Overview
Rosacea includes erythematotelangiectatic, papulopustular, phymatous, and ocular variants. Triggers include heat, alcohol, spicy foods, stress, and UV exposure.
Treating rosacea like acne with harsh topicals can worsen barrier dysfunction.
Cosmetic
Rosacea & facial redness
Chronic facial redness, flushing, papules—not “adult acne” without evaluation.
Contributing factors
Neurovascular dysregulation, Demodex mites, genetics, and barrier impairment are research areas—not fully explained by a single cause.
Treatment options
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.
What to expect
Rosacea is chronic—goal is control and fewer flares, not one-time cure. Lifestyle trigger management helps.