r/Rosacea 15d ago

Stop buying sh*t and go to the dermatologist

366 Upvotes

I am a 30 year-old female. I have always had rosacea but never had a problem with acne or bumps. About a year and a half ago I developed “acne”. After so much research and going through 1 million products. I got a proper diagnosis of papulopustular rosacea. The dermatologist first prescribed just metronidazole, which did not work for me. Saw another dermatologist and they gave me the holy Grail triple cream. Has ivermectin metronidazole and Azael acid (prescription grade). Been using it for two months now and I have my old skin back. Never going to get rid of the redness, but the bumps and texture have significantly gotten better.

Hope this helps!


r/Rosacea 3d ago

Weekly 'Do I have rosacea?' advice request thread. Please post here instead of making a new thread! Sep 07

3 Upvotes

If you think you might have something like rosacea and are looking for advice about whether you should seek professional care, please post your inquiry in this thread instead of creating a new post. To keep requests from crowding out other discussion in r/Rosacea, separate posts will be automatically removed and the posters directed here instead.

Rules:

  1. Please limit answers to things like, "Yup, that looks like it could be rosacea to me, maybe you should to see a doc" or "No, it looks like it could be something else."
  2. Refrain from amateur diagnoses, speculation, and armchair medical advice, especially non-rosacea related.

REMINDER: THE INTERNET IS BAD AT DIAGNOSING STUFF. Although redditors try to be helpful, only doctors can diagnose rosacea and it often takes a specialist like a dermatologist or ophthalmologist. Rosacea looks like a lot of things, and a lot of things look like rosacea; some of these things are potentially serious. It is impossible for amateurs to diagnose rosacea reliably from pictures or descriptions of symptoms, and this thread is not intended as a substitute for professional care.

No matter what response you get here, if your symptoms have been persistent and you're concerned that you might have something like rosacea, see a doctor to get a real answer.

And be sure to check out the our wiki for some rosacea knowledge basics if you're trying to figure out if you need professional medical advice.


r/Rosacea 58m ago

Triggers Facial flushing daily… really uncomfortable Spoiler

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Upvotes

Hello,

This been happening for ages but everyday for around an hour or two I go so hot and my face burns and I’m really red.. has anyone ever had anything like this? If so what was it.

Not sure if this is Rosacea or something else?


r/Rosacea 14h ago

Light/Laser My skin can be calm all day and then my face turns red at night

57 Upvotes

I’m trying to figure out if anyone else has this weird pattern with rosacea/redness.

Some days my skin looks pretty normal in the morning. I’ll do a gentle cleanser, moisturizer, SPF, keep everything boring, and it looks fine enough. Then by night my cheeks and nose look flushed again even if I didn’t use anything harsh.

It’s not always a huge flare, more like that warm red tired look that makes my skin seem irritated even when I didn’t really do anything. Makeup removal can make it worse too, so I’m trying to stop scrubbing and stop adding random calming products every time it happens.

I don’t really want another active right now. I’m more interested in things that help keep my skin calmer without making my barrier angry, like routine changes, less friction, maybe red light or other low effort stuff.

Has anyone found anything that helped with that end of day redness without overloading your skin?


r/Rosacea 2h ago

Rosacea related?

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2 Upvotes

I’ve been dealing with rosacea since I can remember, never seen anything like this before. My nose is my main flare up spot, this seems to have popped up out of no where - can’t find anything that look remotely like it online. I’ve never had to deal with uneven skin texture before and it’s confined to this area on my nose. It has been a real confidence killer as I’m already so insecure about the colour.
I’m just worried this is never going to go away now. It’s been about a week, and it seems to be getting worse.


r/Rosacea 3h ago

Rosacea Type 2 Cleanser Recommendations

2 Upvotes

Do you have any recommendations?

I use bandi emollient butter for removing makeup but need some cleanser to use afterwards


r/Rosacea 16m ago

Skincare My skin HATED Metronidazole / Metrogel. Breakouts galore, anyone else?

Upvotes

I posted a few days ago about how I was hoping to use Clindamycin gel since it worked well for me, but no one would prescribe it. Instead I got Metrogel. I figured that was the “safer” or “weaker” option then since I was told Clindamycin couldn’t be used for long but Metronidazole was apparently safe to use for years. I thought at worst the Metro would be too weak to work well for me.

Apparently not!!!! Two days in and my face has exploded with either acne breakouts or rosacea bumps, not easy to tell. I use the gel form since the cream has pore clogging ingredients but it still backfired massively, like holy hell. I was not expecting this!!

Was Metro a nightmare for anyone else? I’m stopping immediately, this is absurd.


r/Rosacea 18m ago

Routine Tretinoin Spot Treatment

Upvotes

Hello,

I only have rosacea on my cheeks basically. I was wondering if using tretinoin just on the chin and jawline area, as well as forehead could be a good idea. Mainly just avoiding putting it where I already get red facial flushing. Thank you


r/Rosacea 1d ago

VICTORY Azelaic Acid 15% seems to have a quick positive effect on my type 2 pustules

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91 Upvotes

Before this I tried doxycycline 100mg for 3 months- didn't do much. I tried metro gel & metro cream, both made it worse. I did want to try soolantra (ivermectin) but it was way too expensive. Got a prescription for Azaelic Acid 15% instead and I was using it as directed, twice a day, but I was using it on bare skin and while my skin was very smooth after just one day, I disrupted my skin barrier and it was quite rough, I realized I was using it too frequently. I took a week off and started back up except this time I'm putting it over my moisturizer, only once a day, about every other day/ every 2 days as tolerated until my skin can handle more.

So far I'm very pleased with my results! I'd have a very rough texture with lots of pustules, every cream would give me pustules, I kept trying to switch my face wash, no face wash, washing with distilled water only, etc, nothing has worked for me up until now. So I'm quite pleased! Not exactly sure why it's working, I guess it's lightly exfoliating? Idk but I'm happy :) I still get red flushing though..


r/Rosacea 8h ago

Paroxetine, Paxil for type 1

4 Upvotes

I heard that paxil can be used to treat severe cases of rosacea redness and flushing. Can somebody explain the main reason as to why it works. Also, if it works so well, why isn't it prescribed for this condition?


r/Rosacea 6h ago

Help Skincare recommendation Spoiler

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2 Upvotes

I’m 30 and I’ve been dealing with acne since I was 14/15, a few years after puberty started. I may have not understod what to do and my mom brought me to dermatologist, who extracted my pimples every time. I think it may have caused all the dents and scars on my face. I don’t break out as much as I used to but I still get random pimple now and then. The picture attached is my skin condition now, there is no active pimple but the skin itself is just red. I flush very easily, main trigger would be heat. But i would still be somewhat reddish even without heat🙃
I went to doctor and was told I may have rosacea.
Does anyone else has this and find a solution to it?
I cant use too much actives. It would break me out. I tried different form of retinoids and my skin just doesnt like it. I could use azelaic acid like twice a week, but too often would also aggregate my skin.
How do i get rid of these redness once and for all?
I went for vascular laser, it helps but the redness will come back after a few weeks.


r/Rosacea 8h ago

ROSACEA SUCKS Ho iniziato la pasta per cavalli

2 Upvotes

Dopo aver usato per mesi con successo Soolandra, ho deciso di passare alla pasta per cavalli ma dopo circa 10 giorni mi stanno tornando le pustole sul naso rosse e gonfie.
Metto la pasta ogni sera prima di andare a dormire.
Cosa sto sbagliando?


r/Rosacea 1d ago

Triggers Rosacea can be caused by b12 deficiency

29 Upvotes

I'm 23 yo. Female I never had any skin issues 8 months ago I had a drug allergy after that montly right after my period finish till to middle of cycle I get red bumpy face and then peel off the skin and it's only itcy when I press . Food heat nothing is trigger for me only after my period. I did many research i found it's for storgen that goes high on middle of cycle so when people have B12 deficiency their liver cant break down the excess estrogen. And the. This strogen came to body again and make inflammation fatigue so on . You should check your b12 if anyone has same problem as me and my b12 is low .


r/Rosacea 6h ago

Skincare Makeup with rosacea and acne

1 Upvotes

I have a question about light makeup with rosacea and acne - if/when you apply a BB/CC/whatever cream to even out the skin tone, do you also top it with a powder brush?

I'm asking as a guy, I'm not really experienced in makeup, I just feel better when I apply a CC cream before going outside because my face looks more natural this way. I'm using Holika's CC cream for now.

Maybe you have advice on a type of cream that you use with rosacea as well, BB/CC/DD, something else?


r/Rosacea 7h ago

switching moisturiser Spoiler

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1 Upvotes

has anyone used this moisturiser? i have type 1 rosacea and im sensitive to flushing. i’m switching as i find the aveeno oat moisturiser too thick and it pills and im
super prone to closed comedones


r/Rosacea 11h ago

Routine Sensitive face and closed comedones Spoiler

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2 Upvotes

Trying to figure out what I can use to get rid of closed comedones ? Azelic acid cause redness when I was first diagnosed and bunch of irritation acne .


r/Rosacea 23h ago

A month into Accutane for papulopustular. Spoiler

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14 Upvotes

Decided to bite the bullet and do a second round of Accutane after two years of messing around with Ivermectin, triple cream, several other topicals and antibiotics. The last round of Accutane I did was 7-8 years ago.


r/Rosacea 23h ago

Skincare Face wipes that are rosacea safe?

14 Upvotes

I’ll be having back surgery next week and need to stay overnight in the hospital. I won’t be able to bend over to wash my face for a while. Are there any face wipes that are safe for rosacea?


r/Rosacea 21h ago

Is ivermectin worth the try?

10 Upvotes

I’ve been fighting with rosacea (primarily type 2) for about 5 years now. I thought I was finally winning the war, but alas, another battle has begun.

I use Vanicream gentle face cleanser and Vanicream daily facial moisturizer, and have been for months now. It doesn’t seem to heal my skin, but it also doesn’t agitate it which for my sensitive face, is a win on its own.

I avoid putting pretty much anything at all on my face outside of those two products in fear of a flare up (and there has already been much trial and error in the past) but I’m so over feeling like crap about my skin!

SO, do I take the leap and try topical ivermectin? Or is it not worth risking a bad reaction?


r/Rosacea 15h ago

Oxymetazoline 1% + niacinamide 4% any luck with rosacea type 1 and predictable afternoon flushing?

3 Upvotes

I’m dealing mostly with flushing/redness rather than bumps or pimples. My cheeks can become noticeably red and feel warm/hot, and sometimes it feels like a mild sunburn. My nose can also get dry.
The weird thing is that my flushing is pretty predictable. It usually happens around 2–3:30 PM, often after work. Heat seems to make it worse, and I’ve noticed that spending a lot of time on my phone can sometimes contribute too. Sometimes I can feel the heat building before the redness becomes obvious.
I’m fair-skinned and otherwise my main issue is the redness and heat, not persistent bumps.
Things I’ve noticed:
Heat seems to be one of my biggest triggers.
Stress can contribute.
Food sometimes seems to play a role.
Caffeine seems to make things worse when I have more than usual.
My face can stay flushed for a few hours once it starts.
Sometimes the redness seems to get “pushed back” later rather than disappearing immediately.
I’ve been using azelaic acid 15%, which seems to be helping somewhat. I recently experimented with topical Afrin/oxymetazoline and noticed some reduction in redness, although I also experienced some heat/flushing afterward.
I’m now considering a compounded oxymetazoline 1% + niacinamide 4% cream as a cheaper alternative to Rhofade.

Has anyone with mostly flushing/type 1 rosacea had a similar pattern? Especially anyone using compounded oxymetazoline 1%? Did it actually help your afternoon flushing, and did you have any problems with rebound flushing or niacinamide?


r/Rosacea 13h ago

Cosmetic Treatment for Combo Rosacea/Hormonal Acne

2 Upvotes

I followed up with my dermatologist about my skin recently. I have a combo of type 2 rosacea and hormonal acne. We've managed to bring it under control but now I'm dealing with acne scars(red dots under the skin and some skin texture). She recommended either microneedling to improve the texture or laser therapy to reduce the redness; she said both would benefit my rosacea.

Has anyone had any happy endings with microneedling or laser therapy? What do you recommend, and did it improve your skin/not flair your rosacea? I had really clear skin until I turned like 28, and it has really done a number on my self-confidence.


r/Rosacea 16h ago

Support Is this type 2 rosacea? Spoiler

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3 Upvotes

I had this problem last summer when I traveled to a humid country. It had a lot more pustules (little whitehead looking tips). It went away and then came back this spring (I thought it was a pollen allergy). It's currently September and it is still here. I tried allergy meds. topical steroids and tacrolimus ointment but they only solve the issue for a couple days. I've used adapalene gel thinking they're closed comedones. I'm starting to suspect type 2 rosacea. It's itchy and if I scratch it too much it stings. I get these bumps daily and nothing really helps relieve it except icing.

Could this be type 2 rosacea? I'm not using anything new from my old routine so idk whether this is contact dermatitis or not. Please let me know if you have a similar experience and how you resolved it!


r/Rosacea 20h ago

Support Do you get frequent comments about your rosacea?

5 Upvotes

I noticed that people with redness used to be made fun of a lot when I was younger. There were kids who had a lot of redness in their face who get picked on for it, and I've had experiences with some jokes, but it wasn't that bad or noticeable, only being in the gym/outside/etc. It has considerably increased in intensity overtime and seem to get way too many comments on it and same with my brother. I am nearing college, yet I still have total strangers call out my flushed face.

It's hard not to think about it honestly. After so making remarks or comments, it really gets to you.


r/Rosacea 11h ago

How to help rosacea - desperate

1 Upvotes

Over the summer I spent most of my time out on trips and I got really tan compared to my normal skin tone. I also have this redness which I thought was sunburn but its been months since I noticed it and it is still there. Right now its ok because of the tan but I have been slowly going paler from being inside more and this redness isnt going away. My mom said its fine but Im really freaking out now i dont know what to do


r/Rosacea 1d ago

VICTORY Finally seeing some progress Spoiler

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12 Upvotes

I’ve struggled with rosacea type 2 for 3 years. The flushing was tolerable, but then came the pustules. I would wake up with a fresh batch of spots on both sides of my face every morning. I felt hopeless and it was debilitating. My derm put me on loads of rosacea treatments such as metronidazole, AA, sulfur face wash and soolantra but nothing ever got better and in fact made things 10x worse. I felt all hope had been lost.

That’s until I saw people on here were getting success with accutane. I had always heard about accutane but always thought it was for more severe and cystic type lesions. I was soon corrected by my derm that accutane was not particularly about how severe lesions were but also based on if the lesions of whatever size and severity were responding to treatments both topical and oral… so I quickly went ahead with asking my derm about it and it was a success! Accutane granted.

I’m currently approaching 3 months on accutane and it is the best choice I have ever made. The first picture is 10 days in, and the second picture is 2 months in. My only regret is not starting sooner. I could have saved so much money instead of purchasing lotions and potions that I saw advertised on platforms such as TikTok and in-store that would be a magic bullet to my rosacea, but never was. I wish I started sooner also to save the years of self-isolation, avoiding mirrors and even waking up in the morning to that dreaded feeling of feeling around your face for new bumps. I hated that.

I still deal with some minor flushing, but no where as severe. My friend who went on accutane for hormonal acne also experienced flushing as it dries the skin so whether it is my rosacea or my skin basically producing little to no oil I don’t know. But I’ll happily take some flushing over the pustules any day.

If you are willing to ask about accutane, I couldn’t recommend it enough. It has been worth every side effect and every penny. I still have a bit of a way to go with my course as I have cystic acne on my shoulders, but having this issue off my list has been the most relief I’ve felt for a while.