Rosacea and Facial Redness

Hailey, Brody, Casey & Wray, M.D., P.C.


Rosacea is an inflammatory skin condition which may be manifested by acne-like blemishes, facial redness, telangiectasias (visible, tiny blood vessels), and enlargement of the nose. The face is the most commonly affected area, although the neck and upper trunk may be involved. Rosacea usually develops over a long period of time, and it often seems like a tendency to blush easily with a ruddy complexion, or sensitive skin.

The exact underlying cause of rosacea is not known; however, many triggers have been discovered that might cause a flare of the disease. For example: sunlight, wind, vigorous exercise, hot beverages, alcohol, caffeine, spicy foods, topical and oral medications, and many others factors have been shown to aggravate rosacea.

Dermatologists often recommend a combination of treatments tailored to the individual patient. Together, these treatments can stop the progression of rosacea and sometimes reverse it. Common medical treatments for rosacea include topical and oral antibiotics, sunscreen, and avoidance of triggers. Unfortunately, medical treatments are often insufficient in relieving the background redness of rosacea.

Consequently, electrosurgery and laser therapy (typically a pulsed-dye laser) are frequently utilized to ameliorate the redness and visible blood vessels that are associated with rosacea. Dermabrasion, CO2 laser therapy, and electrosurgery may be performed in the case of enlargement of the nose.