General Dermatology
Rosacea Treatment
Rosacea is a chronic inflammatory skin condition affecting millions of Americans — yet it's frequently misdiagnosed and undertreated. Dr. Sergay specializes in identifying your unique rosacea triggers and creating a personalized management plan to reduce redness, breakouts, and flares.
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Dr. Sergay's Approach
Understanding Rosacea
Rosacea is a chronic skin condition characterized by facial redness, acne-like breakouts, eye irritation, and in some cases enlargement of areas of the face — most commonly the nose (rhinophyma). While there is no cure, rosacea can be effectively managed with the right treatment plan.
Commonly, there are triggers that exacerbate a patient's symptoms. These triggers can include extremes of temperature, certain foods, alcohol, stress, and sun exposure. With a thorough history, Dr. Sergay can help identify your individual triggers and discuss trigger modification alongside topical, oral, or laser treatments.
Because rosacea presents differently in every patient — from mild flushing to persistent redness to inflammatory papules — Dr. Sergay's approach is always personalized to your subtype, skin tone, and lifestyle.
Trigger Identification
Thorough history & evaluation
Long-Term Management
Reduce flares, protect skin
Know Your Type
The 4 Subtypes of Rosacea
Rosacea presents in distinct forms. Identifying your subtype is the first step toward the most effective treatment plan.
Erythematotelangiectatic Rosacea
The most common form — characterized by persistent redness, flushing, and visible blood vessels (telangiectasia) across the central face.
- Persistent facial redness
- Easy flushing/blushing
- Visible blood vessels
- Burning or stinging sensation
Papulopustular Rosacea
Often mistaken for acne, this subtype features acne-like breakouts — pimples and pustules — alongside facial redness and is common in middle-aged women.
- Acne-like pimples & pustules
- Oily or sensitive skin
- Facial redness
- Visible small blood vessels
Phymatous Rosacea
A rare but significant subtype causing skin thickening and enlargement, most commonly affecting the nose (rhinophyma). More common in men.
- Skin thickening
- Enlarged nose (rhinophyma)
- Irregular skin surface
- Visible pores
Ocular Rosacea
Affects the eyes and eyelids, causing redness, irritation, and a gritty feeling. Often occurs alongside other rosacea subtypes and requires specialized care.
- Red, watery eyes
- Burning/stinging eyes
- Swollen eyelids
- Sensitivity to light
Managing Flares
Identifying Your Triggers
One of the most powerful tools in managing rosacea is identifying and minimizing your personal triggers. While rosacea cannot be cured, most patients can dramatically reduce the frequency and severity of flares once their specific triggers are known. Dr. Sergay takes a thorough history at every visit to help map your triggers.
Sun & Heat
UV exposure, hot weather, saunas, hot showers
Food & Drink
Alcohol (especially red wine), spicy foods, hot beverages
Stress & Emotions
Anxiety, embarrassment, intense exercise
Cold & Wind
Cold temperatures, strong wind, rapid temperature changes
Skincare Products
Fragranced products, harsh cleansers, certain sunscreens
Medical Factors
Hormonal changes, certain blood pressure medications
Personalized Care
How Dr. Sergay Treats Rosacea
Treatment is matched to your rosacea subtype, severity, and skin tone. Most patients benefit from a combination approach.
16M+
Americans with rosacea
3–4
Avg. triggers per patient
90%
Improvement with treatment
All
Skin tones & ages treated
Topical Medications
Prescription creams and gels — including metronidazole, azelaic acid, and ivermectin — reduce redness, inflammation, and papules with regular use.
Subtypes 1 & 2Oral Medications
Low-dose oral antibiotics such as doxycycline (sub-antimicrobial dose) effectively reduce inflammation and acne-like breakouts without disrupting gut health.
Subtype 2 (moderate–severe)Laser & Light Therapy
Vascular lasers and intense pulsed light (IPL) target visible blood vessels and persistent redness with precision, providing long-lasting reduction in flushing.
Subtype 1 vascular rednessDermaV Laser
Dr. Sergay uses the DermaV pulsed dye laser — one of the most effective technologies for treating rosacea redness, telangiectasias, and facial flushing.
Vascular & diffuse rednessSkincare Optimization
A gentle, rosacea-appropriate skincare routine with fragrance-free cleansers, barrier-repairing moisturizers, and mineral SPF reduces daily irritation and flares.
All subtypes — daily useTrigger Management Plan
Dr. Sergay works with patients to identify and modify personal triggers through lifestyle adjustments, dietary guidance, and environmental recommendations.
Prevention & maintenanceCommon Questions
Rosacea FAQ
Take the Next Step
Ready to Take Control of Your Rosacea?
Schedule a consultation with Dr. Sergay to identify your triggers, determine your rosacea subtype, and build a personalized treatment plan — so you can live comfortably in your skin.