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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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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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.

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