01 Physician-led
Dermatologist-Led Care.
Every treatment performed or supervised by a board-certified dermatologist — Dr. Monica Rani, MD (Medical Director) and Dr. Stavonnie Patterson, MD — or Sydney Freedman, PA-C.
Rosacea is a chronic condition that can cause persistent redness, flushing, acne-like bumps, visible vessels, and textural changes. Symptoms often fluctuate and may worsen with triggers. Individualized treatment can improve both symptoms and appearance.
Physician-led dermatology care, part of the Northwestern Medicine Physician Network.
Rosacea is a chronic condition that can cause persistent redness, flushing, acne-like bumps, visible vessels, and textural changes. It primarily affects the central face and, for some patients, the eyes. Symptoms often fluctuate and may worsen with triggers.
We approach treatment both medically and cosmetically, to improve symptoms and the appearance of redness and blood vessels. Response and maintenance needs vary from person to person.
These factors may trigger symptoms in some people. They do not cause rosacea, and not every patient reacts to each one.
Treatment is tailored to your rosacea features: redness, flushing, bumps, visible vessels, eye symptoms, and skin tone. Most plans combine gentle skincare and sun protection with medical treatment, with therapy adjusted as needed for optimal control.
For persistent redness and visible vessels, a series of laser treatments can be combined with your plan for a complete approach, in conjunction with gentle skincare and sun protection.
Individual results and duration of results may vary. Outcomes are not guaranteed.
New vessels can form over time, and some patients later choose repeat treatment. The number and timing of sessions, including whether maintenance is needed, are individualized.
In highly pigmented skin, suitability and risk depend on the exact device, wavelength or filter, settings, cooling, recent sun exposure, and clinician experience. Some devices or settings carry higher risks of pigment change or heat injury, and some patients may not be suitable candidates.
Published evidence is more limited in very deeply pigmented skin, so we select devices and settings with particular care.
Safety Considerations (vascular laser and IPL):
Temporary redness, swelling, tenderness or stinging, itching, bruising or purple spots, and crusting can occur after treatment. How long they last varies by device and settings; redness or bruise-like spots may sometimes last about 1 to 2 weeks. Less common complications include burns, infection, temporary or permanent lightening or darkening of the skin, and scarring.
Follow your specific aftercare plan, avoid unnecessary sun exposure, and use broad-spectrum SPF 30 or higher as directed. Contact the office promptly for blistering, severe or worsening pain, drainage, spreading redness or warmth, or fever. Seek urgent eye care for eye pain, marked light sensitivity, or vision change.
Candidacy and settings are individualized. We consider the exact device, your skin tone, recent tanning or sunburn, and any active irritation or infection.
We also review cold-sore history, light sensitivity or easy bruising, pregnancy status, and medications that affect bruising or light sensitivity. Device-appropriate eye protection is required.
Our goal is to achieve optimal control of both the symptoms and appearance of red, bumpy skin by combining medical therapies and cosmetic procedures. While there is no cure for rosacea, we aim for great control and maintain it with a long-term plan together. Once your skin is calm, that plan rests on gentle skincare, daily sun protection, and trigger management, with early attention to any eye or skin-thickening changes.
Because triggers vary from person to person, a simple trigger diary can help identify what provokes your skin. We use that information to refine your plan.
Rosacea is under-recognized in highly pigmented skin. Redness and visible vessels are harder to see and can be mistaken for acne or other conditions. Warmth, burning, stinging, product sensitivity, dusky brown or violet discoloration, bumps, or eye symptoms may be more prominent than visible redness.
We evaluate these signs in the context of your skin tone and choose gentle, effective skincare, medications, and procedures.
Consider a visit if facial redness, flushing, or bumps are not settling with gentle over-the-counter care, or if your skin burns or stings. A visit also makes sense if rosacea is affecting your quality of life or emotional well-being. Seek urgent eye care for eye pain, marked light sensitivity, new blurred or reduced vision, or a very red and painful eye; do not wait for a routine dermatology visit. Ocular rosacea can involve the cornea and, rarely, threaten vision.
Earlier evaluation can confirm the diagnosis, begin symptom control, and identify eye or skin-thickening changes early. It cannot guarantee that visible vessels or other features will not develop.
Before your visit, it helps to note your triggers, the products you use, and any eye symptoms. At your appointment, your provider reviews your symptoms and history, examines your skin and eyes, and evaluates whether rosacea or another condition is causing them. When appropriate, they confirm the diagnosis and build a treatment plan that is best for your skin.
We adjust the plan with you at follow-up and decide on a long-term maintenance plan and schedule.
Your evaluation, prescriptions, and follow-up visits usually go through insurance when your plan's criteria are met. We participate with select plans, and coverage varies. Laser treatment for redness and visible vessels is considered cosmetic by insurance companies and is self-pay.
We participate with select plans from insurers such as Aetna, Blue Cross and Blue Shield (PPO and Options), Cigna, Corvel, Humana, Imagine Health, Multiplan, The Alliance, TriWest Healthcare Alliance, United Healthcare, and Zelis. We also accept Medicare Part B and select Medicare Advantage plans. Participation varies by plan and network.
01 Physician-led
Every treatment performed or supervised by a board-certified dermatologist — Dr. Monica Rani, MD (Medical Director) and Dr. Stavonnie Patterson, MD — or Sydney Freedman, PA-C.
02 Skin of Color
Providers experienced in melanin-rich skin; we adjust device, depth, and approach to your skin tone. Repeatedly praised in patient reviews.
03 Earned trust
04 South Loop
Rosacea is a chronic condition with flares and calmer periods. We can manage it very well, but we cannot cure it yet. Treatment can reduce redness and bumps, ease discomfort, control flares, and help prevent worsening. Many patients maintain calm skin with gentle skincare, daily sun protection, trigger management, and periodic follow-up visits to adjust the plan over time.
Yes. Rosacea can cause acne-like bumps and pustules, but it usually lacks the blackheads and whiteheads of acne.
It is often accompanied by flushing, burning, stinging, or sensitivity. In highly pigmented skin, rosacea is sometimes mistaken for acne or other conditions. That is one reason a dermatology evaluation helps determine an accurate diagnosis.
Vascular laser may reduce visible blood vessels in some patients. Persistent background redness may also improve, but the amount of improvement is more variable.
One or more sessions may be needed depending on the device, settings, skin tone, and individual response. These treatments work best combined with gentle skincare, sun protection, trigger management, and medical care.
Individual results and duration of results may vary. Outcomes are not guaranteed.
In highly pigmented skin, we weigh devices and settings carefully. Treatment for cosmetic redness or vessels is self-pay, as it is not covered by insurance.
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We participate with select insurance plans.
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