Rosacea Treatment

What triggers rosacea in Miami

South Florida's intense UV, heat, and humidity are major rosacea triggers. Common additional triggers include alcohol, spicy foods, exercise, and stress. A journal of flares helps us identify patterns and build a avoidance plan alongside treatment.

Our approach

1. Accurate diagnosis — rosacea has four subtypes (erythematotelangiectatic, papulopustular, phymatous, ocular) that need different treatments.
2. Topicals — metronidazole, azelaic acid, ivermectin cream, and brimonidine (for redness).
3. Oral antibiotics — low-dose doxycycline for anti-inflammatory effect (not just antimicrobial).
4. Laser / IPL — pulsed dye laser and IPL are the most effective treatments for persistent redness and broken capillaries that topicals can't reach.
5. Sun protection — mineral SPF 30–50 every morning; this is non-negotiable in Miami.

Realistic expectations

Rosacea is managed, not cured. Flares can be minimized and symptoms dramatically reduced with consistent treatment. Most patients see meaningful improvement in 4–8 weeks.