What is your treatment approach to prevent progression of phymatous rosacea?

Isotretinoin has definitely been the gold standard at our office to shrink/slow the growth of the sebaceous glands.

However, Monopolar RF (i.e. Agnes RF) can also selectively target and ablate sebaceous glands while minimizing epidermal damage if the goal is sebaceous control rather than dermaplaning/actual rhinophyma repair.

This is an article on actual rhinophyma repair with Monopolar RF:

Tambe et al., PMID 31413484

I am also interested in looking into AviClear for both seborrhea and rosacea co...