How to Treat Rosacea and Erythrosis
Treating rosacea and erythrosis requires an integrated approach that combines dermatological diagnosis, trigger control, and the use of vascular laser technologies and regenerative protocols.
Since this is a chronic and multifactorial condition, there is no definitive cure, but personalized therapies can achieve significant clinical improvement and long-term control of symptoms.
Dermatological Diagnosis and Personalized Evaluation
The first step is a thorough specialist consultation to:
- identify the type and stage of rosacea (erythematotelangiectatic, papulopustular, phymatous, or ocular)
- distinguish rosacea from other redness-related conditions (dermatitis, couperose, allergies)
- assess vascular reactivity and skin inflammation
This step is essential to determine the most suitable therapeutic combination.
Trigger Control
Daily management is a crucial part of therapy.
It is recommended to:
- always protect the skin from sun exposure with broad-spectrum mineral sunscreens
- avoid temperature changes, saunas, alcohol, spicy food, and hot drinks
- reduce stress and anxiety that worsen vasodilation
- use soothing, alcohol-free, fragrance-free skincare
Laser and Intense Pulsed Light (IPL) Treatments
- Selective vascular lasers (Nd:YAG, Dye laser): act on dilated vessels by coagulating them without damaging surrounding tissues; ideal for telangiectasias, persistent redness, and diffuse erythema.
- Intense Pulsed Light (IPL): effectively reduces capillary dilation and inflammation, improving skin tone and brightness, often combined with regenerative protocols.
Supportive Medical Therapies
- Soothing or vasoconstrictive topicals (metronidazole, azelaic acid, ivermectin)
- Low-dose systemic medications (tetracyclines or isotretinoin)
- Targeted photoprotection and antioxidants
Complementary Regenerative Protocols
- Photobiomodulation or topical hyperbaric oxygen therapy
- Autologous skincare (creams derived from adipose tissue or plasma rich in growth factors)
- Anti-inflammatory micronutrition with antioxidant vitamins, omega-3s, and flavonoids
Maintenance Programs
As rosacea is chronic, periodic maintenance treatments (every 6–12 months) help stabilize capillaries and preserve vascular balance.