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What is Rosacea?
Rosacea (pronounced “roh-ZAY-sha”) is a common, chronic skin condition that primarily affects the central face. Although rosacea usually begins in adulthood, it could also affect children. Symptoms include periodic flushing or redness on the cheeks, nose, chin and forehead. Over time, the redness becomes more persistent, and visible blood vessels may be seen. Inflammatory bumps (papules) and pimples (pustules) may develop, and in severe cases, usually in men, the nose may become bumpy from excess tissue. In many patients, the eyes are also affected, feeling irritated and appearing watery or bloodshot.
Individuals with fair skin who tend to flush or blush easily are believed to be at highest risk, but it can affect all skin types. Rosacea is more frequently found in women, but tends to be more severe in men. As with other skin conditions, there is a genetic propensity, but diet and lifestyle play an important role.
There are effective and safe treatments for rosacea, but treatment usually takes several weeks to see improvement and must be continued to prevent flares. Treatments include topicals and orals. People with rosacea should apply a moisturizer nightly and a sunscreen daily as maintenance. We also provide our updated Diet and Lifestyle Guidelines pdf with useful recommendations for all initial rosacea consultations.
People with rosacea tend to have sensitive skin, and one treatment that is suitable for some may cause skin irritation in others. We try to select the most appropriate topical(s) based on the specific type and symptoms of rosacea that you have, your skin type, and your individual preferences. However, adjustments to your regimen may occasionally be needed based on your individual response and course.
Commonly used topical medications for rosacea include:
Adding an oral treatment can be helpful for more severe cases and when there is eye involvement. Oral options include:
We have extensive experience in using all of these treatment options to maximize clearing and minimize potential side-effects.