What It Looks Like
Flushing that lasts longer than it should. Persistent redness across the cheeks and nose. Small bumps and pimples without blackheads. Visible blood vessels. Sometimes stinging, dry eyes, or a thickened nose in long-standing cases.
Triggers
Heat, sun, alcohol (red wine especially), spicy food, hot drinks, exercise, stress, wind, and harsh skincare. Keeping a two-week diary usually finds yours.
Treatments
Metronidazole or azelaic acid gel for bumps and redness. Ivermectin cream for stubborn bumps. Low-dose doxycycline for flares. Brimonidine gel for short-term redness before an event. Laser from a dermatologist for the blood vessels. Mineral sunscreen every day.
Skincare
Fragrance-free, gentle, no scrubs, no acids, no retinol until calm. Less is more.
Cost
Prescription rosacea care is $39 a month. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.
Common Questions
Is rosacea curable?+
Controllable, not curable. Most people get it to a quiet baseline.
Does it get worse with age?+
It can, especially untreated.
Can I use tretinoin?+
Sometimes, low strength, once calm, with a provider's guidance.
All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.