Medical dermatology
Rosacea
Rosacea is a chronic condition that causes facial redness, flushing, visible blood vessels, and acne-like bumps. It's eminently treatable, but the treatment isn't the same as treating ordinary acne.
What it is.
Rosacea typically affects the central face: cheeks, nose, chin, and forehead. It can show up as flushing and redness, acne-like bumps, skin thickening (classically of the nose), or eye irritation.
Who it affects.
Rosacea most commonly affects fair-skinned adults between 30 and 60, though it occurs in all skin tones. Common triggers include sun, heat, alcohol, spicy food, stress, and certain skincare products.
How we treat it.
Treatment combines trigger avoidance and sun protection with topical agents (metronidazole, ivermectin, azelaic acid) and, when needed, oral therapy (low-dose doxycycline). Visible vessels and persistent redness can be addressed with vascular laser referrals.
When to come in.
If your face flushes easily, you have persistent central redness, or you're being treated for acne that isn't responding, an accurate diagnosis often changes the treatment plan completely.
Related conditions.
Next step
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