Rosacea is a chronic, inflammatory skin condition that primarily affects the central face, most notably the cheeks, nose, forehead and chin. It often presents as persistent redness, visible blood vessels, and occasional acne-like bumps, leading many to mistake it for common acne or skin sensitivity. While rosacea is not contagious, it can be emotionally distressing and physically uncomfortable, especially when flare-ups are triggered by daily environmental or lifestyle factors.
Rosacea is more than just facial redness, it is a complex skin disorder with various subtypes and manifestations. There are a few types of rosacea, and understanding which one you have can help guide the right treatment approach.
This is the most common type. You might notice that your face often looks flushed or stays red for long periods. Tiny blood vessels may also become visible, especially on the cheeks and nose. Your skin might feel warm, dry or a little tight. Some people describe it as a “sunburn that never fully goes away.”
This type can look a lot like acne. It comes with red bumps and sometimes pus-filled spots on top of already red skin. However, unlike acne, there are usually no blackheads, and the skin tends to be very sensitive and inflamed. It may flare up during periods of stress or heat.
In some people—especially men—the skin, particularly on the nose, becomes thickened and bumpy over time. The nose might look larger or swollen. This type of rosacea tends to develop slowly and is less common.
Rosacea doesn’t just affect the skin. Some people experience symptoms in their eyes, such as redness, dryness, or a gritty feeling—almost like there’s sand in the eyes. The eyelids may also become red and swollen. This type can occur on its own or together with skin symptoms.
This is the most common type. You might notice that your face often looks flushed or stays red for long periods. Tiny blood vessels may also become visible, especially on the cheeks and nose. Your skin might feel warm, dry or a little tight. Some people describe it as a “sunburn that never fully goes away.”
This type can look a lot like acne. It comes with red bumps and sometimes pus-filled spots on top of already red skin. However, unlike acne, there are usually no blackheads, and the skin tends to be very sensitive and inflamed. It may flare up during periods of stress or heat.
In some people—especially men—the skin, particularly on the nose, becomes thickened and bumpy over time. The nose might look larger or swollen. This type of rosacea tends to develop slowly and is less common.
Rosacea doesn’t just affect the skin. Some people experience symptoms in their eyes, such as redness, dryness, or a gritty feeling—almost like there’s sand in the eyes. The eyelids may also become red and swollen. This type can occur on its own or together with skin symptoms.
While rosacea can affect anyone, it is most commonly seen in adults aged 30 to 50 with fair skin, and tends to be more prevalent among women, although men may experience more severe symptoms.
The exact cause of rosacea is not fully understood, but it is believed to be linked to a combination of genetic, environmental, and vascular factors. Triggers and contributing causes may include:
Rosacea symptoms may come and go, and flare-ups can be unpredictable. That’s why long-term management, rather than a quick fix, is key.
Although rosacea cannot be completely cured, its symptoms can be effectively controlled and improved with the right combination of skincare, lifestyle adjustments, and in-clinic treatments.
The Yellow Laser is effective for reducing facial redness and broken capillaries associated with rosacea. It targets dilated blood vessels without damaging surrounding skin, helping to calm inflammation and even out skin tone over time. It is well-tolerated with minimal downtime and is suitable for ongoing maintenance. Read more
RF microneedling combines microneedling with heat-based energy to remodel the skin at a deeper level. While often used for acne scars and pore tightening, RF microneedling can also benefit rosacea-prone skin by improving skin barrier function and reducing chronic inflammation. It helps to restore skin resilience and smoothness over multiple sessions. Read more
Each treatment plan at Mizu is tailored according to the patient’s skin type, rosacea subtype and sensitivity level. During your consultation, our doctors will conduct a thorough skin assessment to determine the most suitable protocol for long-term control and improvement.
Gentle skincare plays a central role in reducing irritation and reinforcing the skin barrier. Look for products with calming ingredients such as niacinamide, ceramides and azelaic acid. Avoid physical scrubs, alcohol-based toners and highly fragranced products, which can trigger flare-ups. Topical prescription medications such as ivermectin can be used to kill demodex mites, reduce pustules and reduce inflammation.
In more moderate to severe cases, especially for those with papulopustular rosacea, oral antibiotics may be prescribed to reduce inflammation. Oral isotretinoin may be used in resistant cases under specialist supervision.
Identifying and avoiding personal triggers is crucial. Maintaining a diary can help track flare-ups in relation to diet, sun exposure or stress levels. Sun protection is essential — daily use of a broad-spectrum sunscreen is highly recommended.
No. Rosacea causes redness and flushing with acne-like bumps without comedones and is linked to vascular and inflammatory triggers, while acne involves clogged pores.
There is no permanent cure, but with the right skincare and treatments, symptoms can be managed effectively and flare-ups reduced significantly.
This depends on the severity of your condition. Yellow laser treatments may be done once every 3 to 4 weeks, while RF microneedling may be spaced 4 to 6 weeks apart. Maintenance treatments may be needed to prevent recurrence.
Yes, but opt for non-comedogenic, fragrance-free products and avoid heavy foundations that may clog pores.
Avoid products with alcohol, menthol, or strong exfoliating acids unless prescribed. Always patch-test new products first.
Mizu Aesthetic Clinic is led by Dr YZ Tan, who brings years of experience as a trainer of laser and injectable protocols for treating different types of skin concerns. We do not believe in a one-size-fits-all approach; instead we prioritise safety, transparency, and evidence-based solutions, ensuring that every treatment is tailored to your skin’s needs.
Take the first step towards clearer, healthier-looking skin. Schedule a personalised consultation with our medical team to discuss your concerns and explore the best treatment options for your skin type.
This page is intended for educational purposes and does not constitute medical advice. For an accurate diagnosis and personalised treatment plan, please consult with our licensed medical professionals.
