Electrosurgery and laser surgery are treatment options for people who have red lines on their skin (from dilated blood vessels) or rhinophyma. People who have this treatment for rosacea usually experience little or no discomfort. However, the face may appear somewhat bruised for about a week after treatment and may scab, peel, or crust.
Lasers or electrical devices are also used to remove the excess tissue that accumulates on the nose in people with rhinophyma. The tissue can also be removed with a scalpel or a rapidly rotating wire brush, which is often used by dermatologists in a procedure known as dermabrasion. Although the nose will look red for a year or so following tissue removal, the nose will assume a normal skin color after one year.
Doctors usually treat the eye problems of rosacea (a condition called ocular rosacea) with oral antibiotics, such as tetracycline or doxycycline. People who develop infections of the eyelids must practice frequent eyelid hygiene. Healthcare providers may recommend scrubbing the eyelids gently with diluted baby shampoo or an over-the-counter eyelid cleaner and then applying warm (but not hot) compresses several times a day. When eyes are severely affected, doctors may prescribe steroid eyedrops.
Some people who have rosacea become depressed by the changes in the appearance of their skin. They often experience low self-esteem, feel embarrassed by their appearance, and claim that their social and professional interactions with others are adversely affected. A doctor should be consulted if a person feels unusually sad or has other symptoms of depression, such as loss of appetite or trouble concentrating.