Acne And Rosacea

Robin Borkowsky Rubell, MD, FAAD -  - Dermatologist

21st Century Dermatology

Robin Borkowsky Rubell, MD, FAAD

Dermatologist located in Mid-Town, New York, NY

Acne can affect your self-confidence and make you feel self-conscious at any age. Dr. Robin Borkowsky Rubell is a board-certified dermatologist at 21st Century Dermatology in New York City who is an expert at treating all forms of acne. Dr. Borkowsky Rubell and her highly skilled staff work with patients of all ages to determine the underlying cause of acne so they can prescribe the most effective available treatments including topical prescription creams, oral medications, hormonal therapies and/or dietary changes . Call or schedule a consultation using the online system to learn more.

Acne & Rosacea Q & A


Acne is the most prevalent skin condition in the United States, affecting at least 50 million Americans each year. Although it most commonly affects teens and adolescents, a growing number of women in their 30s, 40s, and 50s also suffer from acne breakouts. When left untreated, acne can result in permanent scarring.

Despite many myths about eating greasy foods, or not keeping your skin clean, the causes of acne are primarily:

  • Clogged hair follicles and pores
  • Overactive glands that produce too much oil
  • Hormones and menstruation
  • Heredity
  • Genetics
  • Emotional stress
  • Certain medications

When bacteria and dead skin cells stick together and become trapped in your pores, you may develop pimples, pustules, or cysts as a result of inflammation within your pores.

What are typical acne symptoms?

The signs and symptoms of acne vary and may include:

  • Whiteheads which indicate closed clogged pores
  • Blackheads which indicate open clogged pores
  • Small red bumps, sometimes associated with rosacea symptoms
  • Pimples with pus
  • Large, solid bumps under the skin’s surface known as nodules
  • Pus-filled lumps beneath the surface of your skin, known as cystic lesions

Dr. Borkowsky examines your skin closely to determine what kind of acne you have so she can recommend the most effective treatment options.  She never uses a “one treatment fits all” approach.

What is Rosacea?

Rosacea is a condition that causes facial skin to appear red and irritated. It sometimes produces acne-like bumps within the redness, possibly related to blood flow, skin bacteria and irritation of your pores and follicles. Rosacea sufferers may also have an abnormal immune or inflammatory response to certain psychological and environmental factors. Additionally, rosacea may flare up when triggered by a variety of both internal and external factors such as:

  • Sun exposure
  • Cold weather
  • Wind
  • Alcohol
  • Caffeine
  • Spicy foods
  • Heavy exercise
  • Hot baths
  • Skincare products and cosmetics

Request an appointment online or call the Midtown Manhattan office to schedule your acne consultation.