board-certified dermatologists, Dr. Haseltine and Holcomb select peels that are unique to your skin type and need. Superficial peels often cause minimal dryness to a few days of peeling. A series of 5-6 treatments are recommended, spaced 4-6 weeks apart. The cost of superficial peels starts at $150 each and we also have special package pricing for Pure Dermatology Patients.

This pain-free treatment reduces the inflammation in rosacea, treats active breakouts as well as the appearance of pores and redness. Laser genesis is also safe in pregnancy. This restorative treatment is often administered as 5 total treatments done every 2-4 weeks. Treatment costs $275 per treatment or we offer packages of 5 and 10 with discounted pricing.

Radiofrequency microneedling, aka Secret RF, does NOT treat rosacea, but it is one of the few anti-aging procedures that does flare rosacea. It addresses concerns associated with rosacea like large pores and skin quality and it has modest benefit on redness. This type of microneedling has the added benefit of radiofrequency (RF) transmitted as heat into the deep layers of skin resulting in further collagen stimulation and skin tightening. The addition of heat also seals up the blood vessels resulting in no downtime in most patients. Rosacea patients often stay “sunburn pink” a few days after treatment with Secret RF whereas non-rosacea patients look normal the next day. Most patients need 3-4 treatments spaced 4-12 weeks apart and 1-2 maintenance treatments per year.

Secret RF also treats the following skin concerns:

  • Acne scars
  • Dull complexion
  • Sun damaged skin or premature aging
  • Scars from injury or surgery
  • Skin revitalization or adding luminosity to the skin
  • Active acne (especially when combined with topicals)
  • Overall skin rejuvenation
  • Stretch marks also known as striae
  • Large pores 
  • Neck lines (necklace lines)
  • Skin tone and texture
  • Fine lines and moderate wrinkles
  • Blackheads
  • Mild skin laxity
  • Crepey skin of the neck, knees, and upper arms
  • Hyperhidrosis (excessive sweating)

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