Cosmetic medicine
Chronic facial redness, flushing, papules—not “adult acne” without evaluation.
Rosacea includes erythematotelangiectatic, papulopustular, phymatous, and ocular variants. Triggers include heat, alcohol, spicy foods, stress, and UV exposure. The Canadian Dermatology Association provides patient-facing rosacea resources.
Treating rosacea like acne with harsh topicals can worsen barrier dysfunction.
Neurovascular dysregulation, Demodex mites, genetics, and barrier impairment are research areas—not fully explained by a single cause.
Prescription topicals (metronidazole, ivermectin, azelaic acid), low-dose oral agents when indicated, gentle skincare, and vascular-targeted IPL/laser for persistent redness. Rhinophyma may need surgical referral.
Daily SPF is non-negotiable—UV triggers flares.
Rosacea is chronic—goal is control and fewer flares, not one-time cure. Lifestyle trigger management helps.
Different pathology—topical retinoids and antibiotics may overlap, but diagnosis drives duration and safety.
Steroids can worsen rosacea rebound—avoid unless specifically directed for a short period by your dermatologist.
Many patients flush with alcohol—moderation and trigger tracking can help personalize care.