How-To 2 min

Last Updated May 6, 2025

Understanding Rosacea

Author
|
Dermatology Resident Physician
Dr. Phuong Daniels

What Is Rosacea?

If your face often looks red, blotchy, or breaks out in bumps that aren’t quite acne, you might be dealing with rosacea. It’s a common skin condition that usually shows up in adulthood, and it loves to stick around if not treated. Most people notice it on the cheeks, nose, forehead, or chin, and sometimes even in the eyes.

What Causes It?

The exact cause of rosacea is unknown, but a few common factors are usually at play:

  • An overactive immune system can lead to more inflammation, making your skin red, irritated, and sensitive.
  • Demodex mites, tiny organisms that live on everyone’s skin, can cause problems when they multiply too much, triggering irritation.
  • Environmental triggers like sun exposure, heat, stress, spicy foods, alcohol, and hot drinks can cause your blood vessels to overreact, worsening symptoms.

Everyone’s triggers are different, so it’s helpful to track what seems to set yours off.

Types of Rosacea

Rosacea isn’t a one-size-fits-all. There are four main types:

  1. Erythematotelangiectatic Rosacea – constant redness and visible blood vessels
  2. Papulopustular Rosacea – red bumps and breakouts (often mistaken for adult acne)
  3. Phymatous Rosacea – thickened skin, usually around the nose
  4. Ocular Rosacea – red, irritated, or watery eyes

How to Treat It

Rosacea is a chronic but manageable condition. It might take a bit of trial and error, but with consistency, you can get it under control. Here’s what usually helps:

  • Topical treatments like metronidazole or ivermectin help reduce bumps and redness.
  • Oral antibiotics can be used for more persistent or severe flare-ups.
  • Laser therapy targets visible blood vessels and helps even out skin tone.
  • Gentle skincare is key! Prioritize fragrance-free products, skip the scrubs, and avoid harsh ingredients.
  • Daily sunscreen is a must, no exception.

Preventive Measures

Rosacea isn’t curable, but you can keep it under control:

  • Wear a physical sunscreen with zinc oxide or titanium dioxide (SPF 30+) every day.
  • Steer clear of your triggers, whether it’s hot drinks, wine, or the sauna.
  • Treat your skin gently with mild cleansers and moisturizers.
  • Manage stress. Just five minutes of deep breathing can make a difference.
  • Track your flare-ups to spot patterns and prevent future ones.

 

Doctor's Note

  • Rosacea is common and manageable. It might be stubborn, but with the right care, your skin can settle down.
  • There are four types, and each one responds a little differently to treatment.
  • Lifestyle changes matter just as much as medication.

The Research

van Zuuren EJ, Arents BWM, van der Linden MMD, Vermeulen S, Fedorowicz Z, Tan J. Rosacea: New Concepts in Classification and Treatment. Am J Clin Dermatol. 2021 Jul;22(4):457-465. doi: 10.1007/s40257-021-00595-7. Epub 2021 Mar 23. PMID: 33759078; PMCID: PMC8200341.

·       American Academy of Dermatology. Rosacea: Overview. Accessed 5/2/2025. https://www.aad.org/public/diseases/rosacea/what-is/overview

Dr. Phuong Daniels

Dermatology Resident Physician

Dr. Phuong Daniels

Dermatology Resident Physician

Dr. Phuong Daniels, a dermatology resident physician in Wilmington, North Carolina, brings a unique perspective to her patient care. Shaped by her upbringing in Ho Chi Minh City, Vietnam, and her prior experience as a Doctor of Physical Therapy, she is deeply committed to improving patients' quality of life through dermatology. Outside of her medical practice, she cherishes time with her husband and kids, enjoying cooking, hiking, traveling, and photography.

Location: Wilmington, North Carolina

Doctor's Note

  • Rosacea is common and manageable. It might be stubborn, but with the right care, your skin can settle down.
  • There are four types, and each one responds a little differently to treatment.
  • Lifestyle changes matter just as much as medication.

The Research

van Zuuren EJ, Arents BWM, van der Linden MMD, Vermeulen S, Fedorowicz Z, Tan J. Rosacea: New Concepts in Classification and Treatment. Am J Clin Dermatol. 2021 Jul;22(4):457-465. doi: 10.1007/s40257-021-00595-7. Epub 2021 Mar 23. PMID: 33759078; PMCID: PMC8200341.

·       American Academy of Dermatology. Rosacea: Overview. Accessed 5/2/2025. https://www.aad.org/public/diseases/rosacea/what-is/overview