More and more women and men in the United States are turning to cosmetic procedures to enhance their facial features. But are these same options available for people with rosacea? Many experts say yes. Here are the answers to a few common questions about procedures that go beyond mere makeup. Can I wax? What’s the best way to remove facial hair? Shaping your eyebrows can brighten the face. And removing unwanted facial hair in other areas can improve your appearance and boost self-esteem. But when looking for a hair removal method, it’s important that people with rosacea stay away from waxing. Waxing causes trauma to the skin by ripping hair from the hair follicle. This can cause rosacea to flare. The hot wax applied can also irritate your skin. People with rosacea should also avoid using electrolysis or chemical creams to remove unwanted hair. Instead, dermatologists recommend gentle tweezing to remove a few unwanted hairs. For more involved hair removal, opt for laser-assisted hair removal performed by an experienced dermatologist. Are injectable fillers an option to help smooth out my wrinkles? Injectable fillers—especially hyaluronic acid fillers such as Restylane—are safe and effective in people with rosacea. In addition to softening the look of wrinkles, they can also plump thin lips and improve the appearance of some scars. Can people with rosacea use Botox? Injections of Botox, a toxin made from C. botulinum, work by weakening or paralyzing facial muscles to diminish small lines. Botox is used effectively in people with rosacea to reduce wrinkles. In addition, some dermatology clinics are using Botox to treat rosacea. There is no clinical evidence available on Botox as a rosacea treatment. However, some Botox users with rosacea have noted a reduction in flushing after injections. Botox may block the nerve signals that cause this symptom. Bottom line? Always talk with your doctor before considering a cosmetic procedure. And seek a trained and experienced dermatologist who works closely with rosacea patients to perform it.