Rosacea Treatment in Petaluma & Hercules

What is Rosacea?

Rosacea is an inflammatory skin condition that primarily affects the face, causing flushing, visible blood vessels, a burning sensation, and pus-filled bumps that can mimic acne. In a minority of cases, it can lead to swollen eyes and irritated eyelids, a condition known as ocular rosacea.  At Dermatology Associates of the Bay Area, our board-certified dermatologists specialize in diagnosing and managing rosacea.

Causes & Triggers of Rosacea

While the exact cause of rosacea remains unknown, dermatologists believe it results from a combination of bacteria, demodex mites, a heightened immunological response, and environmental triggers.

Common triggers include:

  • Sun exposure
  • Hot beverages, spicy foods, and alcohol
  • Stress
  • Temperature extremes of hot or cold
  • Certain skincare products like fragrance, exfoliants, and retinoids

Rosacea is more common in individuals with fair skin, light eyes, and a family history of the condition, though it can affect all skin types and ethnic backgrounds. Importantly, rosacea is not contagious. Identifying and avoiding personal triggers is a crucial step in managing flare-ups, and our dermatologists help patients recognize their unique sensitivities.

Signs & Symptoms of Rosacea

Rosacea presents in several ways, and symptoms often vary by subtype:

  • Facial Redness and Flushing (Telangiectatic Rosacea): Persistent redness across the cheeks, nose, and forehead, often with visible blood vessels known as telangiectasia.
  • Acne-like Breakouts (Papulopustular Rosacea): Red bumps and pus-filled pimples resembling adult acne.
  • Enlarged Nose (Rhinophyma): Enlargement and thickening of the skin around the nose.
  • Eye Involvement (Ocular Rosacea): Irritated, watery, or bloodshot eyes, sometimes with eyelid swelling or styes.

Symptoms may worsen over time if left untreated. Some patients also experience burning, stinging, or dryness in affected areas. Because rosacea mimics other skin conditions, proper evaluation by a dermatologist is essential for accurate diagnosis and effective management.

Rosacea Treatment Options

At Dermatology Associates of the Bay Area, we provide a full spectrum of therapies:


Medical Treatments

  • Topical Medications: Metronidazole, azelaic acid, ivermectin cream, or brimonidine gel to reduce redness and inflammation.
  • Oral Antibiotics: Low-dose doxycycline or azithromycin to calm inflammatory bumps and pustules.
  • Oral Isotretinoin: Reserved for severe cases unresponsive to other therapies.
  • Laser Therapy (Cutera Excel V):With the help of our medical aesthetician, we can provide chemical peels that help with exfoliation, skin turnover, and the reduction of clogged pores.
  • Propranolol or carvedilol for significantly deeper redness or flushing.
  • Tacrolimus for chronic steroid rosacea, especially on the nose.

Dermatology Associates of the bay area doctors, pa, aesthetician, and staff. Group image outside.

Why Choose Dermatology Associates of the Bay Area?

Our team of board-certified dermatologists is dedicated to providing expert skin care for patients of all ages. At Dermatology Associates of the Bay Area, we combine advanced dermatology techniques with personalized care to help you achieve healthy, beautiful skin.

What sets us apart:

  • Board-Certified Dermatologists – Our dermatologists have completed rigorous training and certification to deliver the highest level of dermatologic care. Our medical colleagues recognize our expertise, and as such, we have been recipients of Castle Connolly Top Doctors – including most recently in January 2025
  • Comprehensive Skin Care – From medical dermatology and acne treatment to advanced acne scar solutions and cosmetic procedures, we offer a full range of services under one roof.
  • Patient-Focused Approach – Every treatment plan is customized to fit your unique skin type, concerns, and goals.
  • Advanced Technology We use clinically proven treatments and devices for effective, safe results.
Patient Reviews

Trusted by Thousands of Bay Area Patients

Rosacea Treatment

Frequently Asked Questions

How is rosacea different from acne?

While rosacea may include bumps and pustules similar to acne, key differences include the absence of blackheads, occurrence in mature adults (typically over 30), persistent background redness, and sensitivity reactions. Unlike acne, rosacea rarely improves without professional treatment and often worsens with traditional acne products.

How long does it take to see improvement with treatment?

Most patients notice initial improvement within 4-6 weeks of starting treatment, with significant results typically visible by 12 weeks. Laser treatments may show immediate reduction in visible blood vessels, while topical and oral therapies require consistent use for optimal benefit. Long-term management helps maintain results and prevent progression.

Will my rosacea go away completely?

Rosacea is a chronic condition that requires ongoing management rather than a cure. However, with proper treatment, most patients achieve significant improvement in symptoms and can maintain clear, comfortable skin. Early intervention often leads to better long-term outcomes and prevents progression to more advanced stages.

Are laser treatments painful?

Our laser treatments are generally well-tolerated, with most patients describing a mild snapping or warm sensation. We use cooling technology and, when needed, topical numbing agents to maximize comfort. For extensive treatments, we offer Pro-Nox nitrous oxide to ensure a comfortable experience.

Can I wear makeup during treatment?

Yes, mineral-based makeup can often be worn during rosacea treatment and may actually provide sun protection benefits. We recommend avoiding heavy foundations or products with known irritants. Our team will provide specific guidance based on your treatment plan and skin sensitivity.

What triggers should I avoid?

Common rosacea triggers include sun exposure, extreme temperatures, spicy foods, alcohol, stress, certain skincare ingredients, and vigorous exercise. However, triggers vary significantly between individuals. We help identify your specific triggers through detailed history-taking and sometimes recommend trigger diaries.

Is treatment covered by insurance?

Medical treatment for rosacea, including prescription medications and diagnostic visits, is typically covered by insurance. Cosmetic laser treatments for improving appearance may not be covered, though we offer financing options to make care accessible. We’ll help verify your coverage and discuss payment options.

Can rosacea affect my eyes?

Yes, ocular rosacea affects up to 50% of people with facial rosacea. Symptoms include dry eyes, burning, foreign body sensation, and eyelid inflammation. Our comprehensive dermatological approach includes screening for ocular involvement and coordinating care when needed.

How do I maintain results long-term?

Long-term success requires consistent skincare habits, trigger avoidance, regular follow-up visits, and sometimes maintenance treatments. We provide detailed homecare instructions and typically recommend check-ups every 3-6 months to monitor progress and adjust treatments as needed.

Can I combine rosacea treatment with other procedures?

Many patients benefit from combining rosacea-specific treatments with complementary procedures like gentle chemical peels or hydrating facials. Our dermatologists carefully evaluate your skin condition to recommend safe, effective combination approaches that won’t exacerbate rosacea symptoms.

New Patients

Get a comprehensive skin examination with our board-certified dermatologists

Insurance Accepted

Most major insurance plans accepted for medical dermatology services

Petaluma Location

165 Lynch Creek Way
Petaluma, CA 94954

Hours: Monday-Friday: 8:00AM - 5:00PM

Hercules Location

500 Alfred Nobel Drive, Suite 245
Hercules, CA 94547

Hours: Monday-Friday: 8:00AM - 5:00PM