Rosacea Treatments In Dallas And Southlake

Medical, Light and Laser Rosacea Treatements in Southlake, Keller and Fort Worth TX

Comprehensive solutions to rosacea management in Dallas and Southlake

What is Rosacea?

Rosacea is a chronic, inflammatory medical skin condition of adults characterized by symptoms varying from periodic facial flushing, facial redness, appearance of broken capillaries and small red, pus- filled bumps.

Rosacea affects over 16 million Americans and most are un-diagnosed. It is estimated that 78% of Americans do not know the symptoms of rosacea.

If left untreated, Rosacea gets worse over time. In most people, rosacea tends to occur in cycles which means there are periods of worsening of symptoms interspersed with relatively asymptomatic periods.

What are the symptoms of rosacea?

  • Redness of face
  • Small, red bumps especially on mid face, nose, cheeks, forehead and chin
  • Enlargement of the nose to a red, bulbous tip over time (rhinophyma)
  • Appearance of tiny blood vessels around nose and cheeks (telangiectasia)
  • 1 in 2 people have symptoms of eye redness, burning or gritty sensation (ocular rosacea)

Who is likely to get rosacea?

Rosacea is more likely to occur in people with :

  • Family history of rosacea
  • Fair skin, and light hair
  • Between the ages of 30 and 60, especially around menopause

What causes rosacea?

While cause of rosacea is uncertain, hereditary and environmental factors are blamed by Scientists to play a role in etiology of Rosacea.

Anything that increases blood flow to the facial skin can exacerbate rosacea, such as:

  • Alcohol consumption
  • Exposure to very hot or very cold temperature
  • Ingestion of hot foods or drinks
  • Spicy foods
  • Direct Sun exposure
  • Certain medications like topical Corticosteroids
  • Medications that dilate blood vessels like some Blood pressure medications
  • Strenuous exercise
  • Hot baths, saunas
  • Emotions like anger or embarrassment
  • Stress may bring on exacerbation

It is important to know that none of the above factors cause rosacea but they can worsen symptoms of rosacea in susceptible individuals.

What can you do to reduce rosacea symptoms at home?

Patient education is an integral part of long term rosacea management. Awareness and avoidance of precipitating factors is critical to reducing flare ups. If you do not know what causes your flare-ups, keep a symptom diary to figure out precipitating factors for your symptoms. These are the general suggestions for our rosacea patients to help manage their symptoms:

  • Improve your overall health by eating well (low glycemic diet, adequate lean protein and good fats) and adding regular exercise to your daily routine.
  • Improve your stress management.
  • Avoid spicy foods and very hot drinks.
  • Reduce alcohol consumption.
  • Avoid prolonged direct sun exposure between 10 am till 4 pm.
  • Always wear broad spectrum sun screen, minimum SPF 30, even when indoors.
  • Avoid direct exposure to very cold dry air.
  • Avoid direct exposure to very hot temperature. Here in Texas, we advise our patients to do their workouts in a climate controlled gym during summer and keep their face cool with a cold wash cloth during workouts.
  • Reduce facial rubbing and massaging.
  • Consider wearing mineral makeup only

When should you see a Doctor?

Unfortunately rosacea tends to worsen over time if left untreated. Please consult your doctor for diagnosis and proper treatment for persistent facial redness.

Common ingredients in over the counter skin care products, such as alpha and beta hydroxy acids, alcohol and other irritants may worsen rosacea. Early diagnosis is imperative to prevent progression and complications

What are the treatment options?

Rosacea cannot be eliminated but a cleverly executed treatment plan can effectively manage signs and symptoms and reduce complications. At Naila Malik MD, we customize treatment plan to accommodate YOUR needs and your unique lifestyle.

The most effective management is achieved through a combination of patient education with lifestyle modification, the right skin care products, prescription medications, both topical and oral as needed and laser treatments to minimize symptoms and complications.


Topical Medications:

Common topical medications used to treat rosacea symptoms are antibiotics such as metronidazole (e.g.Metrocream, Metrogel), tretinoin (e.g. Atralin, Renova,), azelaic acid (Azelex, Finacea). Skin irritation, redness, dryness and stinging are some of the common side effects..

Oral Antibiotics:

Oral antibiotics like Tetracycline, Minocycline, Erythromycin may be used for their anti-inflammatory effect. Stomach pain, diarrhea, nausea or vomiting and photo sensitivity with some of these agents are common side effects.

There are newer antibiotic preparations with lower dose, once a day dosing and enteric coating to minimize stomach irritation

These antibiotics offer the same efficacy as the older generation of antibiotics with fewer side effects and better compliance.

Light Based Treatments For Rosacea

Light based treatments are meant to reduce inflammation and to shrink enlarged capillaries and broken blood vessels to safely and very effectively reduce the symptoms of rosacea such as facial flushing, redness and sensation of heat associated with increased blood flow to face in sufferers of rosacea. Additional advantage of light based rosacea treatments is that, when started at an relatively early stage, they can reduce long term cosmetic implications of  rosacea such as the appearance of large dilated blood vessels, the increased size of the tip of the nose from chronic blood vessel dilation and so forth. For our Dallas and Southlake rosacea treatments, we currently use two types of light treatments, mostly in combination with the aforementioned treatment modalities:

Photo dynamic Therapy can be used to reduce redness and cystic lesions very effectively for inflammatory rosacea. We do not offer the PDT option to our patient anymore due to several reasons, one of them being it is so difficult to completely avoid sun exposure in our great sunny state of Texas and even the slightest sun exposure after PDT can lead to sun poisoning

LED treatments  are very comfortable, very affordable and have zero downtime. The LED treatments have been shown to reduce the inflammation associated with rosacea and there is mounting clinical evidence regarding the advantage of combination LED and Intense Pulsed Light therapy for better immediate and long term rosacea management.

Click to view results of one of the studies for LED efficacy in rosacea control

Intense Pulsed light-IPL treatments for rosacea is done as a series of 4-5 treatments, 2-4 weeks apart. Each treatment for full face takes about 20-30 minutes. There is mild discomfort during the treatment; the level of discomfort is directly proportional to the extent of your rosacea. More sever rosacea, more severe redness, bigger blood vessels lead to increased light absorption, higher increase in skin temperature and greater discomfort.

We like to start with a series of LED treatments to reduce inflammation and then add a series of IPL to actually shrink down blood vessels and capillaries. IPL effectively reduces flushing and redness in majority of treated patients if they are compliant with the rest of the treatment plan.

At Naila Malik MD we have safely and effectively helped countless patients with different stages of rosacea using a combination approach.

We can help you with a customized treatment plan to address your skin type, symptoms and severity of rosacea. We also take into account your lifestyle and ability for down time for laser treatments.

Call 888-210-9693 for your complimentary consultation with one of our licensed skincare providers for rosacea management in Dallas and Southlake with the skincare and light based treatment. If you need to consult with the physician for further evaluation and discussion of rosacea treatment plan, there is a $100 medical visit  fee to see Dr. Malik which is not applied to your rosacea light based treatments.

Clinical articles on LED and IPL for rosacea treatments: