Rosacea is a common chronic skin condition that affects over 14 million Americans, many of whom are unaware that they have it. Rosacea appears on the skin of the face as areas of redness and sometimes small, pus-filled bumps similar to acne. It is most generally seen in middle-aged to elderly women with light complexions; however, anyone can develop the condition. Though there is rarely any physical discomfort associated with rosacea, it can affect a patient's confidence and self-esteem. There is no cure for rosacea, but there are several treatments available to help control symptoms and allow patients to enjoy their lives. If you would like to discuss your options for managing your rosacea, schedule a consultation at Pacific Skin and Cosmetic Dermatology San Francisco & Marin. You can receive a diagnosis and treatment recommendations from our board-certified dermatologist, Dr. Tracy Evans, or one of our experienced physician's assistants.
"Dr. Evans has performed Mohs surgery on my face twice and I could not be happier with the results. For the past couple decades, I have spent almost every Summer in the South of France because I have family and friends there. Of course it is a sunny place with lots of gorgeous beaches and other outdoor activities. I guess I got a little too much sun exposure on these trips, especially since I have fair skin and blue eyes. When I first found out I had a basal cell spot on my face I was very upset, but Dr Evans and her staff are absolutely amazing!!! I had never had any surgery on my face and I was worried about it, but I truly felt I had the kind of empathy and care that you would get from a family member or a great friend, from Dr. Evans and everyone else on her team. Dr. Evans did such a great job on both surgeries and they have healed so well, so much so that no one even notices that I have had two surgeries on my face. I have been going to her office for years now with regular skin checks and I have to say I am extremely impressed with the entire staff. In addition to the Mohs surgery, and after I had basal cell a second time, I decided to get Fraxel Laser done at Dr. Evans office. A lot of people do this for cosmetic reasons, but I did it because I found out that Fraxel can help reduce the chance of getting basal cell in the future. As a guy, I did not see myself spending thousands of $’s on laser for my face the first time, but after I got the 2nd basal cell on my face I decided it was worth the money if it reduced the chance of more basal cell in the future. I was very pleased with the Fraxel procedures and I have not had another basal cell issue since I had it, so I am very happy with the decision. The Fraxel laser procedure also evened out the toning on my face, so that was great as well. I highly recommend the Fraxel Laser to anyone who wants to potentially reduce the chance of basal cell, and I also have been taking Nicotinamide (a special form of vitamin B) which can also potentially reduce future basal cell issues, and I use a DNA enzyme repair cream at night which reduces the chance of basal cell. As I said before, I have not had basal cell since I had the Fraxel and I think taking Nicotinamide and using the DNA enzyme repair cream all have helped. After all this I realize how important skin care is and I am grateful that I got such great care. Most of my friends never go to a dermatologist and have an ignorance is bliss attitude, but with Dr. Evans and her amazing team, I am much more aware of how important it is to get regular checks and what can be done to maintain my skin going forward. My skin looks great and people think I look much younger than my actual age. One final point: I also have a couple friends that have HMO insurance that also have had basal cell. They have had surgeries at their HMO and I can tell you the care and the results they received are not even close to the care and outstanding results I have had with Dr. Evans. In some cases, the HMO made my friends wait a long time before they could even get the Mohs surgery and they also made mistakes, and their results in terms of scarring and healing were not the best. There is no way I would trust an HMO to do this surgery. At this point, I would only trust Dr. Evans with something this important. Thanks to Dr. Evans, Clarence, Shantelle, Kirstie, Danielle, Leslie, and the entire team! You all have helped me in a difficult situation more than once and I got through it as if nothing ever happened because of your amazing care and skills!"- E.R. / Yelp / Sep 25, 2021
"I want to write this review for Dr Evans’ staff and specifically for Krystal and Ava. I have been treated there 4 times this year. Each time I go I feel like my health and happiness is the most important thing in the world to both medical and administrative staff. I am not just the next person in their busy day that needs treatment and a means for the practice to make money. I am made to feel the same way as when I fly first class or stay in a world class hotel. The entire experience from the time I walk in the door until I walk out again is unlike anything I have experienced at any doctor or dentist or any medical facility. They are professional and compassionate with a great "bedside" manner. I am cared for as a patient and valued as a human each visit."- S.G. / Yelp / Sep 01, 2021
"Dear Tracy Evans M.D. Thank you_Thank you_Thank you. For your amazing expertise and talents. I could not be happier with my care. Everyone on your staff is so competent and awesome. So grateful, Deb Protheroe"- D.P. / Google / Jul 11, 2021
"Excellent, thorough medical care for the skin. I appreciate the fact that Dr Evans monitors my skin every 6 months for medical issues and catches anything amiss early. Knowledgeable staff to help with skin care products after medical needs met. Beautiful relaxing spa like waiting area."- B.F. / Google / Jun 11, 2021
"I was in desperate need of a quick remedy to extract my pores and hydrate my face. Mallory recommended the hydrafacial treatment for me. The whole treatment was quick, only taking about 30 minutes, and very affordable with NO down time! Mallory was an absolute gem! Prior to the treatment, she explained the process and made sure I was comfortable. I would highly recommend Dr. Evans team at Pacific Skin Dermatology. Can’t wait for my next treatment!"- K.K. / Yelp / May 30, 2021
The exact cause of rosacea has not been determined; however, specialists think it could be a combination of genetic and environmental factors. People of Northern European descent seem to have a higher incidence of rosacea, as well as those with family members who suffer from rosacea or aggressive acne. Scientists believe that immune system overreactions can cause rosacea, especially when triggered by certain bacteria or mites. Some dermatologists also think the redness and flushing associated with rosacea is the result of abnormal facial blood vessels.
There are a large number of factors that can trigger rosacea or cause it to worsen. These can include dairy, spicy foods, hot beverages, and alcohol, especially red wine; sunlight and extreme hot or cold temperatures, including baths or showers; stress and strenuous exercise; certain medications; and cosmetics.
The symptoms of rosacea can vary from mild to severe, but the telltale sign of rosacea is noticeable redness in the central portion of the face. The small blood vessels of the nose and cheeks can swell and become visible. Other symptoms include red and swollen bumps on the face that looks similar to acne. The skin can also feel hot and tender, similar to a sunburn. Eye problems, such as irritation, dryness, and swollen eyelids, are often also present in patients with rosacea. Less often, the tip of the nose can appear enlarged due to thickening of the nose skin.
If you are diagnosed with rosacea, there are several ways you can manage your symptoms. For daily routines, it is important to be diligent about wearing the correct sunscreen and maintaining a gentle skin care regimen. Unfortunately, there is no cure for rosacea, but there are antibiotics that can address inflammation, which can be taken orally or smoothed over the skin as a topical lotion. Many patients with rosacea also respond well to acne medications, such as isotretinoin. Surgery, such as laser surgery or electrosurgery, is an effective option in cases where the symptoms don't respond to topical or oral medication. These procedures can be used to reduce the appearance of blood vessels and remove excessive tissue buildup around the nose.
Restore Your Self-Esteem
Rosacea has both physical and emotional symptoms because facial redness often causes patients to feel embarrassed or self-conscious in social situations. If you believe you have rosacea, please call Pacific Skin and Cosmetic Dermatology San Francisco & Marin to schedule a consultation. We can develop a treatment plan that allows you to put your best face forward. Dr. Tracy Evans and her team are knowledgeable in cutting-edge treatments and can offer you hope and help.