What are the signs of rosacea?

Rosacea can look different from one patient to another. Signs may include:

Frequent flushing
Persistent red, violet or brown facial discoloration
Visible facial blood vessels
Acne-like bumps or pus-filled spots
Burning, stinging or tenderness
Dry or rough skin
Facial swelling
Thickened skin, particularly around the nose
Eye redness or irritation

Symptoms commonly affect the cheeks, nose, chin and forehead. Some patients also notice changes on the scalp, ears, neck or upper chest.

Unlike acne, rosacea does not usually cause blackheads. However, rosacea and acne can occur at the same time.

Can rosacea affect the eyes?

Ocular rosacea affects the eyes and eyelids. Symptoms may include:

Bloodshot or watery eyes
Burning, stinging or itching
A gritty sensation
Dryness
Light sensitivity
Swollen eyelids
Recurrent styes
Crusting around the eyelashes

Eye symptoms may appear before noticeable facial rosacea. Prompt evaluation is important because untreated inflammation can occasionally affect vision.

What triggers rosacea flare-ups?

Triggers vary, and not every patient reacts to the same things.

Common triggers may include:

Sun exposure
Hot or cold temperatures
Hot beverages
Spicy foods
Alcohol
Emotional stress
Strenuous exercise
Wind
Certain skin care products
Some medications

Keeping a record of your activities, foods, products and symptoms can help identify personal triggers.

How is rosacea diagnosed?

Rosacea is diagnosed by examining the skin and eyes and reviewing your symptom history. There is no single laboratory test for the condition.

Your provider may consider other possible causes, including acne, seborrheic dermatitis, contact dermatitis, lupus or medication-related flushing.

How is rosacea treated?

Treatment is selected according to the signs affecting you most.

Options may include:

Topical azelaic acid
Topical metronidazole
Topical ivermectin
Medication that temporarily reduces persistent facial redness
Oral antibiotics for inflammatory bumps
Laser or light treatment for visible blood vessels
Gentle skin care and daily sun protection
Treatment for ocular rosacea
Procedures for thickened skin when necessary

Rosacea often requires continued care. Once symptoms improve, maintenance treatment may help prevent or reduce flare-ups.

How should I care for rosacea-prone skin?

Use a mild cleanser, moisturizer and broad-spectrum sunscreen. Avoid scrubs, harsh toners and products that sting or burn.

Introduce new products gradually and stop using anything that consistently irritates your skin.

Schedule a rosacea consultation

Facial redness and acne-like bumps can result from several different skin conditions. The Dermatology Clinic can identify the cause, assess possible eye involvement and create a personalized rosacea treatment plan. Contact us today to get scheduled.