understanding-rosacea-and-how-to-manage-it
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Understanding Rosacea and How to Manage It
24th November 2025
min read
Expert Reviewed By
Rosacea is one of the most common causes of facial redness, yet many people don’t they have it. If your skin blushes easily, feels sensitive or stays persistently red across the cheeks, nose or forehead, you may be experiencing rosacea.
rosacea and its is the first step to managing it well. While there’s no permanent cure, there are highly ways to calm symptoms and reduce flare-ups, such as medical-grade and advanced laser treatments for .
This guide walks you through everything you need to know about rosacea: what it is, who gets it, the main symptoms, how to manage triggers and the treatments that can help.
What is Rosacea, and Who Gets It?
is a condition that mainly affects the face and is different from acne. It shows up as facial redness, bumps and and can also cause around the eyes and eyelids. Rosacea can affect the cheeks, forehead, chin and nose, and in some cases, the neck and chest. This appears more often in fair skin but can occur in any skin type and affect a wide age range. It is, however, most common in people over 30 and is seen more in women than men.
Yes, rosacea can affect any age group, including and . The condition is more diagnosed, in adults but it can begin in the teen years or even younger.
Rosacea occurs across all skin tones and races. symptoms like flushing and can be more obvious in fair skin, but it affects all skin types. Symptoms such as and facial are more obvious in fair skin but appear in darker skin tones as brownish or changes. Even when redness is harder to see, sensations such as burning, stinging and flushing are all still .
What are the Main Signs of Rosacea?
According to , it is estimated that affects about 1 in 20 people in the UK. of rosacea on the face can start with easy blushing. With time the central parts of the face can turn a deeper red, small blood may become visible and bumps or pus-filled spots appear. Skin can feel hot or sensitive and some people get eye symptoms such as or blurred vision. In some men the oil glands on the nose can overgrow, and the nose can become and red, a change called rhinophyma. Common of include:
Some people have only one or two of these symptoms, while others have a combination. It varies widely in severity and .
What Are the Types of Rosacea?
The types of can be grouped into three main patterns: redness, bumps and phyma. Ocular affects the eyes and causes red eyes, and a gritty sensation.
This includes several patterns of facial redness and visible blood .
Persistent/background redness
is always present on the central face, including the cheeks, chin, nose and . People may also sensitivity, burning, stinging or heat.
( redness)
Redness that comes and goes and is triggered by heat, emotions, certain foods, exercise or alcohol.
Telangiectasias
These are dilated blood vessels that look like tiny red threads on the cheeks or nose.
These are inflammatory that can acne but without blackheads or whiteheads.
Papules
Red, bumps.
Pustules
Pus-filled bumps that may look similar to acne but occur in the context of rosacea and require different treatment.
Phyma is the or enlargement of facial skin that mostly affects the nose. Phymatous change includes thicker, more or enlarged skin. When this happens on the nose, it is called rhinophyma and is important to as, although it is less common, the from other types of .
What Causes Rosacea, and What Triggers Flare-ups?
The exact cause of isn’t fully understood. Evidence points to a mix of factors, immune system changes and environmental influences. of rosacea vary from each person and often include alcohol, exercise, extreme temperatures, hot drinks, spicy foods and stress. People living with are also more sensitive to the sun, which is one of the reasons symptoms can intensify.
There are several ideas about what causes rosacea on the face. A few key include:
For many suffering with the condition, there is no singular cause, as many of these often overlap. For more on rosacea, including what causes it take a look at our on the
How Can I Manage My Rosacea Triggers?
The goal of rosacea isn’t to get rid of it completely because there is no cure. These will recur at different rates and intensities. However, it helps to manage it in a way that doesn’t affect your life and allows you to feel happy with your skin.
Identifying your so you can avoid them is one of the best ways to reduce flare-ups. People with may have some unique triggers for them, such as cosmetics, certain types of foods or . If you make a habit of a small diary in your phone every time you feel yourself flushing, you might be able to some that you otherwise would have missed. triggers vary from person to person, but common ones include:
If you’re unsure, keep a rosacea diary. Write down what you ate, drank or were exposed to during a .
Practical steps to manage triggers include using daily sun protection, wearing wide-brim hats and overheating. People with rosacea have skin, so they need to take extra care with sunscreen. Choose a minimum SPF 50 and opt for sunscreens rather than chemical sunscreens, as chemical formulas can irritate skin.
People with often have a compromised skin . Therefore, it’s important to moisturise daily to the skin barrier and keep it hydrated, which is going to have an anti-inflammatory effect on your skin.
Another way to manage is to avoid rubbing or scrubbing your face. Physical exfoliants, rough towels and harsh physical make worse. So always pat your skin dry.
A simple skincare routine is best for facial redness, and it helps to avoid layering many products while using prescription treatments.
Strong active ingredients like or acids should be added slowly with a patch test first to avoid reactions or flare-ups. It’s also best to avoid skincare that has ingredients that can affect your rosacea, such as fragrance, alcohol and witch hazel.
The main difference between acne and rosacea is that acne presents with comedones, while rosacea has papules and without comedones. tends to affect the central face where flushing occurs, while acne can be more widespread.
How is Rosacea Diagnosed?
Rosacea is diagnosed by how it looks. In most cases, a skin can it just from examining the face and asking a few questions about symptoms and . It’s important to assess symptoms along with your skin history. Specific tests are rarely needed unless there’s uncertainty about another condition.
Although there is no cure for rosacea, it is very treatable. Many people are to learn that is a lifelong . It naturally goes through phases; sometimes it flares, and sometimes it and becomes much easier to manage.
It helps to set early:
A good rosacea treatment plan evolves with you and your lifestyle, supporting the skin through its calmer phases as well as its more reactive .
What Treatments are Available for Rosacea?
often develops due to a mix of genetic and that no one can fully control. Instead of focusing on the cause, it’s more productive to focus on how to manage it. There are rosacea treatment options that help bring this condition under control, including laser and medical-grade skincare that supports irritated and skin.
The best results often come from a combined . Depending on your specific symptoms, this may include treatments, a desensitisation plan and gentler laser such as Laser Genesis to your results.
Laser for can reduce facial redness and blood . like Excel V+ work by the skin with a of light. Each is chosen because it is absorbed by a particular type of tissue. Certain wavelengths are absorbed more easily by the chromophores that the is aiming at. This means the can focus on the redness or pigmentation without affecting the surrounding skin.
also helps treatment. These products use higher-quality ingredients delivered at strengths that can genuinely the skin . Many people with rosacea have a weakened barrier, which means the skin reacts easily and loses moisture quickly. skincare lines help repair and hydrate the skin, to fewer and calmer of rosacea. These formulas contain ingredients, exosomes, and lipids that cannot match. Some rosacea needs active plans to help redcue inflammation, spots, pustules. There are different types of suitable for different intensities and types of rosacea.
Rosacea Treatment at Thames Skin Clinic
At , we are a doctor-led, award-winning skin health clinic in Twickenham. Led by , a highly doctor with over 20 years of practice, we can assess your skin and help you what the most effective might be for you. Dr Hemming has personal experience with rosacea, which gives her a unique insight into how to treat and our patients with facial redness.
Our skin clinic offers proven options, such as medical-grade skincare and powerful laser treatment for rosacea to deal with:
to book your consultation today, and we can begin creating a rosacea treatment plan specifically for you at Thames Skin Clinic in . Let us help you calm redness, reduce and healthy, skin.
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