GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Vascular · Rosacea erythematotelangiectatic

Microdosed botulinum for skin evidence for Rosacea erythematotelangiectatic

C 42.2 / 100 Supported 1 RCT/meta · 0 clinical/observational · 2 case · 12 total
Early-stage evidence

This is an early evidence stage based mainly on observational studies and case reports. Use it as supplementary reference, and follow your doctor's judgment for treatment decisions.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Median year 2023 Last 5 years 58% Positive results 75% Korea/Asia 1

Known in Korea as

물톡스더모톡신초음파 보톡스더모톡신 목주름 (국산더모톡신 얼굴전체(국산더모톡신 목주름 (독일산더모톡신 목주름 (미국산더모톡신 목주름 (영국산더모톡신 얼굴전체(독일산더모톡신 얼굴전체(미국산

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Effects of Botulinum Toxin Type A Treatment on Clinical and Biophysical Parameters in Patients With Erythematotelangiectatic Rosacea: A Prospective, Randomized, Controlled, Double-Blind Study. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2024 · PMID 39679585

Abstract summary (English) BACKGROUND: Erythematotelangiectatic rosacea (ETR) lacks a gold-standard treatment. Recent studies show that intradermal Botulinum Toxin-A (BoNT-A) is effective for erythema, though objective data are limited. OBJECTIVE: This study aims to evaluate the efficacy and tolerability of intradermal BoNT-A in patients with ETR.

Journal Article, Randomized Controlled Trial

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tier0_review Emerging Medical Therapies in Rosacea: A Narrative Review. Dermatology and therapy · 2023 · PMID 37824060

Abstract summary (English) Rosacea is a chronic inflammatory disease with a multifactorial pathogenesis. The wide spectrum of clinical phenotypes, including erythema, telangiectasia, inflammatory papules and pustules, and phyma, demand an individualized approach to treatment. This narrative review offers an updated reference for rosacea management by covering the latest developments in both topical and systemic treatments, including data from...

Journal Article, Review

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tier0_review Rosacea Management. Skin appendage disorders · 2016 · PMID 27843919

Abstract summary (English) BACKGROUND: Rosacea is a chronic inflammatory skin condition associated with four distinct subtypes: erythematotelangiectatic, papulopustular, phymatous, and ocular. PURPOSE: To review the different kinds of management for all subtypes. METHODS: We divided rosacea management into three main categories: patient education, skin care, and pharmacological/procedural interventions.

Review, Journal Article

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tier3 Injections of Botulinic Neuroprotein Combined with Low Molecular Weight Hyaluronic Acid and Cluster of Lyophilized Amino Acids in One Syringe. The Journal of clinical and aesthetic dermatology · 2024 · PMID 39759254

Abstract summary (English) BACKGROUND: Intradermal injections of highly diluted botulinic neuroprotein is a popular aesthetic medicine procedure to improve the texture of the skin, enlarged pores, and fine lines. OBJECTIVE: The authors present a case report of nine subjects who received treatment with botulinic neuroprotein combined with an amino acid cluster and low molecular weight hyaluronic acid. METHODS: Nine women between the ages of 30...

Case Reports, Journal Article

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tier3 Botulinum toxin for the treatment of refractory erythema and flushing of rosacea. Dermatology (Basel, Switzerland) · 2015 · PMID 25765295

Abstract summary (English) BACKGROUND: Persistent erythema and severe rosacea flushing can cause significant physical discomfort and emotional stress to patients. Currently, no satisfactory treatments are available. METHODS: We report two cases of refractory flushing and erythema of rosacea that were successfully treated with intradermal botulinum toxin injections.

Case Reports, Journal Article

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tier_other LetibotulinumtoxinA for Rosacea: A Pilot Study. Toxins · 2026 · PMID 42043026

Abstract summary (English) Rosacea-associated erythema and flushing often remain inadequately controlled by standard therapies. Intradermal botulinum toxin A has emerged as a potential treatment targeting the neurovascular component of rosacea. This pilot study aimed to evaluate the safety and preliminary efficacy of intradermal letibotulinumtoxinA for persistent erythema and flushing in rosacea.

Journal Article

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tier_other Combination Therapy with Oral Doxycycline and Intradermal Botulinum Toxin Type A for Moderate-to-Severe Rosacea: A Randomized Controlled Trial. Indian journal of dermatology · 2026 · PMID 41884736

Abstract summary (English) BACKGROUND: Rosacea is a chronic inflammatory skin disorder, particularly challenging in moderate-to-severe cases, characterized by symptoms such as facial papules, pustules, erythema, flushing, and telangiectasia, which severely impact quality of life. Although oral doxycycline is a primary treatment, its efficacy against erythema is limited, necessitating the exploration of combination therapies. Intradermal...

Journal Article

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tier_other Microtoxin for Improving Pore Size, Skin Laxity, Sebum Control, and Scars: A Roundtable on Integrating Intradermal Botulinum Toxin Type A Microdoses Into Clinical Practice. Aesthetic surgery journal · 2023 · PMID 36857534

Abstract summary (English) BACKGROUND: In aesthetic clinical practice, botulinum toxin type A (BoNT-A) is best known for its use as a neuromodulator for the treatment of dynamic facial lines; however, when injected intradermally as microdroplets, BoNT-A can improve skin quality and overall skin appearance. OBJECTIVES: To discuss key aspects of microtoxin use in clinical practice and provide expert guidance on utilization. METHODS: As part of...

Journal Article

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tier_other Botulinum Toxin A Alleviates Persistent Erythema and Flushing in Patients with Erythema Telangiectasia Rosacea. Dermatology and therapy · 2022 · PMID 35925473

Abstract summary (English) INTRODUCTION: The persistent erythema and flushing seen in some cases of rosacea do not respond effectively to, or may easily relapse after, oral medication or light-based therapies (laser or intense pulsed light). Intradermal botulinum toxin A (BTX-A) injection can be used to treat intractable erythema and flushing, but studies with large samples and long-term observation have not been conducted to determine its...

Journal Article

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tier_other Pulsed dye laser followed by intradermal botulinum toxin type-A in the treatment of rosacea-associated erythema and flushing. Dermatologic therapy · 2020 · PMID 32633449

Abstract summary (English) Rosacea is a common inflammatory skin disease characterized by erythema, episodes of flushing, and inflammatory lesions. It typically affects the face and is more prevalent among fair skin individuals affecting women more than men. Various treatments are available for rosacea with light-based therapies commonly used in the management of erythema.

Journal Article

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Suggested interpretation

Limited evidence

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