What is rosacea and how is it recognised?
Recurrent redness across the cheeks, nose and forehead, a feeling of warmth and sometimes small red bumps suggest rosacea. A doctor makes the diagnosis.
In some people fine vessels become visible, while in others the bumps dominate. Some forms involve thickening of the nose. Eye symptoms such as dryness, stinging and redness may also be present.
Rosacea is typically reported from middle age and more often in fair skin, but it can occur on any skin tone. On darker skin the redness can be harder to notice.
How is rosacea told apart from acne?
Rosacea has no blackheads, the redness is persistent and burning is prominent. Acne relates to blocked pores. The two can coexist, and telling them apart needs an examination.
Mistaking rosacea for spots and using acne products can dry the skin and increase redness. If facial redness and bumps have lasted a long time, an assessment is better than trying products.
The doctor may also rule out other conditions that look similar.
Which triggers may cause a flare?
Sun, hot environments, sudden temperature change, alcohol, very hot drinks, spicy food, stress and some skincare products may trigger flares. Triggers differ between people.
Keeping a diary may help identify your own triggers. Sun protection is generally the most consistent advice.
Avoiding irritants such as fragrance and alcohol-based toners is often suggested, though this is individual.
How is rosacea managed?
Management involves reducing triggers, gentle skincare, sun protection and, if needed, doctor-supervised topical or oral treatment. Because it is chronic, the aim is to keep symptoms under control.
Depending on the signs, the doctor may suggest topical creams or some oral medicines. For visible vessels, vessel-focused light or laser methods are considered in some cases; suitability is determined individually and they may be postponed during a flare.
Aggressive peels, harsh brushes and hot steam are mostly not advised. Using corticosteroid creams on your own may worsen rosacea.
When should I see a doctor?
See a doctor if redness has lasted weeks, burning is troublesome, or there is eye pain, redness or any change in vision.
Eye symptoms can be serious and may need an eye specialist. If the shape of the nose is changing, early assessment matters.
If you are planning pregnancy or breastfeeding, tell the doctor, as some treatments may be unsuitable.
Frequently asked questions
Does rosacea go away completely?
It is chronic; treatment aims to keep symptoms under control, and response varies from person to person.
Is rosacea contagious?
No, it is not contagious.
Can I wear make-up with rosacea?
Usually yes; fragrance-free, non-irritating products are preferred. If you are sensitive, talk to your doctor.
Is laser suitable for rosacea?
It is considered in some cases for visible vessels, but suitability is decided at examination and it is usually postponed during a flare.
Sources (5)
- American Academy of Dermatology: Rosacea Resource Center
- British Journal of Dermatology (global ROSacea COnsensus panel): Rosacea treatment update: recommendations from the global ROSacea COnsensus (ROSCO) panel (2017)
- British Journal of Dermatology (global ROSacea COnsensus panel): Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel (2019)
- Türk Dermatoloji Derneği: Rozase (Akne Rozasea – Roza – Gül Hastalığı – Güllenme) Hastalığı Bilgilendirme Formu
- American Academy of Dermatology: 7 rosacea skin care tips dermatologists recommend
This content is for general information and does not replace a personal medical assessment.