Rosacea Treatment in NYC by a Board-Certified Dermatologist

If your skin turns red easily, especially on the cheeks, nose, forehead, or chin, you may be experiencing symptoms of rosacea—a chronic inflammatory skin condition that affects millions of people.

In rosacea, the small blood vessels (capillaries) in the skin are hypersensitive and prone to dilation, which results in facial flushing and persistent redness. This reactivity can be triggered by heat, sun exposure, spicy foods, alcohol, or emotional stress.

The condition is also associated with chronic inflammation, which increases blood flow to the skin and further contributes to redness and irritation. Over time, repeated episodes of flushing can cause blood vessels to become permanently visible on the skin—a hallmark sign of rosacea known as telangiectasia.

If you’re noticing increased facial redness or sensitivity, especially with known rosacea triggers, it’s important to consult a board-certified dermatologist for an accurate diagnosis and effective treatment.

Yes, rosacea can be hereditary. If you have a family history of rosacea, your risk of developing the condition is significantly higher. While genetics alone don’t guarantee you’ll get rosacea, they do play a major role—especially when combined with other contributing factors.

People with fair skin, particularly those with Fitzpatrick skin types I and II, are more likely to develop genetic rosacea. Though women are diagnosed more frequently, men often experience more severe rosacea symptoms, including thickened skin (phymatous rosacea).

The exact cause of rosacea remains unclear, but current research suggests a combination of genetic predisposition, immune system overactivity, and environmental triggers. Some of the most common biological factors associated with rosacea include:

• The presence of H. pylori bacteria in the gut
• High density of Demodex mites on the skin
• An abnormal response in the innate immune system

If you suspect your facial redness or sensitivity may be hereditary, it’s important to consult a board-certified dermatologist like Dr. Debra Jaliman in NYC. Early diagnosis and customized treatment can help manage symptoms and prevent progression.

Rosacea is a chronic inflammatory skin condition that affects an estimated 5% of the general population, though many people don’t realize they have it. As a New York City dermatologist, I often see patients who come in with persistent facial redness, believing it’s simply sensitive skin or a stubborn rash. In reality, it’s often undiagnosed rosacea—and they’re understandably frustrated.

Rosacea most commonly develops in adults between the ages of 30 and 50. While it can affect anyone, it is most prevalent in:

• People with fair skin, especially those with Celtic or Northern European ancestry
• Women, who are more likely to be diagnosed (though men tend to have more severe symptoms)
• Individuals with a family history of rosacea, as the condition can be hereditary
• People with a history of smoking, which is associated with a higher risk of inflammatory skin conditions

For many, rosacea symptoms go beyond redness. Acne rosacea, a subtype, includes papules and pustules that resemble breakouts—often leading to embarrassment, reduced self-confidence, and social withdrawal. Men, in particular, may struggle more with the cosmetic impact because they’re less likely to use makeup to conceal the redness or breakouts.

If you’re experiencing persistent redness, flushing, or acne-like bumps, you may be dealing with undiagnosed rosacea. A consultation with Dr. Debra Jaliman, a leading rosacea specialist in NYC, can help you get the right diagnosis and start an effective treatment plan.

Acne rosacea, more commonly referred to as rosacea, is a chronic inflammatory skin condition that can present with a range of visible symptoms. Because rosacea can mimic other conditions like acne, eczema, and seborrheic dermatitis, it’s important to see an experienced NYC dermatologist for an accurate diagnosis and customized treatment plan.

At Dr. Debra Jaliman’s Upper East Side dermatology office, patients often come in with these common signs of rosacea:

Most Common Rosacea Symptoms:

• Facial Redness: Persistent redness in the central face—especially the cheeks, nose, forehead, and chin—is one of the most recognizable signs. It often looks like a flush or sunburn that doesn’t go away.
• Pimple-Like Bumps: Patients may develop papules and pustules—red, acne-like bumps that can be pus-filled. While they resemble acne, they do not involve blackheads or whiteheads.
• Burning or Stinging Sensation: A burning or stinging feeling on the face is common, especially during flare-ups. The skin may feel tender, irritated, or warm to the touch.
• Eye Irritation (Ocular Rosacea): Some patients experience red, dry, itchy eyes or a gritty sensation. This type of ocular rosacea can lead to blurred vision or eye complications if left untreated.
• Thickened Skin: In advanced cases, particularly in men, rosacea can cause skin thickening around the nose, known as rhinophyma.
• Facial Flushing: Frequent flushing episodes triggered by spicy foods, alcohol, hot beverages, heat, or stress are a common early symptom.
• Facial Swelling: Some individuals develop facial puffiness or swelling, especially around the eyes or cheeks, contributing to discomfort and changes in facial contours.

When to See a Dermatologist

Since rosacea symptoms vary from person to person, not everyone will experience all of these signs. If you have any of the above symptoms or persistent facial redness, it’s important to consult a board-certified rosacea dermatologist in NYC. Early diagnosis and tailored treatment can prevent symptoms from worsening and improve your skin’s appearance and comfort.

Rosacea is a chronic inflammatory skin condition that affects over 16 million Americans. To better guide diagnosis and treatment, dermatologists classify it into four main subtypes, each with distinct symptoms. However, many patients experience overlapping features, making it essential to have an experienced dermatologist—like Dr. Debra Jaliman in NYC—evaluate your skin and create a tailored treatment plan.

1. Erythematotelangiectatic Rosacea (ETR)

This subtype is characterized by persistent facial redness, frequent flushing, and visible blood vessels (telangiectasias), particularly on the cheeks and nose. The skin may feel sensitive or warm to the touch.

Treatment may include:

• Topical vasoconstrictors (e.g., brimonidine)
• Laser or light therapies to reduce redness and capillaries
• Anti-inflammatory skincare products

2. Papulopustular Rosacea (Acne Rosacea)

Often mistaken for adult acne, this subtype involves red bumps, pustules, and inflammation, especially in the central face. Unlike acne, it typically doesn’t include blackheads or whiteheads.

Treatment may include:

• Prescription topical and oral antibiotics (e.g., metronidazole, doxycycline)
• Azelaic acid or ivermectin cream
• Customized skincare to reduce flare-ups

3. Phymatous Rosacea (Rhinophyma)

Phymatous rosacea causes skin thickening, most commonly around the nose (rhinophyma), but it can also affect the chin, forehead, and ears. This subtype occurs more often in men and may worsen over time without treatment.

Treatment may include:

• Laser resurfacing or radiofrequency treatment
• Electrosurgery
• In severe cases, surgical removal of excess tissue

4. Ocular Rosacea

Ocular rosacea affects the eyes, leading to redness, dryness, a gritty feeling, or burning sensations. Some patients experience blurred vision or swollen eyelids. This subtype may occur with or without visible skin symptoms.

Treatment may include:

• Oral antibiotics like doxycycline
• Artificial tears or medicated eye drops
• Referral to an ophthalmologist for co-management

Certain foods are known to trigger rosacea flare-ups in many individuals. While triggers vary from person to person, avoiding or limiting the following common rosacea-triggering foods can help reduce facial redness, inflammation, and flare severity:

• Cheese, especially aged varieties
• Chocolate
• Spicy foods like chili peppers, jalapeños, hot sauce, and Tabasco
• Cinnamon
• Citrus fruits, including oranges, lemons, and grapefruits
• Soy sauce
• Vanilla (natural or artificial)
• Tomatoes and tomato-based products
• Caffeinated beverages, such as coffee, tea, and cola
• Hot drinks – allow them to cool slightly before consuming
• Alcohol, especially red wine and beer (white wine is often better tolerated)

If you’re managing rosacea symptoms, consider keeping a food diary to identify your personal dietary triggers and discuss them with your dermatologist.

Certain weather conditions can trigger rosacea flare-ups, especially for people with sensitive skin. Managing exposure and preparing your skin can reduce the frequency and severity of symptoms.

Common weather triggers for rosacea include:

• Sun exposure – UV rays are one of the most common rosacea triggers. Always wear a broad-spectrum SPF 30+ sunscreen.
• Hot weather – Heat and sweating can worsen facial redness and inflammation.
• Cold weather – Harsh winter air and wind can dry out the skin and trigger flare-ups.
• Wind exposure – Windburn and irritation may worsen rosacea symptoms.
• Humidity extremes – Both high humidity and very dry air can disrupt your skin barrier and aggravate rosacea.

To minimize flare-ups, wear protective clothing, avoid peak sun hours, and use gentle, hydrating skincare.

Many people with rosacea find that certain skincare ingredients trigger flare-ups. Choosing the right products is essential for calming and protecting sensitive skin.

Skincare ingredients and habits that may trigger rosacea include:

• Fragrances – artificial or even natural scents can irritate rosacea-prone skin.
• Alcohol-based products – often found in toners and astringents, these can be drying and inflaming.
• Menthol, camphor, and eucalyptus – common in “cooling” products, but often too harsh for sensitive skin.
• Exfoliating acids – such as glycolic or salicylic acid, which may cause stinging and redness.
• Harsh scrubs – physical exfoliants can worsen irritation.
• Hot water – use lukewarm water when cleansing the face.

Stick to fragrance-free, non-comedogenic, and dermatologist-recommended rosacea skincare products to keep your skin calm and protected.

Emotional stress and lifestyle habits are often overlooked but powerful triggers for rosacea flare-ups. Managing these factors can make a significant difference in reducing redness, inflammation, and discomfort.

Common Rosacea Triggers from Stress and Daily Life:

• Emotional stress – Anxiety, tension, or strong emotions can cause facial flushing and worsen rosacea symptoms.
• Exercise – Intense workouts that raise your body temperature may lead to flare-ups. Choose moderate exercise and stay cool.
• Overheating – Hot baths, saunas, and steamy environments can dilate blood vessels and trigger facial redness.
• Sleep deprivation – Lack of quality sleep may stress your body and aggravate skin inflammation.
• Poor diet – Diets high in sugar, processed foods, or inflammatory ingredients may worsen rosacea.
• Alcohol consumption – Especially red wine, which is a well-known rosacea trigger. Opt for white wine if drinking.

Managing stress through relaxation techniques, gentle physical activity, and a rosacea-friendly routine can help you regain control over your symptoms.

If you’re managing rosacea, avoiding certain environmental, lifestyle, and skincare triggers can help minimize rosacea flare-ups and keep your skin calm. Here are common culprits that may worsen rosacea symptoms:

Temperature & Climate Triggers

• Hot showers, steam rooms, saunas, and hot baths can cause facial flushing.
• Cold weather, strong winds, and direct sun exposure often aggravate sensitive skin.

Tip: Protect your face with a silk scarf (not wool), wear a wide-brimmed hat, and use broad-spectrum sunscreen daily.

Emotional & Physical Triggers

• Stress, anger, anxiety, and embarrassment can all trigger rosacea flushing.
• Strenuous exercise, chronic coughing, and straining may worsen symptoms.

Tip: Gentle exercise and stress reduction techniques like meditation can help.

Medication Triggers

• Niacin (Vitamin B3), nitroglycerin, and certain blood pressure medications are known to trigger flushing.
• Topical corticosteroids and strong retinoids may irritate rosacea-prone skin.

Hormonal Triggers

• Menopause and hormonal changes can lead to increased facial redness and sensitivity.

Skincare & Product Triggers

• Avoid fragranced lotions, essential oils, and alcohol-based products (including toners and astringents).
• Steer clear of exfoliating scrubs, retinoids, glycolic acid, and lactic acid.
• Ingredients like sodium lauryl sulfate (in shampoos and foaming cleansers), menthol, heavy oils, shea butter, and makeup with comedogenic ingredients can worsen rosacea.
• Even “natural” products may contain irritants—always check the label.

Important: Look for non-comedogenic, oil-free, and fragrance-free skincare. Patch test new products on your arm for several days before applying them to your face.

Environmental & Household Triggers

• Daily exposure to UV light, sun lamps, and indoor heat can increase inflammation.
• Common irritants include household cleaners (like ammonia), hair spray, and perfumes.
• Free radicals and pollution in the air may also aggravate rosacea—cleansing thoroughly every night is essential.

Gentle Skincare Tips for Rosacea

• Use a mild cleanser or micellar water—never scrub your face.
• Wash with a baby washcloth or cotton round, not your hands (fingernails can harbor bacteria).
• Pat skin dry with a towel—never rub.
• Apply a calming antioxidant serum at night to help protect against free radical damage.

Living in a city like New York, where air pollution and environmental stressors are high, can make rosacea harder to manage. To help prevent rosacea flare-ups, consider these dermatologist-recommended strategies:

• Protect your skin daily with a broad-spectrum sunscreen that is fragrance-free and formulated for sensitive skin.
• Use gentle skincare products that are non-comedogenic, alcohol-free, and free of irritants.
• Avoid common rosacea triggers such as spicy foods, hot beverages, and alcohol (especially red wine and beer).
• Wear protective clothing, including wide-brimmed hats and lightweight scarves, to shield your face from UV exposure, wind, and pollution.
• Wash your face every evening to remove environmental pollutants, free radicals, and fine dust particles that can irritate rosacea-prone skin.

Maintaining a rosacea-friendly skincare routine and avoiding urban triggers can make a significant difference in reducing flare-ups.

Absolutely. Practicing stress management is essential for people with rosacea, especially those living in high-stress environments like New York City. Emotional stress is a well-known rosacea trigger that can lead to sudden and severe rosacea flare-ups.

Incorporating stress-reduction techniques into your daily routine—such as meditation, yoga, deep breathing, and mindfulness—can significantly help calm your skin and reduce flare-up frequency. Many dermatologists recommend these holistic methods to complement medical rosacea treatment and improve overall skin health.

Managing stress is a key part of any effective rosacea treatment plan—especially in a busy, urban environment like NYC.

Laser therapy is one of the most effective options for reducing facial redness and visible blood vessels caused by rosacea. It targets dilated blood vessels beneath the skin while preserving surrounding tissue.

Patients with persistent redness, flushing, or visible capillaries are often excellent candidates for laser treatment for rosacea. A dermatologist evaluates skin type, severity, and treatment goals before recommending therapy.

Most patients require multiple sessions to achieve optimal results. The number of treatments depends on the severity of redness and vascular involvement in rosacea-affected skin.

Laser therapy can significantly reduce redness, broken capillaries, and flushing. Many patients experience long-lasting improvement in rosacea-related redness and skin tone.

Rosacea typically affects the cheeks, chin, nose, forehead, and central upper face, causing transient redness and erythema. While it was once thought to be limited to these areas, some experts now believe it can appear on other parts of the body as well.

For a long time, rosacea has been confused with acne vulgaris. Dermatologists recommend that anyone with acne vulgaris see a rosacea specialist before starting treatment, as the differences between these two conditions are significant. According to the University of Arizona study, individuals with rosacea have different follicle sizes than those with acne.

At Dr. Debra Jaliman’s office, we understand how challenging rosacea can be—and we’re here to help. Our personalized treatment plans combine prescription medications, custom skincare, and advanced laser technology to effectively reduce rosacea symptoms. Contact us today to schedule a consultation and take the first step toward calmer, clearer skin.

The exact cause of rosacea flare-ups, including flushing, redness, visible blood vessels, and other symptoms, is not fully understood, even by top rosacea specialists in NYC. However, research suggests that a combination of factors can trigger these symptoms. Lifestyle factors like stress and lack of sleep, medical conditions such as autoimmune disorders, and certain medications can contribute. Additionally, common triggers like spicy foods, fever, alcohol, hot weather, and sun exposure can cause flare-ups, leading to the characteristic redness and irritation associated with rosacea.

Rosacea is a chronic skin condition that primarily affects the face, causing redness, swelling, pimples (pustules), and visible blood vessels. If left untreated, rosacea can worsen over time and lead to more severe complications, such as rhinophyma (thickening of the skin), persistent burning or stinging sensations, and even vision problems in rare cases. While some people experience mild symptoms, others may face long-term damage to the skin and facial deformities. Early intervention is key to preventing these serious effects. Treatments such as antibiotics and laser therapy can help manage symptoms and improve your skin’s appearance. Don’t wait for your rosacea to worsen—consult with a rosacea specialist in NYC to find the right treatment for your condition.

Dermatologist visits for rosacea treatment are often covered by insurance, so it’s recommended to check with your insurance provider to verify your coverage.

Rosacea can significantly impact your appearance and emotional well-being, especially when left untreated. Dr. Debra Jaliman understands the sensitive nature of this condition and offers a personalized approach to care. Your treatment plan may include a combination of prescription oral and topical medications, customized skincare products, and identifying personal triggers.