Rosacea and Erythrosis

Rosacea is a chronic inflammatory skin condition that mainly affects the face, presenting with recurrent redness, papules, pustules, and visible dilated capillaries (telangiectasias). It is a multifactorial disorder involving microcirculatory imbalance, inflammation, and vascular hypersensitivity, often worsened by external triggers such as sun exposure, temperature changes, stress, or diet. Erythrosis, considered one of the earliest stages of rosacea, is characterized by diffuse or intermittent redness, especially on cheeks, nose, forehead, and chin, caused by the dilation of small superficial vessels. Without early treatment, it may progress to more persistent and inflammatory forms of rosacea.

Treatment Overview

Appropriate for

Persistent facial redness, visible capillaries and telangiectasias, flushing or redness worsened by heat or stress, early or chronic rosacea with vascular components, sensitive or reactive skin, uneven tone due to vasodilation or inflammation.

Age

All ages

Procedure Details

30–60 minutes per session

Sessions and frequency

According to medical indication

Precautions

Avoid direct sun exposure, report active skin conditions (herpes, dermatitis, wounds), and discontinue photosensitizing treatments.

Plan Your Treatment

Schedule a video consultation or a call from the clinic

About the Treatment

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.

Plan Your Treatment

Schedule a video consultation or a call from the clinic

Frequently Asked Questions

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Dr. Carlo Tremolada – OMCEO Milan registration no. 30098  All the contents and images on this website have been written, reviewed and approved by the internal Medical-Scientific Committee coordinated by Dr. Carlo Tremolada, in compliance with Art. 56 of the FNOMCeO Code of Ethics and current regulations on healthcare advertising.

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