Question:

I am 41 year old male with very early Rhinophyma.  What can be done to correct this?  I have small lumps/bumps and change in skin texture, thickened skin on centre, upper area of nose etc.  Can it be spot treated with laser?  Better to do whole nose?  What is best treatment? CO2 for resurfacing and getting rid of bumps?  Photodynamic in short passes to destroy/shrink sebaceous glands?  I took Accutane as a young adult so low dose in not an option.  Stress and sun make this worse so working on controlling stress. Thank you sir!

Answer:

In my experience, the CO2 laser resurfacing has been the most effective and relaible treatment option

Question:

Dr. Garcia,
 I large light brownish/reddish spot that looks dry and as if something is eating my skin. A dermatologist told me I had rosacea on my cheeks, it has been more than a year and it is getting worse. Is there another product you recommend for this?
Thank you, 
Ariceli

Answer:

I use topical antibiotics, starting with cleocin and I also recommend doing IPL photo-facial sessions or a light Nd:YAG laser to help control it. It gets worse in the summer with the at though