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Popping rosacea pustules: How to Treat Your Acne Rosacea Breakouts

How to Treat Your Acne Rosacea Breakouts

Today in Things That Look Like Acne But Aren’t, let’s take a closer look at something called papulopustular rosacea (wow, so beautiful, so majestic, so rolls-off-the-tongue!). Unless you’re a medical professional, you’ve probably never heard this very technical name before, but you probably have heard of something called “acne rosacea”—i.e., a combo of redness, swelling, and acne-like breakouts that can pop up on your cheeks. And hey, if you haven’t heard of either, and your flushed, bumpy cheeks are suddenly making sense, congrats—you’ve made it to rosacea talks.

Acne rosacea/papulopustular rosacea gets its nickname because it shares symptoms of both acne (like little zits) and rosacea (red, flushed skin). But because rosacea can have bumps, and acne can be red, it’s not that easy to figure out on your own whether you’re dealing with regular ol’ acne or actually rosacea breakouts. How to know for sure? Consult your dermatologist. But while you wait for that appointment, read the below for a little more insight on papulopustular rosacea to help answer some preliminary questions you might (k, most definitely) have.

Papulopustular rosacea vs. acne:

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Again, they can look very similar, but in general, rosacea acne tends to have a tinge of sensitivity and irritation to it, and bumps tend to be small. “Rosacea will usually present with pimple-like breakouts, but no blackheads, whereas true acne can consist of blackheads, whiteheads, pimples, or deep cysts,” says board-certified dermatologist Devika Icecreamwala, MD.

Not only that, but rosacea also typically presents with redness and sensitivity throughout the face—even when you’re not breaking out—with the redness being most pronounced on the cheeks, forehead, nose, and/or chin, whereas acne tends to have redness only in the areas where you’re breaking out. See the difference?

What causes papulopustular rosacea?

Here’s the thing: We don’t know exactly why papulopustular rosacea happens. Frustrating, I know. Dr. Icecreamwala does, however, highlight a few triggers known to bring on a rosacea flare-up, like sunlight, stress, booze, spicy foods, and hot drinks—like coffee and tea. So, you know, a normal Friday for me. But! That doesn’t necessarily mean that all of the above are triggers for you, and you might even have other triggers that cause your flare-ups. Again, it’s complicated.

How do you get rid of papulopustular rosacea?

Not only is the cause unclear, but there’s unfortunately no cure for rosacea, either. Enough with the bad news, though. Dr. Icecreamwala says that with the right skincare products and lifestyle changes, you can help avoid flare-ups and prevent your rosacea from worsening. “Many people with rosacea can look and feel their best by seeing a dermatologist, changing their lifestyle, and using gentle skincare products,” Dr. Icecreamwala adds.

4 Rosacea-Friendly Skincare Products Worth Trying


Shani Darden Skin Care Cleansing Serum

$38 at Sephora


SkinCeuticals Phyto Corrective Gel

$100 at SkinCeuticals


Avène Cicalfate+ Restorative Protective Cream

$42 at Dermstore


Colorescience All Calm® Clinical Redness Corrector SPF 50

$145 at Dermstore

How do you treat rosacea papules and pustules?

Despite how good you might think your skincare products are, many formulas can actually irritate your skin and cause rosacea papules. Womp, womp. To prevent all that, Dr. Icecreamwala recommends swapping exfoliants and excessive scrubbing for gentle and mild skincare products, like one of the four rosacea products above. But if you’re having trouble finding the right formulas (hey, it’s not easy to find a good skincare regimen if you have rosacea), your dermatologist can make even better recommendations specifically for you to keep your flares under control.

Just take note: Whatever you do, don’t try to tackle your rosacea breakouts with acne spot treatments. Dr. Icecreamwala says traditional acne treatments with ingredients like salicylic acid and benzoyl peroxide are way too aggressive and harsh for rosacea-prone skin. Your best bet is to consult a dermatologist to discuss a skin regimen, prescription medications, or in-office treatments to *safely* improve your acne rosacea.

What happens if rosacea is left untreated?

Sadness, frustration, annoyance, etc. Nothing necessarily bad will come out of leaving your rosacea untreated, but it will most likely just get worse with time/age if you leave it alone. Thankfully, avoiding rosacea triggers and using rosacea-friendly skincare products can help improve rosacea flares, while seeing a dermatologist to better understand treatment options can help you best (have I stressed that enough, yet)?

Moral of the story, if you think you might have papulopustular rosacea, don’t play doctor. Confirm your diagnosis with your dermatologist so you can get started on the best treatment plan already.

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Brooke Shunatona

Brooke Shunatona is a contributing writer for Cosmopolitan.com.

Papulopustular Rosacea: Symptoms, Triggers, and Treatment

Papulopustular rosacea, sometimes referred to as inflammatory rosacea, is a type of skin condition that may sometimes be mistaken for acne.

Researchers do not fully understand the causes for rosacea, though experts think it is due to a combination of genetics and environmental triggers.

Read on to learn more about the symptoms, treatments, and possible triggers for papulopustular rosacea.

Papulopustular rosacea often begins as pus-filled or red bumps that form close together on your skin, according to the American Academy of Dermatology Association (AAD).

Your skin may also feel hot to the touch or itchy along with frequent breakouts. Those with lighter skin may see the rosy-red flush this condition is named for; while those with darker skin may find their flush tends toward yellow or dusty brown. Sometimes referred to as inflammatory rosacea, papulopustular rosacea is always associated with bumps or texture (sometimes referred to as plaque) of some sort.

The cause of all types of rosacea are not entirely understood, though it may be due to a combination of genetics and environmental triggers.

The best way to avoid rosacea flare-ups is to get to know your triggers and avoid them whenever possible. For example, skip red wine if that seems to aggravate your condition and wear SPF daily if sunlight seems to be a rosacea trigger, which it often is.

Some of the most common rosacea triggers, according to the AAD, are:

  • sunlight and high temperatures
  • wind and low temperatures
  • high stress and exercise
  • some medications and supplements
  • spicy foods and hot beverages
  • food that contains the compound cinnamaldehyde
  • alcohol
  • hairspray or other hair products
  • having the intestinal bacteria H. pylori
  • the presence of a skin mite called demodex and the bacterium it carries, Bacillus oleronius

You can also avoid skin care products that contain the following ingredients, which can be harsh for rosacea-prone skin:

  • alcohol
  • menthol
  • witch hazel
  • exfoliating agents
  • fragrance
  • acids
  • certain essential oils, including peppermint and eucalyptus

There is not one recommended diet to help combat papulopustular rosacea. However, there is some research and anecdotal evidence showing that certain foods may improve the condition and other food and drinks can make rosacea worse.

Managing your diet may be one step in reducing your overall rosacea symptoms.

These include:

  • fish
  • nuts and seeds
  • eggs
  • foods that contain zinc
  • fiber-rich foods
  • fermented foods like pickles

These include:

  • hot beverages
  • spicy dishes
  • alcohol
  • foods that contain cinnamaldehyde, including:
    • cinnamon
    • citrus
    • tomatoes
    • chocolate

At any point in your rosacea journey, you should feel empowered to check in with a dermatologist or your physician. However, it’s especially important if you feel like your symptoms are worsening or that you are having regular, severe flare-ups.

Rosacea is likely a lifelong condition that you will need to carefully manage. It can be helpful to seek a therapist or a support group with other people who understand your situation.

There is not currently a cure for rosacea, though symptoms can be managed.

Prescription medications may help reduce the appearance and frequency of rosacea outbreaks, per 2018 research. Some medications a doctor may prescribe include:

  • Azelaic acid (gel or cream)
  • Metronidazole (gel or cream)
  • Minocycline (oral antibiotic)
  • Doxycycline (oral antibiotic)

You can also look for over-the-counter products that contain sulfur, and always opt for gentle, nonexfoliating cleansers. If your doctor gives it the OK, laser or light treatment may be helpful — but this option may be best for those with visible blood vessels.

There are also many home remedies for rosacea that show some promise.

For example, per 2012 research, a compress made of cooled green tea may help calm redness. And products containing niacinamide may help to relieve redness associated with skin flushing.

Papulopustular rosacea shows up on your skin as redness and whitehead-filled bumps or pustules on your face that may be mistaken for acne.

While there is no cure for this type of rosacea, certain lifestyle tweaks — such as avoiding very spicy foods and too much time in the sun — may make the chronic skin condition more manageable.

If symptoms persist, a medical professional can recommend treatment or medication to keep the condition at bay.

How to deal with spider veins, couperosis and rosacea on the face.

Redness, swelling on the face, skin reaction to alcohol, tobacco; itching, burning of the facial skin – in youth, we often do not pay attention to all these symptoms, since they usually pass quickly without causing us serious concern.

Meanwhile, all the above symptoms are a manifestation of malfunctions in the vascular system of the body, which are reflected on our face. After the age of forty, both in women and men, this can develop into serious chronic skin diseases such as rosacea, rosacea, spider veins.

With rosacea (or rosacea), small superficial vessels of the skin of the face expand, burst, then papules, pustules, pustular sores form, which, without treatment and prevention, can spread to the entire face, as well as the neck and back.

With rosacea and spider veins, the skin of the face is covered with a network of reddened vessels, which, without proper care, can turn into vast areas of purple.

There is no consensus on the causes of rosacea and rosacea. Physicians allocate genetic predisposition; in people with fair skin and thin blood vessels, the disease is more common, and in people who, due to their profession, are more likely to be in the air or in hot production, the development of rosacea and spider veins is usually guaranteed.

For the prevention and treatment of vascular skin diseases, the following should be avoided:

– excessive alcohol consumption

– smoking

– sunbathing

– fatty and spicy food

– frequent visits to saunas or baths

In addition to drug treatment of vascular manifestations on the skin, physiotherapy is recommended. The best and most effective treatment for rosacea, rosacea, spider veins today is photothermolysis (vascular laser) and phototherapy.

The laser accurately dissolves hemoglobin, the walls of blood vessels stick together and go deep under the skin. Neighboring tissues are not damaged, moreover, there is a process of formation of new collagen in the skin. The procedure is painless, the rehabilitation period is not required.

The laser platform that is installed in our center is called Palomar Icon Lux 1540 and is by far the most popular and well-established laser platform in the world.

Depending on the diagnosis, the type and intensity of the laser beam is selected. The laser heats the chromophores (pigment spots) or vascular formations in the case of rosacea. Light energy is converted into heat, protein folding occurs – melanin, hemoglobin are destroyed, age spots or vascular networks disappear.

The skin acquires an even color, acne, rosacea disappear. Skin tone and elasticity are restored.

Sign up for a consultation with our specialists right now 8 (3902) 305-007, 8 (3902) 306-007. A course of laser exposure and subsequent rehabilitation after the treatment of rosacea, age spots or spider veins will be individually selected for you.

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Treatment of rosacea (rosacea)

#Acne#Face#Injection cosmetology#Hardware cosmetology



Rosacea is a cyclic facial skin disease that is prone to becoming chronic. It is also called “rosacea”, as the disease manifests itself in the form of purulent rashes, redness and thickening of the tissues.

Symptoms of rosacea

“Acne rosacea” occurs predominantly on the cheeks and nose. However, rosacea also has accompanying symptoms. These are:

  • Chronic reddening of the skin in the T-zone and on the cheeks, and in some cases it extends to the chest and back.
  • The appearance of red lines on the face caused by vasodilation.
  • Persistent thickening of the skin of the nose – rhinophyma. This symptom of rosacea occurs mainly in men.
  • Inflammation of the cornea of ​​the eye, characterized by a feeling of dryness, the presence of a foreign body, redness and tearing.

Causes of rosacea

So far, scientists do not have a clear understanding of why some people have “rosacea” and others do not. However, doctors still achieved some success in searching for the cause of rosacea. It is already known that the disease can occur as a response to the following stimuli:

  1. Pathogenic bacteria. This theory is supported by the fact that after the use of antibiotics, the rashes become much smaller. True, it has not yet been possible to establish which bacterium triggers the pathogenic process.
  2. Pliers. Surprisingly, when examining the tissues of patients in the biomaterial, insects of the genus Demodex are often detected. And after the treatment of demodicosis, “rosacea” becomes much less pronounced. However, this theory has not yet been scientifically proven.
  3. Improper nutrition. Regular consumption of spices, alcohol and citrus fruits, as well as smoking, irritates the gastric mucosa. Theoretically, this can cause capillary dilation. There is no confirmation of this hypothesis yet.
  4. Diseases of the gastrointestinal tract. Doctors do not exclude that gastritis and diseases of the small intestine can be the causes of rosacea. Studies have shown that such symptoms occur in 50 – 90% of people suffering from rosacea.
  5. Frequent stress. This hypothesis also raises questions.

The risk group also includes:

  • People with very thin vascular walls, because at the slightest external irritation (blood flow, exposure to dry hot air, etc. ) the capillaries on the face burst.
  • Menopausal women.
  • Suffering from seborrheic dermatitis and using topical hormonal agents.

Diagnosis of rosacea

An experienced dermatocosmetologist will determine the presence of this disease by the appearance of the patient. However, sometimes in order to make a correct diagnosis, it is necessary to conduct a study of the microflora of the facial skin and assess the condition of the vessels. In some cases, a laboratory blood test is required.

Treatment of rosacea

To achieve the maximum result, it is necessary to select a complex therapy. That is, in addition to the local effect on the inflamed skin, it is necessary to cure concomitant diseases – get rid of stress, normalize the functioning of internal organs, etc.


Each case of rosacea treatment is individual. You should remember that some forms of the disease respond quickly to therapy, while others are rather slow.

General rules

  1. Eat healthy. Limit the consumption of smoked meats, spices, extractives, caffeinated drinks; avoid very hot foods, alcohol, fast food, etc.
  2. Limit, or better yet, completely eliminate smoking.
  3. Normalize the daily routine, especially work and rest.
  4. Protect yourself from exposure to low and high temperatures, UV rays.
  5. Monitor your health by seeing a doctor.

Cosmetic treatment of rosacea

Apparatus methods

1. Cryotherapy. The inflamed skin is exposed to liquid nitrogen, the temperature of which is -196°C. As a result, the capillaries narrow reflexively, and after a while expand. These processes contribute to a sharp improvement in the blood supply to the skin, which, in turn, leads to the improvement of cells and a decrease in inflammation.

A pleasant bonus after a course of cryotherapy (at least 20 procedures) will be a lifting effect. Renewed cells better produce “building” proteins, collagen and elastin, due to which mimic wrinkles become less noticeable, and the oval of the face becomes younger.

2. Laser therapy. This is perhaps the most powerful weapon in the treatment of rosacea. The laser beam acts pointwise – directly on the damaged microvessel. Under the action of high temperature, hemoglobin in the capillary folds and “solders” its walls. As a result, after 2-3 weeks, the vessel resolves, turning into connective tissue, and, accordingly, local inflammation disappears.

Laser treatment is effective both at the initial stage of rosacea and during an exacerbation of the disease. The course consists of 4-5 sessions lasting just a few minutes. During this time, you will feel only mild discomfort. A nice bonus after the therapy will be the resorption of small scars and scars, post-acne on the treated areas of the skin.

Injection therapy

Meso and ozone therapy. With the help of subcutaneous microinjections, an ozone-oxygen mixture is introduced, supplemented with a “vitamin cocktail”. Its composition depends on the characteristics and condition of the dermis. Therapy is carried out as a course, at least 5 sessions are required. In acute inflammation and pustular form of rosacea, this procedure is not suitable.

Plasma therapy

This method of injectable cosmetology is close to mesotherapy, but instead of vitamin cocktails, the doctor injects the client’s purified blood subcutaneously – plasma saturated with platelets. This composition activates the processes of intercellular exchange and natural skin rejuvenation. Her cells begin to synthesize elastin, collagen, hyaluronic acid as in the “youth mode”, and inflammation gradually subsides.

You can learn more about the hardware and injection treatment of rosacea, as well as choose the therapy, by contacting the VERSUA Clinic dermatocosmetologists.


What should be done to avoid exacerbation of the disease, we have already written in the “Treatment” section. This is the protection of the skin from the slightest stress caused by natural conditions; proper nutrition, following a certain daily routine.