Rosacea is one of the most-misdiagnosed adult skin conditions in India. Patients spend years on acne treatments that do not work because what they actually have is rosacea — chronic facial inflammation with flushing, persistent redness, and small visible blood vessels.
The four subtypes
- Erythematotelangiectatic — flushing + persistent redness + visible vessels
- Papulopustular — like acne but no blackheads
- Phymatous — thickened, bumpy skin (especially nose)
- Ocular — eye redness, dryness, gritty sensation
Treatment
Topical metronidazole, azelaic acid, or ivermectin for inflammation. Oral doxycycline at low dose for papules. Vascular laser sessions for visible vessels and persistent redness. Strict daily SPF 50, gentle cleanser, mineral sunscreen, and trigger avoidance (hot drinks, spicy food, alcohol, sun, heat).
Book a consultation if you have persistent facial redness or "acne" that has not responded to acne treatments.
Rosacea — Frequently Asked Questions
How is rosacea different from acne?
Rosacea has flushing, persistent redness on cheeks/nose, and visible small blood vessels — features acne does not have. Rosacea papules look similar to acne but have no blackheads/whiteheads. Adults over 30, fair-skinned, with frequent flushing — likely rosacea.
What triggers a rosacea flare?
Common: heat (Indian summer is rough), spicy food, alcohol, hot beverages, stress, sun, certain skincare ingredients. We map your triggers on consultation.
Will antibiotics fix it?
Doxycycline at low anti-inflammatory doses helps inflammatory rosacea papules. Topical metronidazole or ivermectin for milder cases. Antibiotics manage symptoms but rosacea is chronic — long-term plan needed.
Can laser help?
Yes — vascular laser (1064nm or pulsed dye) reduces visible blood vessels and persistent redness. Multiple sessions, gradual improvement.
Is there a cure?
No — rosacea is chronic. Goal is symptom control, trigger avoidance, and reduced flare frequency. Most patients achieve "looks normal most of the time" with consistent management.
Will rosacea damage my skin permanently?
Untreated severe rosacea can cause rhinophyma (thickened nose) over years, especially in men. Early treatment prevents this.
