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Before and after a treatment for acneiiform rosacea in a male face. Coupery on the cheeks


Rosacea is a chronic skin condition causing redness and visible blood vessels, typically on the face. Treatments include topical and oral medications to reduce inflammation and redness, lifestyle modifications to manage triggers, and laser therapy for persistent redness or visible blood vessels. 


Rosacea is a chronic skin condition characterized by facial redness, swelling, and small, red, pus-filled bumps. It typically begins after the age of 30 and can be mistaken for acne, other skin problems, or natural ruddiness. The condition can be both physically discomforting and a source of self-consciousness. While its exact cause remains unidentified, various environmental and hereditary factors are believed to play a role. Although there is no cure for rosacea, treatments can control and reduce the signs and symptoms. This is where the expertise of a dermatologist becomes pivotal.

Understanding Rosacea

Rosacea's signs and symptoms can vary significantly from one individual to another. Most commonly, it affects the central face, including the cheeks, nose, forehead, and chin. There are four primary subtypes, which have their own sets of symptoms: erythematotelangiectatic rosacea (facial redness), papulopustular rosacea (redness with breakouts that resemble acne), phymatous rosacea (skin thickens and becomes bumpy), and ocular rosacea (eyes become red and irritated, and eyelids can become swollen).

Dermatological Approaches to Rosacea Treatment


  1. Topical Drugs: These medications are applied directly to the affected skin:

    • Brimonidine (Mirvaso) and oxymetazoline (Rhofade): They can reduce redness by constricting blood vessels.

    • Metronidazole: Available in gel, cream, or lotion, this can help reduce redness and the pimples associated with rosacea.

    • Azelaic Acid: This gel or foam can help reduce redness and pimples.



  1. Oral Antibiotics: Such as tetracycline, doxycycline, and minocycline, help reduce some types of bacteria but mainly fight inflammation.

  2. Isotretinoin: For severe rosacea that doesn't respond to other treatments, this drug can be effective. However, it has significant side effects.

  3. Laser Therapy: This can help reduce the redness of enlarged blood vessels. Repeat treatments may be necessary.


The Role of Dermatologists in Managing Rosacea


  1. Accurate Diagnosis: Rosacea can be confused with acne and other skin conditions. A dermatologist is trained to distinguish between these conditions and provide an accurate diagnosis.

  2. Personalized Treatment Plans: No single rosacea treatment works for everyone. Dermatologists tailor treatments to individual symptoms and needs.

  3. Lifestyle Guidance: Many factors can trigger or worsen rosacea symptoms, from foods and drinks to emotional stress and temperature extremes. A dermatologist can help identify and guide patients on how to avoid their personal triggers.

  4. Education on Self-care: Dermatologists can offer advice on daily skincare routines that can help manage rosacea and might recommend products suitable for sensitive skin or those specifically formulated for rosacea.



Rosacea can be a disconcerting and persistent issue. However, with modern treatments and the guidance of a seasoned dermatologist, individuals can effectively manage their symptoms and lead a life with improved skin health and confidence.


(310) 975-9785



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