Rosacea Specialist

Matsuda Dermatology -  - Dermatology Clinic

Matsuda Dermatology

Dermatology Clinic located in Honolulu, HI

The permanent blush of rosacea may be accompanied by bumps and visible blood vessels, often growing in intensity and subsiding again over extended periods. Dr. Stella Matsuda and Dr. Shannon Sheu of Matsuda Dermatology in Honolulu, Hawaii, can help you manage your rosacea symptoms, including offering laser treatments to lessen the visible signs of the condition. Call the office or book an appointment online today.


Matsuda Dermatology

What is rosacea?

A relatively common skin condition that affects fair-skinned, middle-aged women the most, rosacea shows as excessive facial redness, as though you’re permanently blushing. The redness may be accompanied by other symptoms, too, including bumps that may resemble acne, or small blood vessels visible through the surface of the skin.

Around half of those with rosacea develop problems with their eyes, typically dryness, and red, swollen eyelids. In some cases, the eye problems develop before the skin condition. There may be points in your rosacea outbreak where your skin feels tender and warm to the touch. Rosacea may also cause a thickened, rounded nose, though this is usually more common in men than women.

What causes rosacea?

While the precise cause of rosacea isn’t known, it’s thought to be a combination of genetic and environmental factors. There’s no link between rosacea and poor personal hygiene. There are triggers that may start or aggravate a rosacea outbreak. These triggers include:

  • Exposure to temperature extremes, both hot and cold
  • Exposure to harsh weather conditions, such as sunlight and wind storms
  • Physical exertion, such as hard work or exercise
  • Emotions, such as excitement, anger, or embarrassment
  • Hot drinks
  • Alcohol
  • Spicy foods
  • Drugs that dilate blood vessels

Not all triggers affect every rosacea sufferer, and outbreaks can start without a trigger.

How is rosacea treated?

Treatments center on controlling the symptoms. Even when your treatment is successful, it’s common that rosacea outbreaks occur again at a later time.

Some oral antibiotics function as anti-inflammatories with rosacea, though there’s not extensive study for some types. The drug brimonidine, applied as a topical gel, constricts blood vessels and reduces facial redness. While results are usually seen within 12 hours, the effects are temporary and regular reapplication is needed to maintain improvements.

Isotretinoin is an oral drug used for some cases of acne, and it also can be helpful for severe rosacea that doesn’t respond to other treatments. Cosmetic lasers are effective at reducing facial redness and can remove the visible surface capillaries associated with rosacea. Laser energy absorbed by these blood vessels heats them to the point where your body perceives them as damaged tissue and naturally disposes of them.