Rosacea is a chronic disorder that is characterized by facial flushing and with time the gradual development of persistent facial redness and spider-like blood vessels. It is often punctuated by episodes of inflammatory papules (bumps), pustules (pimples), and swelling. Management for many people often includes avoidance of popular foods and alcohol, as well as cosmetic camouflage, which can be expensive and time-consuming.

Rosacea is typically characterized by having up and down periods where the symptoms heighten and lessen. While rosacea is not curable, it can be controlled with laser light so that the redness will decrease. While rosacea may improve with treatment and even be gone for a number of months, it may never completely go away.

Micro-Needling Treatment Before & After

Microneedling for Rosacea

Rosacea is a complex disease that involves many aspects.

  • Vascular:

There are many factors contributing to facial redness. Transient flushing may have variable intensity and frequency. Inflammatory lesions, lesional or perilesional redness, teleangiectasia, persistent macular background erythema are independent of lesions. Inflammation from papules and pustules or dry inflamed skin may obscure the level of non-transient erythema.

  • Neurovascular component:

With rosacea, there is an increased skin sensitivity to noxious heat stimuli.The facial hypersensitivity is based on vascular changes due to: stasis, increased blood flow, inflammation, lower pain threshold, higher skin temperature and hypersensitivity. The neurogenic component of rosacea can respond to drugs such as gabapentin, pregabalin and duloxetine.

  • Inflammation:

Both the innate and adaptive immune system, are involved in the development of rosacea at a very early stage. Initially T-cells and macrophages infiltrate the skin, releasing factors leading to prolonged vasodilation, seen as erythema. They are also responsible for the recruitment of neutrophils and other cells, which later are clinically seen as pustules.

  • Demodex

Demodex are microscopic mites, commonplace all over the world with parasitic existence in hair follicles, sebaceous glands and eyelid glands. Demodex can be transmitted directly in areas rich in sebaceous glands, but also by indirect contaminated subjects such as towels, bed clothing etc. The life cycle is 14-18 days. A higher prevalence of D. folliculorum was found in rosacea patients. Demodex induces neutrophilic and granulomatous inflammation. Topical tetracycline drugs can help treat Demodex.

Treatment option for Demodex: Over the counter topical tetracycline. Do not use while pregnant or breastfeeding. 



  • sun exposure
  • emotional stress
  • hot weather
  • wind
  • strenuous exercise
  • alcohol consumption
  • cold weather
  • spicy foods
  • certain skin care products
  • heated beverages
  • certain cosmetics
  • medications (steroids, niacin, beta blockers)
  • dairy products


At Aria Aesthetics & Wellness, we use microneedling, tranexamic acid, and light chemical peels to manage rosacea. The tranexamic acid is applied as a topical lotion while microneedling. This helps reduce the superficial blood vessles that are the culprit for rosacea. We apply a numbing medication to your face, then use hyaluronic acid and tranexamic acid while microneedling the products into your skin.


Immediately after treatment, you may experience some transient redness or bruising. You may looks lightly sunburned, but this will subside by the next day. The redness and veins may not immediately disappear and it can take up to several months to fully improve and clear. Individual results will vary, but can depend on the body surface that is affected. While some patients may see relief in just one treatment, other patients may need a number of treatments to achieve their desired result.

Some patients or lesions may not respond as well as others. Rosacea lesions tend to subside after the first or subsequent treatments. Regardless of the treatment response, recurrence is common and can be caused by a number of lifestyle factors. It is important to understand that rosacea is a chronic condition that can only be controlled rather than cured.