What are the considerations for using intradermal Botox (micro botox) to control erythema rosacea?

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Aesthetic

If a patient has tried standard topical and oral treatments (which are more cost-effective) and is not getting satisfactory relief for the flushing, then micro-Botox may be tried as there are several reports demonstrating its effectiveness.

However, it is important that patients understand that micro-Botox for flushing is an off-label usage (i.e. not an approved indication), is temporary (lasting 3-6 months) and is expensive, depending on the amount of toxin that is needed.

Those with rosacea types other than flushing (such as inflammatory rosacea, which is characterized by pimple-like skin eruptions, or the rosacea involving broken blood vessels), micro-Botox will not be useful.

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