Rosacea NYC Unveiled: Defining Types, Revolutionary Treatments, and Expert Insights by Dr. Gary Rothfeld

Understanding Rosacea: Types, Treatment, and Misdiagnosis


Welcome to Rosacea NYC, your go-to resource for comprehensive information on rosacea, its types, treatments, and common misconceptions. Dr. Gary Rothfeld, a board-certified dermatologist practicing at 629 Park Avenue, leads our efforts in providing accurate insights into this common skin condition.

Rosacea Overview:

Rosacea is a chronic skin disorder that primarily affects the face, causing redness, visible blood vessels, bumps, and sometimes eye irritation. It often begins with mild symptoms that progressively worsen if left untreated. Despite its prevalence, rosacea remains widely misunderstood, leading to misdiagnosis and ineffective treatments in many cases.

Types of Rosacea:

  1. Erythematotelangiectatic Rosacea (ETR):

    • Characterized by persistent facial redness and visible blood vessels.
    • Patients may experience flushing and sensitivity to certain triggers like sunlight, spicy foods, or alcohol.
  2. Papulopustular Rosacea:

    • Presents with acne-like bumps (papules) and pus-filled lesions (pustules) on the central face.
    • Inflammation and sensitivity are common, often mistaken for adult acne.
  3. Phymatous Rosacea:

    • Rare but severe form leading to thickening of the skin, especially on the nose (rhinophyma).
    • May cause visible enlargement of oil glands and irregular surface nodules.
  4. Ocular Rosacea:

    • Affects the eyes, causing dryness, irritation, redness, and sometimes vision problems.
    • Often misdiagnosed as conjunctivitis or allergies.

Types of Treatment:

  1. Topical Therapies:

    • Prescription creams and gels to reduce redness and inflammation.
    • Examples include metronidazole, azelaic acid, and brimonidine.
  2. Oral Medications:

    • Antibiotics like doxycycline or isotretinoin to control inflammation and prevent flare-ups.
    • May be prescribed for moderate to severe cases.
  3. Laser and Light Therapies:

    • Intense Pulsed Light (IPL) or laser treatments to target visible blood vessels and redness.
    • Effective for erythematotelangiectatic rosacea.
  4. Lifestyle Modifications:

    • Identifying and avoiding triggers like sunlight, hot beverages, spicy foods, and alcohol.
    • Gentle skincare routine using non-irritating products.

Misdiagnosis and Common Pitfalls:

Many patients with rosacea-like symptoms are misdiagnosed due to overlapping characteristics with other skin conditions. For instance:

  • Acne: Papulopustular rosacea is often mistaken for adult acne, leading to ineffective treatments.
  • Lupus or Dermatomyositis: Facial redness and inflammation may resemble autoimmune conditions, necessitating thorough evaluation by a dermatologist.
  • Seborrheic Dermatitis: Flaky, red skin on the face can mimic rosacea, requiring differential diagnosis to determine the correct condition.

The Best Rosacea Care:

At Rosacea NYC, Dr. Gary Rothfeld emphasizes accurate diagnosis and personalized treatment plans for each patient. Our comprehensive approach includes:

  • Detailed consultations and skin evaluations.
  • Tailored skincare regimens incorporating gentle cleansers, moisturizers, and sunscreens.
  • Advanced therapies such as laser treatments, topical agents, and oral medications when necessary.
  • Ongoing support and education to manage triggers and prevent flare-ups.


Rosacea is a complex skin condition that requires specialized care and understanding. Through Rosacea NYC and Dr. Gary Rothfeld's expertise, we strive to provide the best-in-class resources and treatments for individuals dealing with rosacea. Don't let misdiagnosis or misinformation hinder your journey to clear, healthy skin. Contact us today for a consultation and take the first step towards effective rosacea management.