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Rosacea (say "rose-ay-shah") is a disease that affects the skin on the face. It often begins as redness that looks like a blush across the nose, cheeks, chin or forehead. As time goes on, red pimples and pus-filled bumps may appear. Some people also notice small blood vessels across their nose and cheeks. In some people, the skin of the nose may become red and thick. This is called rhinophyma (say "rye-no-fie-muh"). Rosacea can also affect the eyes. It may irritate and inflame the eyelids and the white part of the eye. This is called conjunctivitis.
The type of medicine your doctor recommends will depend on how your skin looks. Treatment generally works best at improving the pimples and bumps of rosacea. The redness of the skin is harder to treat. Medicines used to treat rosacea include antibiotics, which can be applied to the skin or taken as pills. Your doctor may recommend an oral antibiotic to start with and follow that with an antibiotic gel or cream called metronidazole (one brand name: MetroGel) that you apply to your skin.
It may take up to 2 months of treatment before the skin looks better. As your skin improves, the amount of oral antibiotic you take can often be cut down or stopped. Treatment with the gel may continue. It is hard to know how long you will need treatment for rosacea. Each person's skin is different, and your doctor may want to adjust your treatment.
Surgery may be used to correct rhinophyma. Enlarged blood vessels on your face can sometimes be removed by using a fine electric needle or with laser surgery.
