Rosacea affects approximately 5.46% of the general population globally, with over 16 million Americans living with this chronic inflammatory skin condition that significantly impacts quality of life and self-confidence. This persistent disorder causes facial redness, bumps, and visible blood vessels that tend to worsen over time without proper treatment, often triggering psychological distress and social withdrawal.
Dr. Zitelli provides comprehensive rosacea management throughout Cincinnati, offering personalized treatment protocols, trigger identification strategies, and long-term maintenance approaches designed to control symptoms and restore patients’ confidence in their daily interactions.
Not only provides excellent care but truly cares.
Characterizing Rosacea Phenotypes and Presentations
Rosacea manifests through various phenotypic patterns requiring individualized evaluation and treatment selection based on predominant features and patient-specific factors.
Erythematotelangiectatic Rosacea (ETR)
Persistent central facial redness with visible blood vessels and frequent flushing episodes requiring vascular-targeted treatments
Papulopustular Rosacea (PPR)
Inflammatory bumps and pus-filled lesions resembling acne but occurring in typical rosacea distribution patterns
Phymatous Rosacea Changes
Thickened, irregular skin texture particularly affecting the nose area requiring specialized treatment approaches and possible surgical intervention
Ocular Rosacea Manifestations
Eye involvement including dryness, irritation, styes, and potential vision complications requiring coordinated ophthalmologic care
Targeted Anti-inflammatory Treatment Protocols
Modern rosacea management employs evidence-based therapies targeting specific inflammatory pathways and vascular abnormalities characteristic of this complex condition.
Topical Anti-inflammatory Agents
Metronidazole gel, azelaic acid preparations, and prescription formulations designed to reduce inflammation and control bacterial overgrowth
Oral Anti-inflammatory Medications
Low-dose doxycycline and other tetracyclines providing anti-inflammatory benefits beyond antimicrobial effects for inflammatory rosacea
Vascular-Targeted Laser Therapies
Pulsed dye laser and intense pulsed light treatments for persistent redness and visible blood vessels with minimal downtime
Combination Treatment Strategies
Integrated approaches combining topical agents, oral medications, and procedural interventions for comprehensive symptom control
Comprehensive Trigger Assessment and Management
Successful rosacea control requires identification and modification of individual trigger factors that cause flares and perpetuate the inflammatory cycle.
Dr. Zitelli’s systematic approach includes detailed trigger history assessment, lifestyle modification counseling, and development of personalized avoidance strategies. Common triggers including sun exposure, heat, certain foods, alcohol, stress, and skincare products are evaluated and addressed through individualized management plans.
Gentle Skincare and Barrier Restoration
Rosacea-prone skin requires specialized care approaches that support barrier function while avoiding irritation that can worsen symptoms and trigger flares.
Customized skincare regimens emphasize gentle cleansing, appropriate moisturization, and sun protection using products specifically formulated for sensitive, reactive skin. Ingredient selection focuses on avoiding common irritants while incorporating beneficial components that support skin barrier repair and reduce inflammation.
Frequently Asked Questions About Rosacea Treatment
Rosacea is a chronic condition that cannot be permanently cured, but with proper treatment and trigger avoidance, symptoms can be well-controlled and maintained in remission.
Most patients notice initial improvement within 4-6 weeks of starting treatment, with continued improvement over 3-4 months of consistent therapy.
Common food triggers include spicy foods, hot beverages, alcohol, and certain foods high in histamine, though triggers vary significantly between individuals.
Yes, ocular rosacea can cause eye irritation, dryness, and in severe cases, vision-threatening complications requiring immediate ophthalmologic evaluation.
Vascular laser treatments can be very effective for persistent redness and visible blood vessels, often providing significant improvement with minimal downtime.
Board-Certified Dermatologist Serving Cincinnati, Ohio
Dr. Kristine Zitelli is a board-certified dermatologist serving the Cincinnati area, known for her expertise in treating a wide range of skin conditions. She completed her medical degree at Wright State University and dermatology residency at the University of Cincinnati, with additional advanced training at the UCSF Psoriasis and Skin Treatment Center. Her clinical focus includes thorough skin examinations, psoriasis, eczema, complex medical dermatology, surgical dermatology and cosmetic treatments using the latest technologies.
Dr. Zitelli has been named a “Top Doctor” in Cincinnati every year since 2016 as well as Cincinnati’s Top Dermatologist in 2020. She remains dedicated to educating the community about skin health and sun safety. Combining academic excellence, clinical research, and a compassionate approach, Dr. Zitelli delivers personalized, evidence-based care to every patient.
Comprehensive Rosacea Care in Cincinnati
Transform your relationship with persistent facial redness and regain your confidence. Dr. Zitelli’s individualized approach to rosacea management provides Cincinnati patients with effective symptom control, trigger identification, and long-term maintenance strategies tailored to your specific needs and lifestyle.
Schedule your rosacea consultation today to begin your journey toward clearer, calmer skin and renewed self-assurance.
