Rosacea is a chronic skin disorder that causes redness, flushing, and dilated blood vessels and mostly affects the middle of the face. It typically manifests after the age of 30 as redness on the nose, cheeks, or chin, with alternating periods of flare-ups and remissions.

The redness may increase in frequency and prominence over time, and bumps and blood vessels may become more obvious. Due to excess tissue, the nose may sometimes expand and swell.

Symptoms of Rosacea

Rosacea symptoms can vary from person to person, but there are some common signs and symptoms that you can look out for:

  • Redness on the cheeks, nose, chin, or forehead
  • Appearance of dilated blood vessels
  • Pus-filled reddish bumps
  • Eye redness and pain
  • Burning sensation on the skin
  • Patches of dry skin
  • Swollen, bulb-shaped nose
  • Large pores
  • Bumps on your eyelids
  • Problems with vision

Causes Of Rosacea

Rosacea’s specific cause is still unknown to medical professionals. However, several factors that may be possibly involved have been pointed out:

  • Genetics

    Oftentimes, rosacea runs in families.

  • Blood vessel problems

    Your face’s blood vessels may be the cause of the redness. They might have become wider due to sun damage, which would make it simpler for others to see them.

  • Mites

    Demodex folliculorum is a type of mite that often lives on your skin but isn’t dangerous. However, some people are more sensitive than usual to the mites.

  • Bacteria

    H. pylori, a bacteria found in your stomach, may increase levels of gastrin, a digestive hormone that may make your skin appear flushed.

  • Overactive immune system

    The overactivity leads to an abnormal inflammation response and increased Cathelicidin, a peptide that causes the production and dilation of blood vessels.

Facial blushing, visible veins, or swollen bumps?

You may have rosacea. Consult our MOH-accredited dermatologist for an accurate diagnosis and personalised treatment plan.

Common Treatments For Rosacea

Your dermatologist may prescribe you a personalised treatment plan based on his diagnosis of your condition.

  • Topical medications

    Available creams and gels applied topically to the area can lessen flushing by tightening blood vessels. Topical medications are also available to control acne-like bumps caused by mild rosacea.

  • Oral antibiotics

    For moderate to severe rosacea with bumps and pimples, your doctor can recommend an oral antibiotic.

  • Isotretinoin

    If you have severe rosacea that doesn’t respond to other treatments, your doctor might recommend this. It is a potent oral acne medication used also for rosacea lesions that resemble acne.

  • Laser therapy

    Laser therapy can make dilated blood vessels less visible. Repeated sessions are required for you to see and maintain the full effect.

  • Dermabrasion

    This is a skin-resurfacing procedure where a device is used to sand off the top layer of your skin.

  • Electrocautery

    An electric current will zap the dilated blood vessels.

Dr Noor Hanif Said

Medical Director & Consultant Dermatologist

Over 20 years of experience
in medical, Surgical & aesthetic Dermatology

  • Bachelor of Medicine, Bachelor of Surgery (MBBS, Singapore)
  • Membership of the Royal College of Physicians (MRCP, United Kingdom)
  • Fellow Of The Academy of Medicine, Singapore (FAMS, Dermatology)

Prior to starting his private practice at Mount Elizabeth Novena Specialist Centre, Dr Hanif was a dermatologist at the National Skin Centre and a Visiting Consultant with the Khoo Teck Puat Hospital Dermatology Service.

Apart from his expertise in the management of general dermatological problems such as eczema, psoriasis, hair loss and acne, he has special interests in pigmentary disorders and aesthetic dermatology.

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    Frequently Asked Questions

    Can rosacea appear on other parts of my body?

    Although not common, symptoms have been reported to appear on the neck, chest, scalp, ears, and back.

    Is rosacea curable?

    Rosacea is a life-long condition and cannot be cured. However, medical treatments are available that can control and prevent flare-ups.

    What ingredients in skin care products and makeup should I avoid?

    Alcohol, witch hazel, fragrances, menthol, peppermint, eucalyptus oil, clove oil, and salicylic acid have been noted to irritate the skin of those with rosacea. Avoid using astringents and exfoliating products also.

    Does having rosacea increase the chances of skin cancer?

    Studies have not shown a link between rosacea and skin cancer. If you notice any potential skin cancer symptoms such as an enlarged or asymmetrical mole with an irregular border or changing color, consult a dermatologist immediately.