Question: How can I get rid of rosacea bumps on my face?

Dr. Hibberd's Answer:

Rosacea is commonly mistaken as a variation of adult acne. Acne is a disorder of the oil glands and often affects skin in areas beyond the face — in fact all over the body.

Rosacea is an inflammatory condition of skin of the face that, once present, rarely disappears by itself. It is wise to start treatment early to prevent or delay progression.

It affects the blood vessels of the face, and is important to control before it progresses. Rosacea may start with flushing, then proceed to facial redness, and then swelling with bumps, pimples, itching, and capillary prominence called telangiectasia.

In severe cases, it can become progressively disfiguring, thickened, scarred skin that appears distorted. Rhinophyma is sadly seen in some rosacea victims that appear to have a large bulbous nose with large open pores.

Treatment of rosacea differs significantly from acne, and many additional options are available. Though its causes are unknown, genetics and sun damage together with other precipitants — such as alcohol use — are common in affected patients.

We often use oral antibiotics in combination with topical agents with superb results and even shrinking of the "bumps." Some patients will need photodynamic therapy and laser resurfacing for cosmetic purposes. Invasive treatments are usually offered in consultation with your dermatologist or plastic surgeon.