Symptoms of Rosacea
Rosacea can resemble acne, an allergic reaction, or other skin problems. Signs and symptoms include:
- Facial redness, especially in the middle of the face
- Spider-like blood vessels (telangiectasia) on the face, especially on the nose and cheeks
- Red or enlarged nose
- Acne-like skin sores that can ooze or crust
- Burning or stinging feeling in the face
- Eye irritation, redness, swelling, or dryness
Diagnosing Rosacea
Our skilled dermatologists and cosmetic and plastic surgeons conduct a thorough evaluation, which includes a:
- Physical exam
- Discussion of personal and family medical history
- Discussion of symptoms
We can often confirm a diagnosis of rosacea with this information. In some cases, we might recommend tests to rule out other conditions with similar symptoms, such as acne, psoriasis, eczema, or lupus. For patients whose eyes are affected, we might coordinate care with an eye specialist (ophthalmologist) at UT Southwestern.
Treatment for Rosacea
Although rosacea has no cure, treatment can help relieve the signs, provide comfort, and prevent complications. People usually need treatment on an ongoing basis, depending on the type and severity of their symptoms.
We often use a combination of topical (applied to the skin) treatments and oral medications (pills) to treat rosacea. These include:
- Creams or gels, such as brimonidine to reduce redness, and azelaic acid or metronidazole to reduce pimples in mild rosacea
- Oral antibiotics, such as doxycycline, to reduce inflammation for moderate to severe rosacea with bumps and pustules
- Isotretinoin (Accutane) for people with severe rosacea that does not improve with other medications
Our cosmetic and plastic surgeons offer procedures to treat redness and visible blood vessels, such as:
- Laser therapy using erbium-YAG, intense pulsed light (IPL), and green light (532nm) laser technology for skin resurfacing
- Dermabrasion using a small, rotating device to remove the top layers of skin to resurface the skin
If left untreated, rosacea can become severe and lead to rhinophyma, a rare skin disorder that causes the nose to enlarge and take on a bulbous shape.