Cosmetic
Chronic facial redness, flushing, papules—not “adult acne” without evaluation.
Rosacea includes erythematotelangiectatic, papulopustular, phymatous, and ocular variants. Triggers include heat, alcohol, spicy foods, stress, and UV exposure. The Canadian Dermatology Association provides patient-facing rosacea resources.
Treating rosacea like acne with harsh topicals can worsen barrier dysfunction.
Neurovascular dysregulation, Demodex mites, genetics, and barrier impairment are research areas—not fully explained by a single cause.
Prescription topicals (metronidazole, ivermectin, azelaic acid), low-dose oral agents when indicated, gentle skincare, and targeted topical and oral therapies for persistent redness. Rhinophyma may need surgical referral.
Daily SPF is non-negotiable—UV triggers flares.
Rosacea is chronic—goal is control and fewer flares, not one-time cure. Lifestyle trigger management helps.
