Rosacea causes spidery blood vessels and flushing of the face. Although it shares some features with acne, it is a different condition and occurs primarily in middle aged adults.


The predominant symptoms are flushing and visible spidery blood vessels called telangiectasias on the face. However, rosacea may also appear as pimples ( but not whiteheads or blackheads) on the forehead, cheeks, nose, and chin.

Early symptoms, beginning with brief periods of facial flushing, may go unnoticed. Eventually, the redness persists and telangiectasias appear just below the surface of the nose and cheeks. Small, raised bumps with a yellow top and a red rim called pustules ( because they are filled with pus) may also form.

In rare cases, the soft tissues of the nose, especially the sebaceous glands, become heaped up, yielding a bulbous nose (the comedian W.C. Fields had a nose that was made bulbous by rosacea).


To minimize flushing, avoid the things that cause blood vessels to open up, including rapid temperature extremes and sunlight. Daily use of sunscreen may also help. Since rosacea involves a widening of the small blood vessels, try to avoid drinking hot beverages or alcohol or eating spicy foods, all of which can make you flush, aggravating the condition.

The strongest medicines for rosacea pustules are antibiotic pills such as tetracycline, minocycline, or doxycycline. An antibiotic called metronidazole, in the form of a gel rubbed into the face, is also effective in treating less severe rosacea. Avoid acne medicines containing resorcinol, salicyclic acid, or benzoyl peroxide; they can irritate your flushed skin. Once you start treatment for rosacea, have patience; it usually takes weeks or months for the condition to improve.

The spidery blood vessels called telangiectasias can be covered with makeup. They also can be eradicated using a technique similar to that used on spider veins on the legs in which tiny needle is inserted into the veins and an electrical charge passed through the needle to cauterize (seal) the veins. 

The laser treatment that we offer is very effective. Since the vessels interconnect, it may take several treatments to eliminate all of the visible telangiectasias.

If you have excess nose tissue caused by rosacea, you may need a surgery and for that you have to consult your family physician.