What are possible treatments for Rosacea?

What are possible treatments for Rosacea?

What is Rosacea?

Pronounced as roh-zay-she-uh; Rosacea is a continuing skin disease mostly affecting the face. If you experience blushing or flushing on face up to an extent that blood vessels appear on your face you might be suffering from Rosacea.  Little bumps filled with puss or similar to acne also appear on the face. This disease affects more than 16 million Americans.

There are four types of Rosacea and each type has different symptoms that require different treatment.

Types of Rosacea

  • Subtype 1 : called ETR or erythematotelangiectatic is linked with redness, flushing and visible blood vessels on the face
  • Subtype 2 : known as acne rosacea usually targets middle-aged women where acne like bumps appear on face
  • Subtype 3 : called rhinophyma where the skin of the nose thickens. It is a rare type and usually affects men. This subtype is often accompanied by another subtype of rosacea.
  • Subtype 4 : called ocular rosacea, targets the eye area


Specific cause of rosacea has not been found yet. Hereditary and environmental factors maybe significant players for causing rosacea. Some other factors contributing to rosacea include:

  • Skin mite:  a skin mite lives on the skin. Usually this mite doesn’t create any problem but people suffering with Rosacea have increased number of these mites. It is unclear if these mites cause the disease or they are caused as a result of rosacea.
  • Anomalies in blood vessels:  irregularities in blood vessels like can lead to flushing on face and spider veins.
  • Bacteria: Bacteria found in gut stimulate the production of a polypeptide that causes the blood vessels to dilate which may be a reason behind rosacea.

Treatment options

Medicinal treatment 

Many topical and antibiotic medicines have been developed to treat rosacea. Depending on the type of rosacea and the symptoms the patient develops, doctor prescribes the medicine. Several prescription drugs used are:

  • Oral Antibiotics – for temperate to severe symptoms of rosacea that include pimples and bumps oral antibiotics are prescribed
  • Topical drugs – these prescriptions are suitable to counter mild to moderate symptoms. Gels like Brimonidine (Mirvaso) and oxymetazoline (Rhofade) constrict the blood vessels leading to reduced flushing. These creams or gels are applied on the skin and their regular use can help to treat the symptoms. Results can be visible within 12 hours of use of gel. To treat mild symptoms creams containing azelaic acid, metronidazole and ivermectin are prescribed.
  • Oral acne drug – this prescription is used to treat severe rosacea. This is a powerful drug used for acne and treats all acne like laceration.

Laser Therapy 

Laser therapy helps to minimize the visibility of enlarged veins. This course of treatment only works on light colored skin. If your skin is tanned, brown or black laser therapy might not be useful.  Before you go for laser therapy it is advisable to book an appointment with your doctor and get a proper checkup.

Light Therapy

This is a relatively newer technology. If tiny red blood vessels are visible they might be treated with a light therapy. It may also minimize flushing and redness on face. Recurring treatments are required to maintain the enhanced appearance after the therapy. Side effects are mild such as redness, mild bruising and loss of skin color.


This is not a highly recommended course of treatment due to skin’s sensitivity.  The process involves the removal of top layer of the skin. In some cases, dermabrasion has been proven to be very effective with astounding results. Your skin may look way worse before the procedure shows final results.  Common side effects of this procedure are patchy skin tone, infection, and scarring.


Many experimental treatments are under the tunnel. Since this is a skin disease therefore it is advisable not to try any treatment and medication on your own.  Set an appointment with an experienced doctor and let him thoroughly examine your skin. After proper diagnosis and detecting the right type of rosacea, a suitable course of treatment will be devised.