4 Types of Rosacea

4 Types of Rosacea

4 Types of Rosacea

Are you experiencing random flare-ups that leave your skin looking rosy red? You might be experiencing a skin condition called rosacea. The condition can be triggered at any time and by a slew of things, leaving your skin looking flushed and inflamed. Since it’s caused by a combination of genetic and environmental factors, there’s no real cure for rosacea but there are treatment options to help keep it under control and soothe your skin. Learn more about the types of rosacea, what causes it to flare up and which treatment options are available to you. 

The 4 Types of Rosacea

Erythematotelangiectatic (ETR)

ETR rosacea is associated with visible blood vessels, flushing and overall redness in the face. Typical symptoms include tiny broken blood vessels that look like spider veins. The skin can also appear dry, rough and scaly skin. Areas of swelling, burning and stinging can also occur.  

Papulopustular (Acne)

The second subtype is associated with acne-like breakouts. Red pimples, raised patches of skin and broken blood vessels are common. Random outbreaks of pus-filled bumps are not. Many rosacea patients with papulopustular rosacea also experience spider veins and hardened patches of skin called plaques.


There is a rare form of rosacea, known as Rhinophyma, that involves a thickening of the skin, often around the nose, chin, ears and forehead. This type of rosacea typically affects men more than women. Signs include bumpy skin, thick skin areas, large pores and visible broken blood vessels, especially around the nose area. 


Ocular rosacea affects the areas around the eyes. Symptoms include broken blood vessels around and on the eyelids, cysts on the eyes, sensitivity, bloodshot, or dry, watery eyes. Many people with ocular rosacea also experience stinging or sand-like sensations in the eyes. In many cases, the vision can be greatly impacted. Blurriness and light sensitivity are common.

What Triggers Rosacea?

There are a number of triggers that could cause a flare-up, including emotional stress, spicy foods, hot beverages, exposure to extreme temperatures and sunlight, exercise, reactions to cosmetics, and even certain medications can cause the blood vessels to dilate and the rosacea to arise. Lifestyle choices can also put some people more at risk of developing rosacea. Those who smoke, consume alcohol regularly and are obese, have a heightened risk of flare-ups.  

How Can I Keep Rosacea Under Control?

While there is no cure for rosacea, there are ways to prevent flare-ups from happening and treatment options to help reduce symptoms. To reduce your chances of setting off the rosacea, avoid exposure to UV rays and wear a high SPF sunscreen. Avoid overdoing it when you work out and take periodic breaks to let your skin cool down. If your flare-ups are in relation to the medication you are taking, talk to your doctor about other alternative prescription options available to you that might be more rosacea friendly. And if the makeup or face wash you’re using tends to irritate your skin, speak to a skincare specialist about the other cosmetic options out there that will reduce your risk of a flare-up.

When rosacea becomes out of control, there are treatment options that can reduce the side effects. If you suffer from rosacea acne, you may consider getting a prescription cream or oral pills. Medical grade skincare that is appropriate for sensitive, rosacea skin is also recommended. At the Ottawa Vein Cosmetic and Medical Clinic, we offer several treatments that can help with rosacea. These include laser treatment with TruPulse Nd: YAG laser for facial veins, GENESIS laser for generalized redness, and Intense Pulse Light (IPL) for both spider veins and generalized redness.

To learn more about rosacea treatments, contact us at the Ottawa Vein & Cosmetic Medical Clinic to set up an appointment today.

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