Acne Rosacea

Acne rosacea is a chronic inflammatory skin condition that mainly affects the face. Unlike acne vulgaris, it does not involve blackheads or whiteheads but causes redness, flushing, visible blood vessels, and acne-like bumps. It often flares up and down over time.

What causes Acne Rosacea?

The exact cause is unknown, but several factors contribute:

  • Abnormal blood vessel function (leading to flushing/redness).
  • Overactive immune response in the skin.
  • Demodex mites (tiny skin mites found in higher numbers in rosacea skin).
  • Genetics (runs in families).

 

Triggers that worsen symptoms:

  • Sun exposure
  • Hot drinks or spicy food
  • Alcohol
  • Stress
  • Extreme temperatures
  • Certain skincare or steroid creams

 

Where can you get Acne Rosacea?

Acne rosacea is usually isolated to the face, mainly the cheeks, as it is associated with blushing. It can also be found on the forehead, nose, ears and even the scalp. It may also affect the eyes. This is known as ocular rosacea.

 

Symptoms

  • Persistent facial redness (cheeks, nose, chin, forehead).
  • Flushing or frequent blushing.
  • Papules and pustules (red spots that resemble acne).
  • Visible small blood vessels (telangiectasia).
  • Thickened skin in severe cases (especially nose → rhinophyma).
  • Eye symptoms in some cases (ocular rosacea) → dry, irritated, watery eyes.
  • Persistent facial redness (cheeks, nose, chin, forehead).
  • Flushing or frequent blushing.
  • Papules and pustules (red spots that resemble acne).
  • Visible small blood vessels (telangiectasia).
  • Thickened skin in severe cases (especially nose → rhinophyma).
  • Eye symptoms in some cases (ocular rosacea) → dry, irritated, watery eyes.

 

Who can get Acne Rosacea?

Acne rosacea is more common in women than in men and usually affects people with fair skin; it is also most prevalent in adults.

Acne ROSACEA Treatments

1. Lifestyle & Self-care

  • Identify and avoid personal triggers (e.g., sun, spicy food, alcohol).
  • Use gentle, fragrance-free skincare.
  • Apply daily sunscreen (SPF 30+).

2. Topical Treatments

  • Metronidazole gel/cream → reduces inflammation.
  • Azelaic acid gel/cream → helps redness and bumps.
  • Ivermectin cream → targets inflammation and skin mites.
  • Brimonidine or oxymetazoline gel → temporarily reduces redness by narrowing blood vessels.

3. Oral Medications

  • Low-dose doxycycline (antibiotic/anti-inflammatory) for moderate rosacea.
  • Oral isotretinoin (for severe resistant cases).

For advice on the best suited medication for your Acne Rosacea – please book a consultation with one of our dermatologists or doctors

4. Clinic Procedures

  • Laser therapy (IPL, pulsed dye laser) → treats visible blood vessels and redness.
  • Electrosurgery for thickened skin (rhinophyma).

To find out the best treatment suited to you, please book a consultation with one of our dermatologists or doctors

Prevention Tips

  • Use gentle cleansers (avoid harsh scrubs).
  • Moisturise daily to protect skin barrier.
  • Always wear SPF 30+ sunscreen.
  • Limit alcohol, hot/spicy foods, and caffeine if they trigger flares.
  • Avoid long-term use of topical steroids on the face.

 

FAQs

Q1. Is rosacea the same as acne?
No. It looks similar to acne but has no blackheads/whiteheads, and it mainly involves redness and blood vessels.

Q2. Can rosacea be cured?
No permanent cure, but treatments can control and minimise symptoms.

Q3. Does rosacea get worse with age?
Without treatment, it can worsen over time, but with management, flare-ups can be reduced.

Q4. Can diet affect rosacea?
Yes. Spicy foods, hot drinks, alcohol, and caffeine are common triggers.

Q5. When should I see a doctor?
If you have persistent redness, painful bumps, or eye involvement, see a dermatologist for diagnosis and treatment.

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