
Rosacea Treatment in Ann Arbor, Plymouth & Wixom
Rosacea is more than just some facial redness—for many, it can be intensely painful, interfering with your work, your social life, and even everyday functions like your vision. Because rosacea is chronic and cyclical, its symptoms may not always be with you, instead flaring up right when it feels most intrusive and inconvenient. That’s why effective rosacea treatment starts with a true skincare partner—like the experts at Ganger Dermatology.
Rosacea has two parts, and we treat both: the bumps and inflammation respond to prescription medication, while the background redness and visible vessels generally respond to light treatment with BBL.
Rosacea Causes & Treatments
Rosacea is an inflammatory condition sometimes referred to as “adult acne” for the characteristic redness, flushed appearance, visible blood vessels, and pimple-like bumps it can produce on the face. Medical science doesn’t yet fully understand what causes this chronic inflammation and the painful symptoms associated with it. It may be related to your genetics, triggers in your environment, an issue in your immune system, or a combination of the three. Although there is no cure for rosacea, the highly experienced providers at Ganger Dermatology have a wealth of treatments and resources to control and manage the symptoms. Our office offers topical treatments, prescription medications, and light treatment with BBL to target rosacea’s most pervasive symptoms. We also work with each patient to identify common triggers that can make their condition worse.
According to the American Academy of Dermatology, people of all ages and races can develop rosacea, but it is most common in people between ages 30 and 60, in people with fair skin, in women — especially during menopause — and in people with a family history of rosacea.
Benefits of Rosacea Treatment
- Identify your rosacea triggers
- Fewer flare-ups
- Help keep rosacea under control
- Reduce redness and flushing
- Treat visible blood vessels
- Relief from dryness, crusting, & itching around the eyes
- Reduce swelling and pain
- Improve self-confidence
Rosacea or acne?
This is the most consequential distinction on the page, because rosacea is frequently treated as acne for months, and some standard acne treatments can make rosacea worse.
Rosacea
- Blackheads and whiteheads: Absent
- Background: Persistent redness and flushing across the central face
- Visible blood vessels: Common
- Where: Cheeks, nose, forehead, chin — the central face
- Age: Usually appears in adulthood
- Eyes: Can be involved — dry, gritty, irritated
Acne
- Blackheads and whiteheads: Present — this is the key difference
- Background: Normal skin tone between lesions
- Visible blood vessels: Not a feature
- Where: Face, and often chest, back, shoulders
- Age: Often begins in the teens
- Eyes: Not involved
If you have bumps on your face but no blackheads or whiteheads, and your skin is red between the bumps, let us rule rosacea in or out before another course of acne treatment.
When rosacea affects your eyes
Ocular rosacea is the part of this condition people least expect and most often miss, because the symptoms do not obviously belong to a skin condition. It is common: the American Academy of Dermatology estimates that 50% of people who have rosacea will have a flare-up that affects their eyes.
What it looks like: eyes that feel dry, gritty, or as though something is in them; redness of the eye and the eyelid margins; crusting around the eyelids; sensitivity to light; and, in more significant cases, effects on vision. If you have rosacea and your eyes are persistently dry, irritated, or red, tell us — and if your vision is affected, do not wait for a routine appointment.
How we treat rosacea at Ganger Dermatology
We offer prescription creams and gels, medication by mouth, and light treatment with BBL for rosacea’s most persistent symptoms, and we work with each patient to identify the triggers that make their condition worse. We match treatment to the parts of rosacea you have:
Metronidazole, ivermectin (Soolantra), and azelaic acid for the bumps and inflammation, and oxymetazoline (Rhofade) to reduce redness.
Low-dose doxycycline or minocycline for more widespread or persistent inflammatory rosacea.
For the background redness and visible vessels that medication does not address. BBL is the only device we use for rosacea.
Knowing your own triggers means fewer flares for us to treat.
Including Ganger × True Regimen products chosen for reactive skin, and daily sun protection.
Individual results vary, and we adjust rosacea treatment over time.
Treating redness and visible vessels with light
Persistent facial redness and visible broken vessels are the symptoms people most want gone, and the ones least likely to respond to a cream or a tablet. Light treatment works differently: it targets the small vessels causing the redness while leaving the surrounding skin alone. We typically use BBL as a short series of sessions, and it addresses both diffuse redness and individual visible vessels.
- It treats the visible redness; it does not stop rosacea. New vessels can develop over time, particularly if triggers continue, so maintenance sessions are usual, not a sign of failure.
- It is not covered by insurance. We handle the medical side of rosacea as a medical visit; BBL for redness is a cosmetic treatment that insurance does not cover. See pricing transparency.
Everyday skincare
- Fewer products, gentler ones. Fragrance-free, alcohol-free, and no physical scrubs.
- Lukewarm water, not hot, and pat dry instead of rubbing.
- Daily broad-spectrum sunscreen. Sun is among the most commonly reported triggers, so sunscreen is part of treatment.
- Try anything new on a small area for a few days before putting it on your whole face.
- Green-tinted makeup neutralizes redness visually and is a legitimate part of living with rosacea.
Rosacea FAQs
Rosacea’s symptoms may come and go, but the underlying condition is chronic. An individual flare-up can last anywhere from a few weeks to several months. Without treatment, however, rosacea tends to get worse, with longer-lasting flare-ups. Treatment can control it: we can settle the bumps, reduce the redness, and treat visible vessels. Some people also develop thickened skin on the nose, and treatment can help you prevent and manage these issues.
Rosacea has a number of common triggers, though each person is unique and may have their own combination of triggering products, foods, or activities. These often include sunlight and heat; alcohol and hot beverages; spicy foods; stress and anxiety; harsh wind and cold; and certain chemicals in skin and hair care products, especially alcohol-based products. Most people find they have a handful of real triggers, not the whole list. Your dermatologist can help you identify and understand your triggers, then make lifestyle, diet, and product recommendations that can fit easily into your routine.
Rosacea’s appearance can change depending on the type of rosacea you have. During its onset, you may not even realize that you have it. In the early stages, it can mimic the appearance of other skin conditions (which respond to different treatments), so it’s best to have a dermatologist examine your skin for an accurate diagnosis. Rosacea has four main types: vascular rosacea (visible blood vessels, patches of red skin on the face); inflammatory rosacea (hard, red bumps and pimple-like pustules with pus); phymatous rosacea (thick, bumpy skin, sometimes concentrated around the nose); and ocular rosacea (inflamed eyes and eyelids, crust around the eyelids, and potentially impaired vision). We treat each type differently, so the diagnosis comes first.
It depends on which kind of redness you have, and most people have more than one. Redness that comes with bumps and inflammation usually settles with prescription creams or medication by mouth. Persistent background redness and visible blood vessels are what we treat with BBL, usually as a short series of sessions with maintenance afterwards. We examine your skin first and match treatment to what we see; BBL for redness is a cosmetic treatment that insurance does not cover. We see rosacea at all three of our offices, in Ann Arbor, Plymouth and Wixom; if you are interested in BBL, ask when you book where it is done.
Rosacea Treatment Personalized to Your Skin
If rosacea has ever kept you from putting your best face forward, now is the time to take back control and fall back in love with your skin. Relief is within your reach when you have a compassionate partner in skincare by your side. At Ganger Dermatology, we’re ready to help you say goodbye to redness and hello to red-carpet-ready skin. Proudly serving Ann Arbor, Plymouth, and Wixom, MI, we’re your dedicated skincare pros! If you think you may have rosacea, let our board-certified dermatologists put you on a personalized path to relief. We can help you manage your symptoms and get back to a life of calm, cool, and collected skin.
Come see us if:
- You have persistent facial redness that does not settle
- You have bumps on your face but no blackheads or whiteheads
- Acne treatment has not worked, or has made things worse
- You can see small blood vessels on your cheeks or nose
- The skin on your nose is thickening or becoming uneven
We see patients at our Ann Arbor, Plymouth, and Wixom offices, or call us at (734) 344-4567.