Skip to Main Content

Rosy Cheeks, or is it More? Let's Talk Rosacea

By Tyler Evans, MD March 24, 2025 Posted in: Dermatology

Rosacea. It's a word that might sound vaguely familiar, but if you're reading this, chances are you're dealing with it firsthand. This chronic skin condition, characterized by facial redness, visible blood vessels, and sometimes small, pus-filled or red bumps, can be a real confidence killer. But don't despair! Understanding rosacea is the first step towards managing it and reclaiming your skin.

What exactly is Rosacea?

Rosacea is a long-term inflammatory skin condition that primarily affects the face. While it can affect anyone, it's most common in fair-skinned women between the ages of 30 and 50. The exact cause of rosacea remains a mystery, but genetics, environmental factors, and even the presence of certain microorganisms are thought to play a role.

Signs and Symptoms: More Than Just a Blush

Rosacea isn't just about a rosy complexion. Symptoms can vary from person to person and can fluctuate in severity. Here are some common signs to watch out for:

  • Persistent Facial Redness: This is often the most noticeable symptom, resembling a blush or sunburn that doesn't go away.
  • Visible Blood Vessels (Telangiectasia): Small, broken blood vessels become visible on the nose, cheeks, and chin.
  • Bumps and Pimples: Small, red, pus-filled bumps can appear, often resembling acne.
  • Burning or Stinging Sensation: The skin may feel sensitive, burning, or stinging.
  • Enlarged Nose (Rhinophyma): In severe cases, the skin on the nose can thicken and become enlarged, more common in men.
  • Eye Problems (Ocular Rosacea): Rosacea can also affect the eyes, causing dryness, irritation, redness, and even blurred vision.

Triggers: The Culprits Behind the Flare-Ups

One of the biggest challenges of managing rosacea is identifying and avoiding your personal triggers. These are factors that can exacerbate your symptoms and cause flare-ups. Common triggers include:

  • Sun Exposure: UV rays are a major trigger for many people with rosacea. (Another great reason to wear sunscreen!)
  • Heat: Hot weather, saunas, and hot baths can worsen redness.
  • Spicy Foods: Spicy dishes can dilate blood vessels and trigger flare-ups.
  • Alcohol: Red wine is a particularly common trigger.
  • Stress: Emotional stress can contribute to rosacea symptoms.
  • Certain Skincare Products: Harsh soaps, exfoliants, and products containing alcohol or fragrance can irritate sensitive skin.
  • Wind and Cold Weather: Extreme temperatures can irritate the skin.
  • Certain Medications: Some medications, such as topical steroids, can worsen rosacea.

Managing Rosacea: Taking Control of Your Skin

While there's no cure for rosacea, there are effective ways to manage the symptoms and minimize flare-ups. Here's a breakdown of strategies:

  • See a Dermatologist: A dermatologist can properly diagnose rosacea and recommend the best treatment plan for your specific needs.
  • Topical Medications: Prescription creams and gels containing ingredients like metronidazole, azelaic acid, or ivermectin can help reduce inflammation and redness.
  • Oral Medications: In some cases, oral antibiotics or other medications may be prescribed to control inflammation.
  • Laser Therapy: Laser treatments can help reduce redness and visible blood vessels.
  • Gentle Skincare Routine:
    • Cleanse: Use a gentle, fragrance-free cleanser.
    • Moisturize: Apply a hydrating, non-comedogenic moisturizer to protect the skin barrier.
    • Sunscreen: Wear a broad-spectrum sunscreen with an SPF of 30 or higher every day, even on cloudy days.
  • Identify and Avoid Triggers: Keep a diary to track your flare-ups and identify potential triggers.
  • Stress Management: Practice relaxation techniques like yoga, meditation, or deep breathing to manage stress.
  • Dietary Changes: Consider eliminating or reducing your intake of spicy foods, alcohol, and other potential dietary triggers.

You're Not Alone!

Living with rosacea can be challenging, but remember that you're not alone. Millions of people around the world are dealing with the same condition. By understanding your triggers, following a consistent skincare routine, and working with a dermatologist, you can effectively manage your rosacea and feel more confident in your skin.

Reach out to your provider with more questions. 

Tyler Evans, MD
Tyler Evans, MD

Tyler Evans, MD is a Dermatologist with CHI Health.

Related Articles

7 Sun Myths That Put You at Risk

MAY 31, 2024

Keep in mind it’s the damage you do to your skin starting at a young age that ultimately leads to skin cancers – and wrinkles – later in life. So take care today for healthier skin in the years ahead.

Read More

Below the Surface: Psoriasis is More Than a Skin Condition

JUL 10, 2023

At its worst, psoriasis is a heartbreaking condition. Sometimes the skin feels like it’s on fire and the red, scaly ...

Read More

Healthy Glow or Harmful Glare? Myths and Facts about Sun and Skin Cancer

JUN 05, 2023

Summer means fun in the sun. Before heading out to the lake, the beach or your favorite outdoor activity, make ...

Read More