Understanding Rosacea - Causes, Symptoms, and Treatment Options in NYC

Rosacea is more than just occasional redness, it’s a chronic skin condition that affects millions of people worldwide, often appearing on the central face. The condition is characterized by persistent redness, visible blood vessels, and sometimes acne-like bumps. In some cases, it can also affect the eyes, causing dryness and irritation.

One of the challenging aspects of rosacea is its unpredictable nature. Flare-ups can last for weeks or even months before calming down, only to return without warning. Because it can mimic other conditions like acne, skin sensitivity, or even allergic reactions, rosacea is often misdiagnosed, delaying effective treatment.

At Premier Dermatology & Aesthetics in New York, Dr. Adam Nabatian and his team specialize in helping patients identify rosacea early and manage it with personalized, science-based care.

Common Signs and Symptoms

While rosacea presents differently in every individual, some of the most common symptoms include:

• Persistent facial redness that often looks like a constant blush or sunburn, especially across the cheeks, nose, forehead, and chin

• Visible blood vessels (telangiectasia) that may become more prominent over time

• Small, red bumps or pimples that resemble acne but don’t respond to traditional acne treatments

• Facial flushing triggered by heat, stress, or certain foods and beverages

• Eye irritation (ocular rosacea), which may include dryness, watery eyes, or a gritty sensation

It’s important to note that rosacea can vary in severity. Some people experience only mild redness, while others may deal with more advanced symptoms that impact their comfort and confidence.

What Triggers Rosacea?

While the exact cause of rosacea is not fully understood, a combination of genetics, immune system factors, and environmental triggers play a role. For patients, one of the most effective steps in managing the condition is identifying personal triggers.

Common triggers include:

• Hot beverages, spicy foods, and alcohol

• Sun exposure without adequate protection

• Emotional stress or anxiety

• Extreme hot or cold weather

• Intense exercise or overheating

• Harsh skincare products, fragrances, or cosmetics

Keeping a trigger diary can be an effective way to track flare-ups and make lifestyle adjustments to better control symptoms.

Rosacea Treatments at Premier Dermatology & Aesthetics

Although rosacea cannot be cured, it can be effectively managed with a personalized treatment plan. At our Midtown Manhattan practice, Dr. Nabatian offers a variety of advanced therapies, including:

• Topical medications to reduce redness, inflammation, and acne-like bumps

• Oral medications for moderate to severe cases, helping control flare-ups and long-term symptoms

• Laser Genesis, an advanced, non-invasive laser treatment designed to gently heat the upper layers of the skin, targeting visible blood vessels, calming persistent redness, and improving overall skin tone

• IPL Photofacial, a light-based therapy that uses pulses of light to reduce facial redness, minimize broken capillaries, and create a more even complexion

• Customized skincare guidance to strengthen the skin barrier and avoid irritation from common over-the-counter products
  
  
  
  

This combination approach allows patients to reduce flare-ups, minimize redness, and maintain healthier-looking skin over time.

Living With Rosacea

Managing rosacea involves more than treatment, it’s about building a daily routine that protects the skin and minimizes triggers. Dr. Nabatian often recommends:

• Applying broad-spectrum sunscreen daily, regardless of the weather

• Using gentle, fragrance-free cleansers and moisturizers

• Avoiding harsh scrubs or exfoliants that can aggravate redness

• Tracking flare-ups to understand personal triggers

• Keeping skincare consistent, rather than frequently changing products

With the right balance of medical treatment and daily care, patients often see dramatic improvements in both symptoms and confidence.

Why Choose Premier Dermatology & Aesthetics in NYC?

Rosacea can feel overwhelming, but with the right guidance, it becomes manageable. At Premier Dermatology & Aesthetics, patients benefit from:

• Expertise from a double board-certified dermatologist who specializes in both medical and cosmetic dermatology

• A comprehensive treatment approach that addresses immediate flare-ups and long-term management

• Access to advanced technology for laser and light-based rosacea therapies

• A convenient Midtown Manhattan location near Grand Central Station

Whether your rosacea is mild or more advanced, our team provides compassionate, personalized care tailored to your skin’s unique needs.

Take Control of Your Rosacea

If persistent redness, visible blood vessels, or frequent flare-ups are affecting your comfort or self-confidence, you don’t have to face rosacea alone.

Visit us at Premier Dermatology & Aesthetics to book an appointment or call (212) 433-3788 to schedule your consultation with Dr. Adam Nabatian.

At Premier Dermatology & Aesthetics, we are committed to helping patients achieve clearer, calmer, and healthier-looking skin, so you can feel your best every day.