Balfour Dermatology

2221 Balfour Road, Suite A

Brentwood Ca, 94513          

  Dr. Robert E. Beer M.D.

  (925) 240-9116

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ROSACEA                                             

Rosacea is a long lasting, non-scarring skin condition of the face that is often misdiagnosed

as adult acne. It varies in severity and does not always worsen with time. Typically, you will

experience inappropriate flushing that is not usually associated with sweating and/or persistent

facial redness. It is common to have broken blood vessels (telangiectasias) on your cheeks.

You may also experience bouts of inflammation that cause red papules (small bumps) or

pustules. However, comedones (blackheads and whiteheads) are not part of rosacea.


About 50% of those with rosacea suffer eye involvement, including such conditions as

conjunctivitis, blepharitis, dry gritty eyes, and recurrent sties. Nose enlargement (rhinophyma)

is uncommon but mostly seen in men. It is only very rarely seen in women.


What causes Rosacea?

The cause is poorly understood. Flushing is an essential part of the condition, so experts believe

that there is a vascular cause or that blood vessels are a significant component to the cause.

The use of stronger cortisone creams can certainly produce rosacea, but it usually does not

persist for very long after discontinuing the creams.


What Other Factors Aggravate Rosacea?

Certain medications that cause flushing can flare your skin. Vasodilating drugs (ones that cause

your blood vessels to enlarge) such as ACE-inhibitors and some cholesterol lowering agents may

play a part, you should avoid Niacin. Perfumed cosmetics can aggravate your skin, you should

also avoid other topical irritants such as scrubs, toners, acetone, and alcohols.


If you have flushing because of menopause you should be treated, as long as there are no

contraindications for example, if there is no risk to you because of other health concerns or

medications you may be taking. Sun protection is a must and we recommend sunscreens that

have a broad spectrum.


Key Features:  

    -    Telangectasiae (blood vessel lines)                                     

    -    Eye involvement                                                                      

    -    Soft tissue hypertrophy or skin thickening (rhinophyma)       

    -    Cheeks are not warm


Who Gets Rosacea?

This condition is most commonly seen in those who have fair skin and is sometimes referred to as the “Curse of the Celts” or a “Peaches and Cream“ complexion.


Where Does Rosacea Occur On The Skin?

You will usually see rosacea around the central area of your face. It may occasionally be isolated to one patch.


When Does It Usually Start?

Onset usually occurs between 20-40 years of age.


How Does Rosacea Affect Us?

    -    Rosacea can be very embarrassing, flushing can be a source of social discomfort

    -    Many may feel that they are perceived as heavy drinkers

    -    Eyes can be gritty and uncomfortable  

    -    Older men are frequently ashamed if their nose becomes bigger and knobby