Rosacea
Rosacea is a chronic inflammatory skin condition that most commonly affects the face. It is characterized by facial redness and inflammation.

What is Rosacea?
Rosacea is a chronic inflammatory skin condition that most commonly affects the face. It often presents as persistent redness, flushing, visible blood vessels, and acne-like bumps. While rosacea is not dangerous, it can be progressive if left untreated and may significantly affect comfort, confidence, and quality of life. Rosacea is characterized by facial redness and inflammation of the:
- Cheeks
- Nose
- Chin
- Forehead
Symptoms may flare and subside over time. Although rosacea is most commonly diagnosed in adults over 30, it can affect people of many ages and skin types.
Common Signs and Symptoms of Rosacea
Rosacea can look different from person to person. Symptoms may include:
- Persistent facial redness (especially the central face)
- Frequent flushing or blushing
- Visible blood vessels (telangiectasias)
- Red or pus-filled bumps that resemble acne
- Burning, stinging, or sensitive skin
- Dry, rough, or scaly skin
- Thickened skin, most commonly on the nose (rhinophyma)
- Eye irritation, redness, or dryness (ocular rosacea)
Symptoms may worsen over time without treatment, making early evaluation necessary.
What Causes Rosacea?
The exact cause of rosacea is not fully understood. Research suggests it may involve a combination of:
- Abnormal blood vessel response
- Chronic inflammation
- Immune system dysfunction
- Genetic predisposition
- Skin mites (Demodex)
- Environmental and lifestyle factors
Rosacea tends to run in families and is more common in individuals with lighter skin, though it can affect all skin tones.
Common Rosacea Triggers
Many people with rosacea notice flare-ups related to specific triggers. Identifying and avoiding personal triggers can help reduce symptoms.
Common triggers include:
- Sun exposure
- Heat or cold weather
- Hot beverages
- Spicy foods
- Alcohol (especially red wine)
- Emotional stress
- Exercise
- Harsh skincare products
- Wind exposure
Rosacea Treatment Options
While rosacea has no cure, effective treatments may significantly reduce symptoms and prevent progression. Treatment plans are personalized based on the type, severity, and sensitivity of rosacea.
Topical Medications
- Reduce redness and inflammation
- Help control bumps and pustules
- Applied directly to affected areas
Oral Medications
- May be used for moderate to severe cases
- Help control inflammation and flare-ups
Laser and Light-Based Treatments
- Target visible blood vessels and redness
- May improve skin tone and texture
- Often used in combination with medical therapy
Medical-Grade Skincare
- Gentle cleansers and moisturizers
- Barrier-repair products
- Sun protection designed for sensitive skin
When to See a Dermatologist
You should consider a professional evaluation if you experience:
- Persistent facial redness
- Acne-like breakouts that don’t respond to acne treatments
- Burning or stinging sensations
- Eye irritation or redness
- Thickening of facial skin
Early care may help prevent progression and long-term skin changes.

Schedule a Rosacea Consultation
If you’re experiencing symptoms of rosacea or struggling with persistent facial redness, professional care may help.
Call or request an appointment with St. Louis Dermatology & Cosmetic Surgery to discuss evaluation and treatment options tailored to your skin.
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