Rosacea typically begins as redness on the cheeks, nose, chin or forehead that may come and go. Over time, the redness tends to become more persistent, skin swelling and visible tiny blood vessels appear and small bumps often develop. In some patients the eyes are also affected, may be watery or bloodshot and produce a gritty discomfort.

Rosacea is characterized by flare-ups and remissions. In longstanding and severe cases the nose may grow swollen and lumpy from excessive tissue (rhinophyma).

There are 4 types of rosacea, and patients may experience characteristics of more than one type at the same time.

Erythemato-telangiectatic rosacea - characterised by flushing and persistent redness, with multiple visible tiny blood vessels.

Papulopustular rosacea- characterised by persistent redness with transient bumps and pimples.

Phymatous rosacea- characterised by skin thickening, often resulting in an enlargement of the nose from excessive tissue build-up.

Ocular rosacea- characterised by dry eyes, tearing and burning, swollen eyelids, and potential vision loss from corneal damage. Referral to the ophthalmologist may be required for severe cases.

• You are so uncomfortable with the condition that it affects your quality of life
  
• There is widespread involvement
  
• Self-care methods have not been effective
  
• There is eye involvement