How is rosacea treated?

Written in association with: Dr Iaisha Ali
Published:
Edited by: Conor Lynch

Here, esteemed consultant dermatologist, Dr Iaisha Ali, explains what rosacea is, what causes it, and how the skin condition can be effectively managed and treated.

What is rosacea?

Rosacea is a chronic and inflammatory skin condition that primarily affects the face, causing redness, visible blood vessels, swelling, and sometimes, small red bumps resembling acne. While rosacea can occur in individuals of any age, it is most commonly diagnosed in adults between the ages of 30 and 50, particularly those with fair skin and a tendency to flush or blush easily.

 

What causes rosacea?

The exact cause of rosacea is not fully understood, but it is believed to involve a combination of genetic, environmental, and vascular factors. Triggers such as sun exposure, hot or spicy foods, alcohol, stress, and certain skincare products can exacerbate symptoms and lead to flare-ups of rosacea.

 

Rosacea is typically classified into four subtypes, each with its own characteristic symptoms:

 

  1. Erythematotelangiectatic rosacea: Characterised by persistent facial redness, flushing, and visible blood vessels.
  2. Papulopustular rosacea: Characterised by redness, swelling, and acne-like breakouts (papules and pustules) on the central face.
  3. Phymatous rosacea: Characterised by thickening and enlargement of the skin, particularly on the nose (rhinophyma), resulting in a bulbous or irregular appearance.
  4. Ocular rosacea: Affecting the eyes, causing redness, dryness, itching, burning, and sensitivity to light.

 

How is it diagnosed?

Diagnosing rosacea typically involves a thorough medical history, physical examination, and evaluation of symptoms. There is no cure for rosacea, but treatment options are available to help manage symptoms and reduce the frequency and severity of flare-ups.

 

How is rosacea treated?

Treatment for rosacea may include topical medications (such as metronidazole, azelaic acid, or brimonidine) to reduce redness and inflammation, oral antibiotics (such as doxycycline or minocycline) to control bacterial overgrowth and inflammation, and topical or oral medications to relieve symptoms of ocular rosacea.

 

To book an appointment with Dr Iaisha Ali today, simply visit her Top Doctors profile. 

By Dr Iaisha Ali
Dermatology

Dr Iaisha Ali is a leading London consultant dermatologist with more than 20 years' experience.

She specialises in hair loss (alopecia), acne, rosacea, and hormone-related skin problems and pigmentation disorders. In fact, she runs a specialist hair clinic for hair loss conditions and hirsutism (excess hair). She also specialises in the management of skin cancer and mole screening, and she regularly performs minor surgery and medical laser treatments. 

Dr Ali was awarded a postgraduate degree at Oxford University, and completed research in hormonal and genetic factors that affect hair changes in women. She completed postgraduate specialist training in dermatology at Oxford Deanery.

As well as providing a renowned level of patient care, she also contributes to her field via medical research. She has published and presented her research at many national and international scientific meetings. What's more, she also offers courses to GPs in dermoscopy, skin cancer, hair loss, acne, acne scarring, rosacea, and psoriasis.

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