Online dermatologist for rosacea and facial redness.
Rosacea benefits from an accurate diagnosis, a tailored regimen, and a clear plan for flares. A comprehensive visit helps you understand your subtype, triggers, and the treatments most likely to help.
Medically reviewed by Gibran Shaikh, MD, FAAD· Last reviewed September 2026
Board-certified dermatologist · Clinical Instructor, Dermatology, Mount Sinai
4.76/5 from 500+ patient reviews on Zocdoc
Who this consultation is for
- Persistent central-face redness or visible vessels
- Papules and pustules that resemble acne but do not respond to acne treatment
- Frequent flushing episodes
- Sensitive skin that does not tolerate common actives
Symptoms and situations
- Persistent redness on the cheeks, nose, chin, or forehead
- Flushing triggered by heat, alcohol, spicy food, or exercise
- Small inflammatory bumps or pustules
- Burning, stinging, or sensitivity to skincare
- Visible small blood vessels
What Dr. Shaikh will review
- Distinguishing rosacea from dermatitis, acne, or overlap
- Prior treatments and skincare tolerability
- Trigger patterns and daily routine
- Barrier health and product recommendations
- Long-term maintenance strategy
Potential treatment categories
Treatment is individualized. Categories below may be discussed when clinically appropriate. No prescription or specific outcome is guaranteed.
- Prescription topicals such as metronidazole, ivermectin, or azelaic acid
- Oral doxycycline assessment when clinically appropriate
- Barrier-support and gentle skincare strategy
- Trigger identification and long-term flare management
- Referral for in-office procedures for redness or visible vessels when appropriate
When video care may not be appropriate
Some presentations require in-person examination, dermoscopy, biopsy, procedures, or urgent evaluation. If video care is not appropriate, Dr. Shaikh will explain when in-person evaluation is recommended.
- Ocular rosacea with significant eye involvement needing ophthalmology
- Rhinophyma or advanced structural changes needing procedural referral
- Findings that require in-person examination
What the $250 visit includes
A comprehensive live video consultation with Dr. Shaikh — not an asynchronous topical pathway.
- A 30-minute live video visit directly with Dr. Shaikh
- Diagnosis review and subtype discussion
- A written treatment and maintenance plan
- Prescriptions sent to your pharmacy when clinically appropriate
- Guidance on triggers and skincare
Medication, laboratory testing, and follow-up visits are not included unless explicitly stated.
Common questions
- How is rosacea different from acne?
- Rosacea and acne can look similar but respond to different treatments. Rosacea often involves central-face redness, flushing, and sensitivity, and does not typically respond well to standard acne regimens.
- Will I be prescribed oral antibiotics?
- When clinically appropriate, low-dose oral doxycycline may be discussed for inflammatory rosacea. No prescription is guaranteed at any visit.
- Are lasers or in-office procedures required?
- Visible vessels and persistent redness sometimes benefit from in-office procedures. Dr. Shaikh will let you know when a referral is worth pursuing.
- How do I identify my triggers?
- The visit includes discussion of common rosacea triggers (heat, alcohol, spicy food, sun, skincare) and a practical approach to identifying and managing yours.
Online dermatology available in 13 states
Eligibility follows the state you are physically located in on the day of the appointment, not your mailing address. See where care is available by state — including New York, Florida, Texas, Illinois and Arizona.
Reviewed by a board-certified dermatologist
This page was written and medically reviewed by Gibran Shaikh, MD, FAAD. Board-certified dermatologist · Fellow of the American Academy of Dermatology. Last reviewed September 2026. This information is educational and does not replace an individual consultation, diagnosis, or treatment plan.