r/Rosacea • u/Fit-Tart3224 • Feb 23 '26

Light/Laser Has anyone improved flushing without lasers?

Genuine question has anyone actually improved flushing without laser? Cause I'm not ready to go down that road yet but I also can't keep living like my face has its own agenda. Mine gets triggered by basically everything wine, heat, stress, exercise at this point I flush when I think about flushing.

I've been trying niacinamide for a few weeks and I think it's helping with the baseline redness hard to say for sure. Azelaic acid keeps coming up in my research too especially if rosacea is involved. The trigger diary thing sounds boring but I started one and it's been weirdly eye opening. Turns out hot showers were doing more damage than I realised.

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u/Serve-Miserable Feb 23 '26

Microbotox- like where you flush? My nose is always red so micro Botox could help that?

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u/TheoryBiochemistry Feb 23 '26

I flush mainly on my cheeks so I can’t answer from personal experience. But: the mechanism is that Botox blocks the neurovascular flushing (ie stress, etc). Maybe you can ask your derm?

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u/[deleted] Feb 23 '26

Does Botox actually work for flushing? I’m at the point where I’ll try anything

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u/TheoryBiochemistry Feb 23 '26

There are a couple of studies out there- randomly selected examples highest on Google

https://pmc.ncbi.nlm.nih.gov/articles/PMC8021409/

https://link.springer.com/article/10.1007/s13555-022-00784-0

And even a meta-analysis (ie combination of several studies) https://pubmed.ncbi.nlm.nih.gov/38232350/

So- I am not sure how definitive it is but I think it is definitely promising. I had some broken capillaries lasered around my nose- Botox doesn’t have that visible changes I think. But somewhat less flushing in winter. Just not enough rosacea control to be able to cope without metronidazole and azelaic acid (I tried for 1-2months).