Rosacea & Redness Quick Facts
Concern: Rosacea, chronic facial redness, flushing, visible blood vessels, and redness related to sensitive or reactive skin
Common Areas: Cheeks, nose, chin, forehead, central face
Causes: Inflammation, vascular changes, impaired skin barrier function, genetic predisposition, environmental and lifestyle triggers
Treatment Options: Prescription topical and oral therapies, vascular laser treatments, microtox for flushing, electrocautery for visible vessels, and sclerotherapy where safe and appropriate
Downtime: Varies by treatment. Many options have minimal to no downtime or a day or two of swelling
Results: Reduced redness and flushing, improved skin tone and texture, fewer flares, calmer and more resilient skin over time
When facial redness is more than a flush, expert care matters.
Rosacea and chronic facial redness are complex conditions that affect both skin health and confidence. At FACET Dermatology, we take a thoughtful, evidence-based approach that treats the underlying inflammation while addressing the visible redness, flushing, and blood vessels that patients see in the mirror.
Our goal is not just calmer-looking skin, but healthier skin over the long term.
A layered, dermatologist-led approach to treating rosacea & redness
Rosacea and facial redness don’t follow a single, predictable path and neither should treatment.
Some patients begin treatment with a referral from their doctor when rosacea symptoms extend beyond redness. This may include bumps, inflammation, or other signs that require medical diagnosis and prescription therapy. In these cases, treatment focuses on controlling active disease, reducing flares, and restoring skin barrier health. Medical assessment and treatment are typically covered by OHIP and require a referral from your doctor.
Other patients present with persistent facial redness or visible blood vessels as their primary concern. These patients may choose to start directly with cosmetic treatments such as laser therapy, without a referral. These treatments are elective and not covered by OHIP, but can be highly effective for reducing redness, flushing, and broken capillaries.
In many cases, care becomes layered. A patient may begin with cosmetic treatment for redness and later be assessed medically if signs of rosacea beyond redness are identified. Others may stabilize rosacea medically first and then transition to laser or other cosmetic treatments to address residual redness.
Our role is to guide you to the most appropriate combination of medical and cosmetic care, based on your symptoms, goals, and skin’s response over time.
Medical Management
Medical therapy plays a foundational role in rosacea care and may include:
- Prescription topical treatments to reduce inflammation and lesions
- Oral medications when indicated for inflammatory control
Cosmetic and procedural treatments
For persistent redness and visible vascular changes, cosmetic treatments may include:
- Vascular and redness-reducing laser treatments
- Neurotoxin injection using small, targeted amounts of neuromodulator to reduce flushing
- Electrocautery for discrete visible blood vessels
Your dermatologist will guide which treatments are appropriate based on disease activity, skin sensitivity, and your personal goals.