Rosacea Treatment

Rosacea is a chronic inflammatory skin condition causing facial redness, visible blood vessels, and sometimes acne-like bumps — primarily on the central face. Unlike acne, it's not driven by clogged pores or excess oil. Triggers, treatments, and long-term management differ significantly.

Common triggers include sun exposure, hot beverages, spicy foods, alcohol, temperature extremes, strenuous exercise, and emotional stress. Triggers vary by individual — identifying and minimizing personal triggers is an important part of long-term rosacea management.

Rosacea is a chronic condition without a cure, but it can be effectively managed. Topical medications, oral antibiotics, laser therapy for vascular changes, and consistent sun protection can significantly reduce symptoms and slow progression.

Ocular rosacea — affecting the eyelids and eyes — occurs in approximately 50% of rosacea patients, causing redness, burning, dryness, and sensitivity. It's frequently underdiagnosed and can be treated with lid hygiene, lubricating drops, and sometimes oral antibiotics.

Topical metronidazole and azelaic acid are generally well tolerated — mild stinging or dryness may occur initially. Topical ivermectin is very well tolerated. Oral doxycycline at low anti-inflammatory doses has minimal antibiotic side effects. Laser procedures may cause temporary redness and swelling.