Skip to main content


What is Rosacea?

Rosacea is a common skin condition causing redness and visible blood vessels on the face. It can occur in anyone and varies in severity. Rosacea comes and goes, flaring up for weeks or months, then diminishing for a while. Symptoms of rosacea typically include facial redness, visible blood vessels on the nose and cheeks, swollen red bumps that can resemble acne and eye irritation. While the cause of rosacea is unknown, there are many innovative treatments available to patients of Sunshine State Dermatology and Skin Cancer Center that can lead to calmer, more comfortable skin.

What causes rosacea?

The exact cause of rosacea is not known, but there are several factors that may contribute to its development. These include:

Genetics: Rosacea tends to run in families, suggesting that there may be a genetic component to the condition.

Environmental factors: Certain environmental factors, such as exposure to sunlight, extreme temperatures, and wind, can trigger or worsen rosacea symptoms.

Demodex mites: These are tiny mites that live on the skin of most people, but in people with rosacea, they may be more numerous or cause an immune system reaction.

Immune system dysfunction: Some research suggests that an overactive immune system may contribute to the development of rosacea.

Blood vessel abnormalities: Abnormalities in the blood vessels of the face may contribute to the redness and flushing associated with rosacea.

Cathelicidin: This is a protein that is normally present in the skin and helps protect against infection, but in people with rosacea, it may cause inflammation and redness.

What are some treatments for Rosacea? 

Treatment for rosacea focuses on controlling signs and symptoms. Most often this requires a combination of good skin care and prescription drugs.

The duration of your treatment depends on the type and severity of your signs and symptoms. 

New rosacea medications have been developed in recent years. The type of medication your doctor prescribes depends on which signs and symptoms you're experiencing. You may need to try different options or a combination of drugs to find a treatment that works for you.

For mild to moderate rosacea, your doctor may prescribe a cream or gel that you apply to the affected skin. Brimonidine (Mirvaso) and oxymetazoline (Rhofade) reduce flushing by constricting blood vessels. You may see results within 12 hours after use. The effect on the blood vessels is temporary, so the medication needs to be applied regularly to maintain improvements.

These drugs include azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others) and ivermectin (Soolantra). With azelaic acid and metronidazole, noticeable improvements generally don't appear for two to six weeks. Ivermectin may take even longer to improve skin, but it results in a longer remission than does metronidazole.

Your doctor may prescribe an oral antibiotic such as doxycycline (Oracea, others) for moderate to severe rosacea with bumps and pimples.

Schedule a Consultation Today

Schedule your appointment at Sunshine State Dermatology and Skin Cancer Center for more information on rosacea treatments. We are eager to develop a customized plan to help you achieve calmer, more comfortable, and radiant skin.