Rosacea Therapy From the Leading Dermatologist in Boca Raton and Palm Beach Gardens

Tired of your face turning red at the worst times? Dealing with stinging, burning, or bumps that won’t go away? You might need rosacea therapy, and not another expensive cream that doesn’t work.

Rosacea affects around 5% of adults worldwide, and more than 16 million Americans live with it. If your cheeks flush, sting, or show small bumps, you deserve relief. And the worst part is, rosacea doesn’t fade. It flares. It spreads. And it gets harder to manage the longer it goes untreated.

At Frieder Dermatology, we offer real solutions. Medical dermatologist Dr. Jillian Frieder helps patients in Boca Raton and Palm Beach Gardens calm their skin and take control, for good.

A blond woman looking in a mirror and touching her cheek where there is a slight rosacea flare-up.

What to Know About Rosacea and How It’s Different from Other Skin Conditions

img1Rosacea is a chronic skin condition that causes redness, visible blood vessels, and sometimes acne-like bumps, typically on the face. It often affects the cheeks, nose, chin, and forehead, and may also cause burning, stinging, or swelling.

It tends to flare up in cycles, with symptoms that worsen for weeks or months, then improve. While it can look like acne or other skin issues, it is a distinct condition with its own set of triggers and treatments.

Rosacea, eczema, and psoriasis all cause skin inflammation and flare-ups, but they show up differently and need different treatments. This skin condition mainly affects the face with redness and visible vessels, eczema causes itchy, dry patches anywhere on the body, and psoriasis leads to thick, scaly plaques.

Rosacea therapy treats persistent facial redness, bumps, and visible blood vessels. It aims to reduce inflammation, calm your skin, and fade flare-ups. We may combine topical creams, oral medications, and light-based treatments depending on your symptoms.

How Rosacea Therapy Works

Step 1: Diagnosis

A rosacea dermatologist spots your symptoms, such as flushing, papules, pustules, engorged blood vessels, or burning. Rosacea often runs in families, so genetics can play a role alongside environmental triggers.

We classify your case using recognized criteria and offer you the best solution. Although there is no cure, we are well-versed in all the treatment options and can reduce your symptoms as much as possible.

Step 2: Topical Treatments

Common options include:

  • Azelaic acid cuts inflammation and free radicals; clinical trials show up to 58% fewer inflammatory lesions after 12 weeks of treatment.
  • Metronidazole or ivermectin helps reduce bumps and redness. These treatments also target demodex mites, which are often found in people with this skin condition.

Step 3: Oral Medications

If topical treatments aren’t enough, we may recommend low-dose oral medication to control inflammation. These are not traditional antibiotics. They’re prescribed at sub-antimicrobial levels, which means they calm the skin without targeting bacteria.

img2Two common options are:

  • Doxycycline – Taken as a 40mg extended-release capsule once a day. It helps reduce the bumps, pimples, and redness caused by rosacea.
  • Minocycline – Also taken as a 40mg extended-release capsule once daily. It works similarly to doxycycline and is used when inflammation persists.

Step 4: Light Therapy & Laser

If you’re dealing with persistent redness or visible blood vessels, light-based treatments may help. These therapies target dilated vessels and reduce inflammation under the skin.

Dr. Frieder may recommend:

  • Intense Pulsed Light (IPL): Broad-spectrum light targets blood vessels and pigment. It helps reduce redness and flushing.
  • Vascular Laser (like pulsed dye laser): Focused light shrinks visible vessels and minimizes long-term redness.

These treatments are minimally invasive and don’t involve cutting or needles. Most people describe the sensation as a warm snap or a rubber band flick. Recovery is quick; your skin may look pink or slightly swollen for a day or two, but you can return to normal activities right away. Some patients benefit from a series of sessions to get the best results.

Dr. Frieder includes these options when she sees long-standing redness or surface vessels that don’t respond to creams or medication.

Step 5: Lifestyle and Skin Care Habits

Alongside medical treatments, lifestyle changes can help manage rosacea symptoms. Certain triggers make flare-ups worse, so we recommend paying attention to your routine and habits.

Common tips include:

  • Avoiding spicy foods, hot drinks, and alcohol, which can increase flushing.
  • Use gentle, fragrance-free skin care products designed for sensitive skin.
  • Protecting your skin from sun exposure by wearing broad-spectrum sunscreen daily. This is especially important when living in Boca Raton or Palm Beach Gardens, where the sun is strong and can worsen your symptoms.
  • Managing stress through relaxation techniques, as stress can trigger inflammation.
  • Keeping a symptom diary to track foods, products, or activities that cause flare-ups.

What to Expect

  • Relief: Topicals can ease symptoms in 2–4 weeks, although it’s not guaranteed and we may need to later offer other treatment options.
  • Visible results: Expect fewer lesions, less flushing, and calmer skin in 8–12 weeks.
  • Ongoing care: You may need maintenance treatments, like occasional use of creams or oral medication, to keep symptoms under control.
  • Adjustments: We tweak your plan based on your progress and triggers.

Dr Frieder explains, “Our goal is to give you clear skin and avoid over-treatment.”

Your Next Steps

If you think you might have rosacea, start by paying attention to your symptoms. Flushing, visible blood vessels, stinging, and breakouts that don’t behave like regular acne are all common signs. The sooner you get a diagnosis, the easier it is to manage.

Schedule an evaluation with Dr. Frieder, a board-certified medical dermatologist. During your visit, bring a list of your current skincare products and any notes about what seems to trigger your flare-ups. This helps us understand what’s working, what’s not, and where to start.

We’ll build a personalized treatment plan based on your symptoms and your lifestyle. Rosacea therapy is not one-size-fits-all. We’ll monitor your progress and make adjustments over time to keep your skin clear and under control.

Book Your Rosacea Therapy Appointment Today

Dr. Jillian Frieder is a rosacea dermatologist known for her clear, honest advice. With advanced training and years of experience, she puts you first and creates a personalized rosacea therapy plan that works for you.

Rosacea interferes with your life less when you treat it directly. If you’re ready to take control, call Click here or call us at (561) 210-7310 to book your consultation at either our Boca Raton or Palm Beach office today.

About Dr. Frieder

Dr. Jillian Frieder is a board-certified dermatologist providing cosmetic and medical dermatology services in Boca Raton and Palm Beach Gardens. A graduate with Distinction from Wayne State University and a member of Alpha Omega Alpha, she completed her dermatology residency at Baylor University Medical Center, where she served as Chief Resident.