Conditions We Treat

Rosacea

Rosacea is a chronic skin condition causing redness, visible blood vessels, and bumps on the face. Triggered by factors such as sun exposure, stress, and spicy foods, this condition may be managed with topical creams, laser therapy, and lifestyle adjustments, with a consultation recommended to determine the most appropriate approach.

What is rosacea?

Rosacea is a chronic skin condition often mistaken for acne. It causes redness, flushing, and bumps on the face, particularly on the cheeks, nose, chin, or forehead.

There are 4 subtypes2 of rosacea, and each subtype is characterised by different signs and symptoms.

Vascular
Rosacea

Redness of the skin, visible blood vessels

Inflammatory
Rosacea

Redness, swelling, the appearance of papules and pustules

Phymatous
Rosacea

Skin thickens and has a bumpy texture, the nose increases in size

Ocular
Rosacea

Irritation and redness of the eyes, swelling of the eyelids

Subtype 1, erythematotelangiectatic rosacea (ETR)

Swollen skin

Swollen skin

Sensitive skin

Sensitive skin

Stinging or burning sensation on the skin

Stinging or burning sensation on the skin

Visible spider veins

Visible spider veins

(Broken blood vessels)

Flushing (blushing) or redness on the cheeks, nose, chin, or forehead (middle of the face)

Flushing (blushing) or redness on the cheeks, nose, chin, or forehead (middle of the face)

Blush or flush easily compared to others

Blush or flush easily compared to others

Dry skin, scaling, or roughness

Dry skin, scaling, or roughness

Subtype 2, papulopustular
(or acne) rosacea

  • Transient breakouts similar to acne
  • Acne-like breakouts causing red skin
  • Sensitive skin
  • Stinging or burning sensation on the skin
  • Oily skin
  • Visible spider veins
  • Raised areas of the skin known as plaques

Subtype 3, rhinophyma rosacea

Bumpy skin

Bumpy skin

Thickening skin, especially around the nose, but may also happen around the chin, forehead, cheeks, and ears

Thickening skin, especially around the nose, but may also happen around the chin, forehead, cheeks, and ears

Appearance of pores is enlarged

Appearance of pores is enlarged

Oily skin

Oily skin

Visible spider veins

Visible spider veins

Subtype 4, ocular rosacea

Dry eyes

Itchy eyes

Watery or
bloodshot eyes

Sensitivity
to light

Burning or stinging
sensation in eyes

Cyst on the
eyelid

Blurry vision

Deterioration of
eyesight

Foreign body sensation

Scientific research has progressed and improved on the classification of different types of rosacea, and while all 4 subtypes have overlapping signs and symptoms, diagnosis and treatment of rosacea is best done using an individual’s presenting features3.

What causes rosacea?

The main cause of rosacea is still yet to be understood, however, there are a few factors that when combined can exacerbate your symptoms. 

These include:

Exposure to sunlight

Exposure to sunlight

Medications that cause your blood vessels to widen or dilate

Medications that cause your blood vessels to widen or dilate

Extreme temperatures

Extreme temperatures

Consuming spicy foods

Consuming spicy foods

Alcohol

Alcohol

Exercise

Exercise

Emotions such as stress and anxiety

Emotions such as stress and anxiety

Demodex mites

Demodex mites

Presence of the intestinal parasite known as H pylori

Presence of the intestinal parasite known as H pylori

Is rosacea painful?

Unfortunately, in some cases, rosacea can be painful, with symptoms such as sensitive skin, a burning or stinging sensation, and itching.

Rosacea may also have a social and emotional impact on an individual. Studies have shown that rosacea can cause adverse effects on quality of life, and the social and psychological well-being of an individual4.

Who is at risk of rosacea in Singapore?

Rosacea can occur in anyone, and scientists have yet to find the main cause of it, but the following factors could cause someone to be at a higher risk of getting rosacea:

  • Between the ages 30 to 50
  • Fair skinned and often blonde with blue eyes
  • Family history of rosacea
  • Celtic or Scandinavian family history
  • Overactive immune system
  • Smokers

How is rosacea diagnosed?

When you present to your aesthetic specialist the signs and symptoms of rosacea, he/she will ask you questions about your medical history and conduct a thorough examination of your face to locate the presence of spider veins. Spider veins will help to distinguish rosacea from other skin conditions such as acne.

What are the treatment options for rosacea?

Although there is currently no cure for rosacea, early diagnosis and treatment can help control it and prevent its progression. Treatment for rosacea aims to control and reduce the signs and symptoms and to prevent flare-ups by identifying and avoiding triggers. Daily use of sunscreen is also a must when managing and treating rosacea.

Treatment often involves a combination of both oral and topical medication and good skin care. Every individual is different; therefore, your treatment is personalised based on your medical history, lifestyle, duration of rosacea, and severity of rosacea.

Topical medications:

Topical medications:

  • To constrict the blood vessels and reduce redness, you may be prescribed a cream or gel to apply to the area
  • To control pimples, you may be prescribed creams or gels containing azelaic acid and metronidazole
  • Oral medications:

    Oral medications:

  • Antibiotics for moderate to severe rosacea with bumps and pimples
  • Acne medication that reduces skin bumps
  • Procedures:

    Procedures:

  • Laser light therapy to remove enlarged blood vessels
  • Dermabrasion which removes the top layer of skin to reveal new skin beneath
  • Carbon dioxide laser to reduce the thickness of skin
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