Rosacea Specialist
Audrey Bruell, MD offers diagnosis and treatment to patients who have symptoms of rosacea, a common skin condition that may mimic other skin conditions. Patients in Livonia, Michigan, who struggle with rosacea should contact the office for an appointment with Dr. Audrey Bruell, a Board Certified dermatologist.

Rosacea Q & A

What’s rosacea?

Rosacea is a skin condition that causes redness and the appearance of highly-visible blood vessels under the skin. Some patients with rosacea also notice pus-filled bumps in the area. Rosacea most commonly develops on the face.

What causes rosacea?

Rosacea most likely occurs because of a combination of environmental and genetic factors. Certain environmental factors may trigger or worsen the symptoms of rosacea, including the use of certain cosmetics, exercise, sunlight, extreme temperature, alcohol, spicy foods, and strong emotions.

Though rosacea can affect anyone, it's more likely to occur among patients who smoke, over 35 years old, female, and have fair skin. Having a family history of rosacea may also raise the risk of developing this condition.

How does Dr. Bruell diagnose rosacea?

Dr. Bruell diagnoses rosacea with a physical examination of the patient’s skin and an evaluation of the patient's medical history. No specific test can confirm the presence of rosacea. However, Dr. Bruell may order tests to rule out conditions with similar symptoms.

What are the symptoms?

The symptoms of rosacea may include:

  • Redness on the central part of the face
  • Swollen, visible blood vessels on the cheeks and/or nose
  • Swollen red bumps that resemble acne
  • Thickened skin on the nose
  • Red, swollen eyelids

Symptoms usually appear for weeks or months at a time with periods of remission in between flares.

What treatments are available?

Dr. Bruell may prescribe a variety of medications and therapies to patients with rosacea. For example, she may prescribe a medication designed to reduce redness by constricting blood vessels. She may also prescribe antibiotics to reduce inflammation. For severe cases, she may prescribe a powerful acne medication.

In addition to medication, some patients with rosacea benefit from laser therapy, dermabrasion, electrosurgery, or pulsed light therapy.

What can patients do to treat rosacea at home?

In addition to seeking treatment from Dr. Bruell, patients help reduce the symptoms of rosacea by avoiding environmental factors that trigger or exacerbate this condition. Patients can also massage the face daily to reduce inflammation.

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