Rosacea is a common skin condition characterized by facial redness, visible blood vessels, and sometimes, small red bumps or red pus pimples resembling acne. While it often begins subtly, Rosacea can worsen over time if left untreated. At Park Avenue Skin Care, we offer effective treatments to manage and alleviate the symptoms of Rosacea, helping you regain the confidence that rosacea can rob you of.

There are several subtypes of Rosacea, each with its own unique symptoms and treatment approach:

  • Vascular (Erythematotelangiectatic) Rosacea: This subtype is characterized by episodic and even persistent facial redness and warmth and even visible blood vessels. People with this type of Rosacea experience flushing and persistent redness, particularly on the cheeks and nose.
  • Papulopustular Rosacea (“Acne Rosacea”): Papulopustular Rosacea presents with acne-like breakouts, including small red bumps and pus-filled lesions. These bumps may be sensitive or tender to the touch and can contribute to skin irritation and inflammation. And Acne Rosacea can occur at the same time as Vascular Rosacea so the acne like pimples and/or pus pimples are superimposed on top of the patches of facial redness.
  • Phymatous Rosacea: Phymatous Rosacea is associated with thickened, bumpy skin and enlargement of the nose, known as rhinophyma (“WC Field’s nose”). This subtype is more common in men and can even more significantly impact facial appearance and self-esteem. Fortunately, this is very uncommon.  
  • Ocular Rosacea: Ocular Rosacea affects the eyes, causing symptoms such as redness, dryness, itching, and sensitivity to light. Without proper treatment, ocular Rosacea can lead to vision problems and complications.

Identifying and avoiding triggers is crucial for managing Rosacea and preventing flare-ups. Over the years Dr. Schultz and his team have observed that these triggers can vary from person to person, but understanding common factors that exacerbate your Rosacea symptoms can help you take proactive steps to minimize their impact on your skin. Here are some key Rosacea triggers to be aware of so you can attempt to limit their impact on your skin.

  • Unprotected Sun Exposure: Exposure to both ultraviolet (UV) and infrared radiation from the sun is one of the most common triggers for Rosacea flare-ups. They can dilate blood vessels in the skin, leading to increased redness and inflammation. To protect your skin, it's essential to wear broad-spectrum sunscreen with an SPF of at least 40, seek shade during peak sunlight hours, and wear protective clothing and accessories such as hats and sunglasses. When choosing sunscreen physical blockers (containing Zinc Oxide and /or Titanium Dioxide) work better than traditional chemical sunscreens.
  • Hot Beverages and Spicy Foods: Hot beverages such as coffee, tea, and hot cocoa, as well as spicy foods like chili peppers and hot sauces, can cause flushing and exacerbate Rosacea symptoms in many people with Rosacea. If you notice that hot drinks or spicy foods trigger your Rosacea, consider avoiding or limiting them in your diet.
  • Alcohol Consumption: Alcohol, particularly red wine, beer, and spirits are known to dilate blood vessels (in everyone, but much more profoundly in Vascular Rosacea) and trigger flushing in many people with Rosacea. While occasional alcohol consumption may not cause significant issues for everyone, excessive or frequent drinking can worsen Rosacea symptoms. If alcohol triggers your Rosacea, consider moderating your alcohol intake or avoiding it altogether.
  • Stress and Emotional Factors: Stress, anxiety, and strong emotions (eg, anger, embarrassment) can trigger Rosacea flare-ups in some individuals. The body's response to stress includes the release of stress hormones such as cortisol, which can increase inflammation and exacerbate Rosacea symptoms. Finding effective stress management techniques, such as mindfulness, deep breathing exercises, or yoga, may help reduce stress-related flare-ups.
  • Harsh Skincare Products: Certain skincare products containing abrasive ingredients or harsh chemicals can irritate the skin and worsen Rosacea symptoms. Avoid products that contain alcohol, fragrance, menthol, or exfoliating grains or beads, as these can be particularly irritating for sensitive skin. Opt for gentle, non-comedogenic cleansers, moisturizers, and sunscreens formulated for sensitive skin instead.
Extreme Temperatures: Exposure to extreme temperatures and wind whether hot or cold, can trigger Rosacea flare-ups. Cold weather and wind can cause dryness and temporary decrease in redness (vasoconstriction) and, but the harsh cold wind and temperature together with the drying leads to inflammation causing a rebound flare up causing worsening of both Vascular Rosacea and Acne Rosacea. Hot weather and heat from any source can lead to rapid worsening of both red patches and enlargement of the visible blood vessels (vasodilation) and increased sweating. Protect your skin from extreme temperatures by dressing appropriately (masks!) for the weather, using a humidifier indoors during the winter months, and avoiding prolonged exposure to hot or cold environments and water. In fact, use warm water when washing or showering, never hot water. And in the winter, always apply moisturizer (oil-free or water-based) before going outdoors, especially when it’s windy.

At Park Avenue Skin Care, we offer a range of treatments tailored to address the specific symptoms and subtypes of Rosacea. Our comprehensive approach aims to reduce redness, inflammation, visible blood vessels and the accompanying acne pimples and pus pimples, while improving overall skin texture and appearance. Here are some of the treatment options we provide:

  • Topical Therapies: Prescription creams and gels containing active ingredients such as azelaic acid, metronidazole, or sulfur can help reduce inflammation and redness associated with Rosacea. These topical treatments work by targeting the underlying factors contributing to Rosacea, such as abnormal immune responses and blood vessel dilation (enlargement).
  • Oral Medications: In cases of moderate to severe Rosacea, oral medications such as antibiotics or anti-inflammatory drugs may be prescribed to control symptoms and prevent flare-ups. Oral antibiotics, such as doxycycline or minocycline, can help reduce inflammation and suppress the growth of bacteria which amongst other things cause inflammation which further drives Rosacea. Anti-inflammatory drugs like low-dose oral corticosteroids or spironolactone may also be recommended in certain situations. And isotretinoin (“Accutane”) in some patients may also be of help.
  • Laser Therapy: Laser and light-based treatments effectively target visible blood vessels and red patches, significantly improving Vascular Rosacea as well as overall skin texture in individuals with Rosacea. Our dermatologists use advanced painless laser technologies, such as pulsed dye lasers or intense pulsed light (IPL) therapy, to selectively destroy the enlarged blood vessels (which cause the redness) while leaving surrounding skin unharmed. Laser therapy sessions are typically quick and well-tolerated, with minimal or no downtime.
  • Skincare Recommendations: In addition to medical treatments, our skincare experts can provide personalized recommendations for gentle cleansers, moisturizers, and sunscreen products suitable for Rosacea-prone skin. Avoiding harsh or abrasive skincare products is essential to prevent irritation and minimize inflammation. We can also advise on lifestyle modifications and dietary changes that may help manage Rosacea symptoms and prevent flare-ups.
  • Combination Therapies: In some cases, a combination of treatments may be recommended to achieve optimal results. For example, a combination of topical therapy with oral medication or laser therapy may be more effective in controlling severe or persistent Rosacea symptoms. Our dermatologists will work closely with you to develop a customized treatment plan tailored to your unique needs and goals.

At Park Avenue Skin Care, we recognize the significant impact that Rosacea can have on your daily life, self-confidence, and therefore your quality of life. Our team of experienced dermatologists is dedicated to providing compassionate care and personalized treatment solutions to address your unique concerns. Here's what sets us apart:

  • Expertise and Experience: Our dermatologists have extensive experience diagnosing and treating Rosacea, ranging from mild to severe cases. With their expertise and knowledge, they can accurately assess your skin condition and develop a customized treatment plan tailored to your individual type of Rosacea and needs.
  • Comprehensive Evaluation: We believe in taking a thorough and comprehensive approach to Rosacea management. During your consultation, our dermatologists will conduct a detailed evaluation of your skin, considering factors such as your medical history, lifestyle, and specific Rosacea signs and symptoms. This comprehensive assessment allows us to understand the underlying causes and triggers of your condition and recommend the most appropriate treatment options.
  • Personalized Treatment Plan: No two cases of Rosacea are exactly alike, which is why we prioritize personalized care. Based on the findings of your evaluation, our dermatologists will work closely with you to develop a personalized treatment plan designed to target your specific concerns and goals. Whether you're struggling with facial redness, acne-like breakouts, ocular symptoms, or even the uncommon “WC Field’s Nose” we'll tailor our approach to your treatment to meet your unique needs.
  • Holistic Approach: At Park Avenue Skin Care, we believe in treating the whole person, not just the symptoms of Rosacea. In addition to medical treatments, we'll provide guidance on lifestyle modifications, skincare routines, and dietary changes that can help manage your condition and improve your overall skin health. Our goal is to empower you with the knowledge and tools you need to take control of your Rosacea and live your best life.

Your journey to clearer, healthier skin starts with a visit to Park Avenue Skin Care. Here's what you can expect during your appointment:

  • Comprehensive Skin Evaluation: Our dermatologists will conduct a thorough evaluation of your skin, taking note of any visible symptoms, areas of concern, and triggers that may exacerbate your Rosacea. This evaluation may include a visual inspection, skin texture analysis, and the very important discussion of your medical history and lifestyle factors.
  • Personalized Consultation: We believe in open and honest communication with our patients. During your consultation, our dermatologists will take the time to listen to your concerns, answer any questions you may have, and provide expert guidance on the best treatment options for your specific needs.
  • Customized Treatment Plan: Based on the results of your evaluation and consultation, our dermatologists will develop a customized treatment plan tailored to address your Rosacea symptoms and goals. This may include a combination of medical treatments, skincare recommendations, lifestyle modifications, laser therapy and follow-up appointments to track your progress.
  • Ongoing Support and Care: Your journey to clearer, healthier skin doesn't end after your initial appointment. We're committed to providing ongoing support and care to help you achieve long-term success in managing your Rosacea. Our team will be by your side every step of the way, offering guidance, encouragement, and adjustments to your treatment plan as needed. Between visits we are only a phone call away to help you!

Patient Reviews

I've been seeing Dr. Schultz for the last 8 years and during that time, I've recommended him to countless friends for both cosmetic and medical dermatologic help. I trust him completely both diagnostically and aesthetically. When I had shingles, he was wonderful, incredibly supportive and kind. And when I eased into doing more cosmetic dermatology, he was– and continues to be– patient, careful and cautious. He listens to concerns and really hears what your goal outcome is and works with you to make it happen. I wanted to maintain a natural look while keeping my skin looking fresh and that's just what he's done for me. I always leave his office feeling prettier and well-cared for! If you have a medical concern or something about your skin you want to upgrade, you can't do better than Dr. Schultz and his wonderful team. And the products are amazing as well!

- Laura B.

Dr. Schultz is the most thorough and good natured dermatologist I have ever seen. I have been a patient of his for more than 20 years. He has taught me everything I know about the value of taking care of my skin, a gift that keeps on giving. He also takes the time to listen to me, to see me as an individual and doesn't treat my needs as a one size fits all doctor. I really appreciate his kindness, patience and expertise. I absolutely love his product line and have definitely reaped the rewards from using it, especially his glycolic peel pads and moisturizer, which I can't live without. My skin feels softer, smoother, appears more translucent and actually looks younger! He helped me to see beyond the lines and wrinkles, although he so good at helping to keep those at bay while maintaining a very natural appearance. His staff is outstanding. They make you feel welcome, like family, from the moment you walk through the door. Angela, Monika, Deborah and all of the support staff are extraordinary at what they do. Thank you Dr. Schultz and everyone at Park Ave Skincare. You're the best!

- Laura M.

Dr. Schultz has truly transformed my skin, so much so that I can confidently leave the house without wearing makeup now. During my first meeting with him, he intently listened to my skin concerns, we discussed what my goals were, and he explained pragmatically what treatments and products he recommended for me. I truly appreciate his fantastic bedside manner and conservative approach. I am a perfectionist in every aspect of my life, including my skin, and he understood this and was committed to helping me achieve every skin goal I had. The entire staff is just so fantastic and friendly, from reception to the PAs. They make you feel welcome and extremely comfortable, which to me is very important when visiting any doctor’s office. As someone who works too much and never gets enough sleep, my skin was looking very dull and lifeless. My skin is now full of life again and has an incredible glow to it which I have never had before. And I owe it all to the incredible Dr. Schultz.

- Kelly D.

My partnership with Dr Schultz began more than 30 years ago. As a generous friend, advisor, skilled surgeon, and superb cosmetic diagnostician, he has enabled me to look my best. He has kept me abreast of the most sophisticated procedures and in so doing, has maximized my appearance, always guided by what will be most beneficial for me. He is someone I go to for advice and care and his staff is another manifestation of this care. I don’t know many patients who can say this, and I feel fortunate to be among them.

- Ellen R.

In the four years that I've been a patient of Dr. Schultz, my acne-prone skin has gone from constant breakouts to smooth and clear. These days, I feel confident and comfortable enough in my skin to wear minimal makeup, if any—which I never would have done in years past. He and his warm, friendly staff always go above and beyond; he takes the time to listen, talk with me, and create the best plan for my skin. It's clear he has my best interests in mind, and I trust him wholeheartedly. I would highly recommend him to friends, family, and frankly, anyone who asks.

- Deanna P.

Each session with Dr. Schultz is a mini education in skin care. He approaches each patient as a unique individual with different needs. I’m Asian and he’s explained to me how that impacts treatment in a clear manner that a layperson can understand. At each examination, he recites detailed notes to his staff which he then refers back to at each future appointment, adjusting and tweaking treatment plans when necessary. Over the past two years I’ve seen a remarkable improvement in my blemishes and overall complexion and wholeheartedly recommend him to anyone looking to enhance their appearance.

- Sherry G.

I have been a patient of Dr. Schultz for many years, and I continue to be amazed at his medical approach, patience, and professionalism. He takes the time to listen to my health concerns, explains how and why he would like to issue a treatment in a way that I understand , answers all of my questions, and all of his procedures and painless and thorough. He is very attentive, results-oriented, and extremely knowledgeable. He follows up and is committed to my health and satisfaction. The Park Avenue Skincare is a calm environment and the staff are all very friendly, warm, and respectful. It's easy to get appointments at a time that works for me and they are always on time and considerate. I think so highly of him and his practice that I sent my mom to him, and continue to go to his office even though my life is based in midtown west! I have great confidence in the care that he gives.

- Katrina A.

Frequently Asked Questions

  • What are the common triggers for Rosacea flare-ups?

    Common triggers for Rosacea flare-ups include sun exposure, hot beverages and spicy Read More

  • Can Rosacea be cured completely?

    While there is no known cure for Rosacea, it can be effectively Read More

  • Are there any dietary changes that can help alleviate Rosacea symptoms?

    While dietary triggers can vary from person to person, some individuals find Read More

  • Can Rosacea affect other parts of the body besides the face?

    While Rosacea primarily affects the face, it can occasionally extend to other Read More

Rejuvenate Your Skin

Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.

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