Acne and rosacea are among the most common reasons people see a dermatologist. Both cause spots and redness on the face, so they are often confused, but their causes and treatment are different.
Acne: not just for teenagers
Acne develops when pores become blocked by excess oil and dead skin cells and then inflamed by skin bacteria. It is typical in adolescence, but it is increasingly common in adults, especially women (adult acne), often linked to hormonal factors.
Rosacea: redness and sensitivity
Rosacea usually starts after the age of 30. It causes persistent redness on the cheeks, nose, forehead and chin, small visible blood vessels, a burning feeling and sometimes small spots. Sun, heat, alcohol, spicy food and temperature changes make it worse. Unlike acne, there are no blackheads.
Treatment
- Acne: creams containing retinoids, benzoyl peroxide or azelaic acid; oral antibiotics for inflammatory flares; hormonal treatment for some women; and oral isotretinoin for moderate or severe acne, with appropriate monitoring.
- Rosacea: specific creams (such as ivermectin, metronidazole or azelaic acid), oral treatment for flares, and vascular laser for redness and visible vessels.
Scars can be prevented
Treating acne early is the best way to avoid scarring. If scars are already present, CO2 laser can improve them considerably.
Care at home
Gentle cleansing twice a day, a non-comedogenic moisturiser, daily sunscreen, and avoid picking or squeezing spots.
If acne or rosacea is affecting your skin or your confidence, book an appointment: there is an effective treatment for every case.
This article is for general information and does not replace a medical consultation.
