Rosacea - Epi Dermatology & Laser Specialist Clinic

What is Rosacea?

Rosacea is a common skin condition that causes redness and visible blood vessels on the face. It typically affects middle-aged and older adults, particularly those with fair skin. Though it can be a symptom of various conditions, rosacea is often exacerbated by triggers such as sun exposure, stress, and certain foods. Topical steroids on the face may also worsen rosacea.

Increased sensitivity and discomfort: Rosacea causes itchiness and burning sensations on the skin.
Cosmetic concerns: This can be due to worsening facial redness and inflammation, as well as the development of visible, pus-filled bumps or pimples.
Thickening of the skin: Mostly observed around the nose area, resulting in a bulbous appearance.

Symptoms and Diagnosis

Symptoms

If you’re experiencing any of these common symptoms, consult a dermatologist for proper diagnosis and treatment:

Facial redness: Persistent redness on the cheeks, nose, chin, or forehead that may resemble a sunburn or blush.
Swollen, red bumps: Small, pus-filled bumps (papules and pustules) that may resemble acne and can be accompanied by a burning sensation.
Enlarged nose: Thickening of the skin around the nose (rhinophyma), causing it to appear larger and more bulbous over time.
Eye irritation: Watery or bloodshot eyes, itching, and sensitivity to light which may lead to more serious complications if left untreated.

Diagnosis

A proper diagnosis of rosacea is needed for effective treatment and management of the condition.

Physical examination: Your dermatologist will conduct a thorough examination of your skin, noting areas of redness, swelling, and the presence of any bumps or pimples. They will also consider your medical history and any potential triggers you’ve encountered.
Skin biopsy or laboratory tests: In some cases, your dermatologist may perform a skin biopsy or order laboratory tests to rule out other skin conditions that may have similar symptoms.

Types Of Rosacea

Characterised by facial redness, flushing, and visible blood vessels, ETR typically presents with sensitive skin and a tendency to flush easily.

Often mistaken for acne, this type features red bumps (papules) and pus-filled pimples (pustules), along with facial redness and swelling.

Results in the thickening of the skin, most commonly on the nose (rhinophyma), and may also affect the chin, forehead, cheeks, or ears.

Affecting the eyes and causes redness, irritation, and swollen eyelids. May lead to more serious complications if left untreated.

Treatment

Sunprotection and avoidance of other potential rosacea triggers: Sunscreen of high sunprotective factor (SPF) of 30 -50 should be used regularly. Other triggers such as alcohol, spicy food and application of topical steroids on the face should be avoided.
Topical treatment: You may be prescribed topical treatment in the form of topical antibiotics (metronidazole or erythromycin), topical ivermectin, or topical azelaic acid
Oral antibiotics: These may be helpful for moderate to severe rosacea including doxycycline or erythromycin and may be prescribed for several months. Repeated courses may also be required depending on the frequency of flares and recurrences.
Oral isotretinoin: This is an option for refractory cases.
Laser therapy: Vascular lasers may be useful for reducing the prominent blood vessels and persistent redness. For those with skin thickening on the nose (rhinophyma), CO2 lasers may help to reduce the bulkiness and improve the overall appearance.

Risk Factors

Understanding the risk factors of rosacea is essential for early detection and effective management.

Fair-skinned individuals
Ages from 30 to 60 years old.
Family history
Gender, as women are more likely to develop rosacea
Prolonged sun exposure
Smoking

Why Choose Us

Modern & Patient-Centred Dermatological Care

We are dedicated to your skin health and well-being. Our results-oriented approach is suitable for a wide range of hair, skin and nail conditions. Consult our MOH-accredited dermatologist for a personalised treatment plan.

Personalised Treatment Plans

Results-Oriented Approach

Focused Aftercare For All

Honest & Ethical Practices

Dr. Lee Hwee Chyen

Medical Director & Consultant Dermatologist

MBBS (S'pore) MRCP (UK) FAMS (Dermatology)

Special Interests In:

Paediatric Dermatology
Women’s Dermatology
Procedural Dermatology & Lasers

Dr. Lee Hwee Chyen is an accredited Adult & Paediatric dermatologist managing a wide range of skin, hair and nail conditions. The clinic provides services for medical, surgical, cosmetic, women’s and paediatric dermatology.