Rosacea
Rosacea is a common long-term skin condition that causes redness on the nose, chin, cheeks and forehead.
What is rosacea?
Rosacea is a common inflammatory skin condition that causes redness, also called blushing, across the face. Flare-ups can last a few weeks or months, or the redness may become more permanent over time and small blood vessels may be visible. If left untreated small spot-like bumps can appear on the skin.
Rosacea can affect anyone of any age but is most common in people over the age of 30. Although women are more frequently diagnosed with the condition, men are often affected more severely. Rosacea can affect people of any skin colour but is more noticeable in those with paler skin.
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Symptoms of rosacea can differ greatly from person to person, and also depend on the severity of the condition.
Symptoms associated with rosacea include:
blushing or flushing of the face causing redness across the nose, chin, cheeks and forehead
visible blood vessels across the nose and cheeks
swollen bumps that resemble acne
a burning sensation that can make the skin feel hot and tender
dry, irritated, swollen eyes and eyelids
an enlarged, bulbous nose caused by thickening of the skin
facial swelling, known as oedema
dry, rough skin that can appear scaly
What causes rosacea isn’t fully understood, but the latest theories suggest it could be down to an overreactive immune system response caused by microbes or microscopic skin mites. Rosacea may also be hereditary.
A number of factors can trigger a rosacea flare-up:
sun exposure
stress
hot weather
cold, windy weather
alcohol
certain foods like spicy foods, cheese, mustard and pepper
caffeine
hot drinks
hot baths
vigorous exercise
use of steroid tablets or creams
A rosacea diagnosis is made based on the history of symptoms and an examination of the skin. Tests can be done to exclude other skin conditions, but there is no specific test used to diagnose rosacea.
Managing rosacea and preventing flare-ups involves:
sun protection - use sunscreen to protect your skin from UV rays
avoid triggers - identify and avoid foods, beverages, or environmental factors that provoke your symptoms
gentle skincare - use mild skincare products to prevent irritation
regular medical advice - consult healthcare providers for appropriate treatments
If left untreated, rosacea can lead to:
eye problems - irritation and dryness of the eyes
skin thickening - particularly around the nose (rhinophyma)
social and emotional impact - affects self-esteem and social interactions
Doctor-led treatments such as prescription facial creams and gels or a course of antibiotics can help control symptoms of rosacea. There are things you can try at home that may help too:
avoid things that trigger flare-ups
maintain a good skincare routine and use sensitive products
wear SPF every day and avoid excessive sun exposure
experiment with beauty products to camouflage redness
At Welbeck, our dermatologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialities, our consultants are also able to refer within the Welbeck ecosystem if needed to ensure you receive the best possible treatment as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Get in touch today to book an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients.
Learn more about the different payment options at Welbeck.
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Dr Bryan McDonaldConsultant Dermatologist
Dr Natalie AttardConsultant Dermatologist
Dr Sandy McBrideConsultant Dermatologist
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Dr Ien ChanConsultant Dermatologist
Professor Hiva FassihiConsultant Dermatologist
Dr Magnus LynchConsultant Dermatologist
Dr Wedad AbdelrahmanConsultant Dermatologist
Dr Mia Jing GaoConsultant Dermatologist
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Frequently asked questions
The foods and drinks that can trigger rosacea flare-ups vary from person to person, but can include:
liver
yoghurt
sour cream
cheese (except cottage cheese)
chocolate
vanilla
soy sauce
yeast extract (bread is okay)
vinegar
aubergine, avocados and spinach
broad-leaf beans and pods, including lima, navy or pea
citrus fruits, tomatoes, bananas, red plums, raisins and figs
spicy and thermally hot foods
foods high in histamine
alcohol, particularly red wine, beer, bourbon, gin, vodka and champagne
hot drinks, including hot cider, hot chocolate, coffee and tea
While it’s most common for rosacea to develop in people over the age of 30, it can develop at any age, and symptoms can worsen over time, especially without the right treatment and good self-care practices.
If left untreated, rosacea symptoms will likely worsen, with more persistent redness, visible blood vessels, and potentially painful bumps and pimples. In severe cases, the skin may also thicken and enlarge, leading to firm, red bumps. This is especially common on the nose.
For some women, hot flashes during menopause can exacerbate rosacea symptoms, trigger a flare-up, or even cause the initial onset of rosacea.