Medical dermatology
Rosacea: treatment for facial redness
Rosacea is a chronic skin condition of the face. There is no permanent cure, but it can be controlled very well with treatment and daily care.

What is rosacea?
It is an inflammatory condition that mainly affects the cheeks, nose, forehead and chin. It is more common in adults and usually develops in stages: first redness that comes and goes, then persistent redness, visible small blood vessels and, in some people, acne-like bumps.
Symptoms
- Frequent facial redness or flushing
- Visible small blood vessels on the cheeks and nose
- Bumps and pustules, without blackheads
- Burning, stinging or skin that is sensitive to products
- Irritated or dry eyes, in some cases
- Thickening of the skin of the nose, in advanced cases
What makes it worse?
Each person has their own triggers. The most common are sun and heat, hot drinks, spicy food, alcohol, intense exercise, stress and some cosmetics. In El Salvador's climate, protection from sun and heat is especially important.
Treatment
Dr. Quintanilla decides on the treatment based on the type of rosacea and the symptoms:
- Topical or oral medicines to control inflammation and bumps.
- A gentle skin care routine: a soap-free cleanser, a moisturizer for sensitive skin and avoiding harsh exfoliants.
- Daily sun protection, preferably with mineral filters (zinc oxide or titanium dioxide), which sensitive skin usually tolerates better.
- Intense pulsed light (IPL) for persistent redness and visible blood vessels. Several sessions are usually needed. See IPL.
Frequently asked questions
Can rosacea be cured?
There is no permanent cure, but with treatment and care, flare-ups and redness can be controlled.
Is it the same as acne?
No. They can look alike, but they are different conditions and are treated differently.
Which sunscreen should I use?
A broad-spectrum SPF 30 or higher sunscreen for sensitive skin. The dermatologist will recommend the right one for you.
Does makeup make rosacea worse?
Not necessarily. Choose fragrance-free products for sensitive skin and remove them gently.


