A woman with rosacea checks her face in a round mirror

Understanding the 4 Types of Rosacea

If you’ve ever experienced the frustration of persistent redness, bumps, or visible blood vessels on your face, you might be familiar with rosacea. It’s like an uninvited guest at the skin party, disrupting the natural flow of that flawless complexion.

Many people associate rosacea with skin redness, when in fact, it isn’t a one-size-fits-all issue. It comes in four distinct types, each with its own set of characteristics and challenges that require individualized treatment options.

If you’re looking to learn more about the most common types of rosacea, you’re in the right place. Keep reading to find out more!

    1. Erythematotelangiectatic Rosacea

Does your skin have a persistent flush, almost like you ran a marathon without moving an inch? Welcome to the world of Erythematotelangiectatic Rosacea (ETR), the most common type of rosacea. This subtype affects roughly 80% of people with the condition.

ETR is characterized by a constant redness that resembles a sunburn, coupled with visible blood vessels. Think of it as a clingy companion that just won’t take a hint. Oh, and let’s not forget the bonus features: sensitivity, burning sensations, and occasional swelling.

People with ETR may experience worse symptoms when exposed to rosacea triggers such as spicy foods, alcohol, hot drinks, stress, or extreme temperatures.

Close-up of a woman with Erythematotelangiectatic Rosacea on her cheeks

Treatment Options

There is no cure for ETR, but it can be managed via:

  • Topical treatments such as metronidazole or azelaic acid help reduce inflammation and redness
  • Oral antibiotics such as doxycycline or minocycline can help control bacterial infections and inflammation
  • Light or laser treatments can help shrink the dilated blood vessels to improve the skin’s appearance

Keep in mind that a thorough medical evaluation is necessary to determine the best type of treatment for different types of rosacea skin conditions.

    2. Papulopustular Rosacea

If ETR rosacea is the redness guru, Papulopustular Rosacea (PPR) is all about throwing blemishes into the mix.

This type of rosacea is also known as acne rosacea because it causes acne-like breakouts on the face. However, unlike acne, it doesn’t cause blackheads or whiteheads. Instead, it produces small red bumps (papules) and pus-filled bumps (pustules) that can be painful or itchy.

PPR usually affects the same areas as ETR, but it may also spread to the forehead, chin, or ears. Oily skin and swelling can happen, too.

Treatment Options

This type of rosacea demands a unique battle plan, as traditional acne treatments might not cut it.

By working with a team of medical professionals you’ll be able to devise a personalized plan that works for you! This typically includes advanced laser therapies, topical antibiotics, oral medications, and medical-grade skincare to target and reduce inflammation.

    3. Phymatous Rosacea

Phymatous Rosacea is one of the most serious forms of rosacea, with more severe symptoms than facial redness and acne-like breakouts.

In this case, the skin undergoes thickening and develops a bumpy texture, creating a terrain that’s far from smooth. It transforms the nose, chin, forehead, or other facial areas into a landscape marked by enlarged pores and a bulbous appearance.

Phymatous Rosacea is more common in men than women, and it usually develops after years of untreated rosacea.

Treatment Options

The treatment for Phymatous Rosacea usually involves surgery, prescription medications, laser skin resurfacing, and/or dermabrasion to remove the excess skin and reshape the nose or other affected areas. In some cases, this can reverse the effects and improve the appearance and function of the skin.

Other treatments such as oral isotretinoin or radiofrequency ablation may also be recommended to help prevent further skin thickening and scarring.

A man puts eye drops in his eyes

    4. Ocular Rosacea

Among the different types of rosacea, ocular rosacea is the silent accomplice—it not only causes redness and irritation on the eyelids, but can also trigger dryness, grittiness, and the sensation of having something perpetually stuck in your eye—a real mood killer.

Surprisingly, eye symptoms often show up before any visible skin problems in about 15% of cases, which can make it tricky to spot. It’s more than just a skin condition—rosacea can have implications for your eyes too.

Treatment Options

Treatment for this type of rosacea usually involves eye drops or ointments that lubricate and soothe the eyes. Some people may also need oral antibiotics or anti-inflammatory drugs to reduce infection and inflammation.

Warm compresses, keeping eyelids clean, and avoiding eye makeup can also help manage symptoms.

Take Control of Your Skin at Harmony Med Spa

Now that you know about the different types of rosacea, the next step is seeking the treatment best suited to you. The right care can make living with the condition more manageable and even provide exceptional results.

At Harmony Med Spa, we specialize in personalized treatments that go beyond skin deep. Our experienced team is ready to guide you through tailored solutions, providing relief and confidence in every step of your journey.

Visit our clinic in Oshawa to learn more about our rosacea treatment options or contact our team to book a free consultation. It’s time to reclaim control of your skin!