Rosacea is a common but often misunderstood skin condition that affects millions of people worldwide. It is a long-term skin condition that has no permanent cure that typically affects the centre of the face, including the cheeks, nose, chin and forehead. If you’re unsure as to whether you have rosacea, we always recommend speaking to your GP, but we have put together this guide for more general information on the condition.

What is rosacea?

Rosacea is a long-term chronic skin condition that causes facial redness, visible blood vessels, and sometimes small, red bumps resembling acne. It typically affects adults over 30 and is more common in women than men. Rosacea can vary in severity, with symptoms ranging from mild flushing to persistent redness and inflammation.

The symptoms typically come and go, with many people reporting that certain factors, such as spending time in the sun or experiencing emotional stress, bring them on.

What causes rosacea?

The exact cause of rosacea is unknown, but several factors are believed to contribute to its development. Although the symptoms typically come and go, many people report that certain factors, such as spending time in the sun or experiencing stress can bring it on.

Here are some of the top known causes of rosacea:

Genetics

Scientists believe there to be a genetic predisposition to rosacea, with a family history of the condition increasing the likelihood of developing it.

Dermatitis or sensitive skin

Those with sensitive skin or a history of dermatitis may be more prone to rosacea. This is usually because the skin is more reactive to environmental triggers. 

Environmental triggers

Certain environmental factors can make rosacea symptoms worse, including sun exposure, exposure to extreme temperatures, wind, and humidity.

Diet

Some foods and drinks are also known to bring on symptoms of rosacea. Spicy foods, hot drinks, alcohol, and caffeine are common triggers for rosacea flare-ups for many who suffer with it.

Demodex mites 

Microscopic mites called Demodex folliculorum on the skin may become overgrown and contribute to inflammation and irritation in some cases of rosacea

Who is most often affected by rosacea?

Although anyone can get rosacea, it is typically more common amongst:

• Middle-aged and older adults (usually over 30)
• Women more more susceptible, but when men get it, it is often more severe
• Individuals with fair skin, however, rosacea may be underdiagnosed in darker skinned individuals because dark skin can mask facial redness
• Those with a family history of rosacea 

What are the symptoms of rosacea?

While the rosacea is a chronic condition (long lasting), it often cycles between flare-ups and phases of remission (minimal or no symptoms). The symptoms are known to vary from person to person, but in general, here are some of the things that we look out for:

Facial redness

Constant periods of redness or flushing of the central face, often resembling a sunburn or blush can be a symptom of rosacea. Remember, it may be more difficult to spot on darker-toned skin.

Visible spider veins

Small, red blood vessels (telangiectasia or spider veins) may become visible on the surface of the skin, particularly on the cheeks and nose. These do not tend to go away on their own, which is why we offer treatment for spider veins on the face. 

Papules & pustules

Small, red bumps that can be mistaken for acne may appear on the skin, which can in some cases be coupled with inflammation and occasional pus-filled lesions.

Thicker skin

In more severe cases of rosacea, the skin may become thickened and bumpy, particularly on the nose (also known as rhinophyma).

Irritation of the eyes

Some people who suffer with rosacea may experience eye symptoms, including dryness, redness, and irritation (also known as ocular rosacea).

Does rosacea go away?

Unfortunately, there is no permanent cure for rosacea, but the condition can be effectively managed with appropriate treatment and some minor tweaks to your lifestyle if you know your triggers. There are many ways to treat flare ups of skin redness and inflammation, as well as more long-term options for the treatment of spider veins caused by rosacea.

Topical medications -  Prescription creams or gels containing antibiotics, azelaic acid, or other anti-inflammatory properties can help reduce redness and inflammation on the face.

Medications - Oral antibiotics or isotretinoin may be prescribed for moderate to severe cases of rosacea to control inflammation and prevent future flare-ups.

Spider vein treatment - The appearance of spider veins brought on by rosacea can be effectively treated thanks to advanced technology known as ‘thermal coagulation.’ In short, the process involves collapsing and sealing the damaged veins so that they are naturally reabsorbed into the body. The Dr Newmans Clinic uses a specific form of this treatment known as Veinwave.

Skincare for sensitive skin - Gentle skincare products and high factor sun protection are essential for managing rosacea symptoms and preventing flare-ups.

Minor lifestyle changes - Identifying and avoiding triggers, such as certain foods, drinks, and environmental factors, can help minimise symptoms of rosacea.

At Dr Newmans Clinic, our experienced doctors have years of experience offering personalised treatment plans tailored to each patient's unique needs and concerns. We understand that rosacea can be a challenging condition to manage, but with the right approach, we can help you achieve clearer, healthier-looking skin and improve your overall well-being.

If you're struggling with rosacea or facial redness, don't hesitate to reach out to our specialists at Dr Newmans Clinic for expert evaluation and treatment for any vascular conditions you may suffer from. Our compassionate team is here to support you to achieve healthier, happier skin. 

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