Medical dermatology

Rosacea

Persistent facial redness, flushing, visible vessels and acne-like bumps, usually across the cheeks, nose, chin and forehead.

What you may notice

Rosacea tends to begin as easy flushing that gradually becomes lasting redness. Some people develop small bumps and pustules that look like acne; others notice visible blood vessels, thickened skin on the nose, or irritated, gritty eyes.

In deeper skin tones the redness can be subtle, and rosacea is sometimes missed or mistaken for acne. A careful look at the pattern makes the difference.

How we evaluate it

  • Which features of rosacea you have, since treatment is matched to them
  • Your triggers: heat, sun, alcohol, spicy food, exercise and certain skin care products
  • Whether the eyes are involved
  • Ruling out look-alikes such as acne, seborrheic dermatitis or lupus

Possible care approaches

  • Gentle, fragrance-free skin care and daily broad-spectrum sun protection
  • Prescription topical treatments for bumps and for redness
  • Short courses of oral medication for inflammatory rosacea
  • Options for visible vessels and persistent redness when appropriate

What to expect

  • Bumps and pustules usually improve within four to eight weeks
  • Background redness responds more slowly and may need ongoing care
  • Trigger tracking makes a real difference, so we will help you identify yours

When to call

  • Facial redness that does not fade, or that comes with bumps
  • Burning, stinging or dryness with most products
  • Eye irritation, redness or styes alongside facial symptoms
  • Thickening of the skin on the nose
Call 804.270.6100

This page is general information and not a diagnosis. Treatment is individual and is decided with you at your visit.

Appointments

Ready to make an appointment?

Medical appointments are scheduled by phone. Telehealth (virtual) visits are available: call and ask for a Virtual Visit.

New patients

Call the medical office to schedule your first visit. Have your insurance card handy.

Current patients

Call us, or sign in to the Existing Patient Portal for records, messages and follow-ups.

For your privacy, please don't send symptoms, photos or other health details by email. Call us or use the patient portal instead.