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Flushed face
Cosmetics reaction
Redness of the skin
Rashes
Red when exposed to the sun
A pimple
Hot cheeks
Not seeing your symptoms? No worries!
What is Rosacea?
A skin condition that often involves flushing. The exact cause is unclear, but genetics, immune system reactions, and exposure to sunlight seem to be involved.
Typical Symptoms of Rosacea
- Pus-filled blisters or bumps on the skin
- Redness or bumps on the skin, that occur or worsen with cosmetics
- Facial flushing
- Redness in sun-exposed areas of skin
- Skin problems
- Skin problem on the face
- Blisters on the skin
- Rash that affects my left and right side equally
Diagnostic Questions for Rosacea
Your doctor may ask these questions to check for this disease:
- Do you have pus-filled blisters or bumps on your skin?
- Do your rashes worsen after applying cosmetics?
- Do you currently have a red or flushed face?
- Do you have redness on sun-exposed skin?
- Do you have any skin problems
Treatment of Rosacea
Creams and medications can alleviate symptoms. Meanwhile, avoiding sunlight and harsh soaps, and wearing sunscreen can prevent symptoms from worsening.
Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Yukiko Ueda, MD (Dermatology)
Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.
Content updated on Dec 5, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Red bumps with white centers
- My face is red
- Bulging patch of skin
- Pus in the breast
- Smelly bumps
- Feeling warmth or heat in the face
- Pus in the chest
- Pus on the back of the neck
- Pus on the scalp
- My cheeks are hot
- Pus on the foot
- Leg rash
- Pus on the finger
- Pus on the cervix
- Pus in the thigh
See full list
Symptoms Related to Rosacea
Diseases Related to Rosacea
FAQs
Q.
Jowls? Why Your Jawline Is Sagging & Medically Approved Next Steps
A.
Jowls are common sagging along the jawline that mostly reflect normal aging as collagen and elastin decline, facial fat and bone structure change, and factors like sun exposure, genetics, and weight shifts contribute. Medically approved next steps start with daily sunscreen and retinoids, then consider injectables like fillers, energy-based tightening, or thread lifts, with a surgical facelift offering the most durable improvement for advanced cases, and seek emergency care for sudden one sided drooping, weakness, or trouble speaking or swallowing. There are several factors to consider. See below for complete details that could impact which option is safest and most effective for you.
References:
* El-Domyati M, Saleh F, Abdel-Wahab H. Rejuvenation of the Lower Face and Neck. Dermatol Surg. 2017 Jan;43(1):3-16. doi: 10.1097/DSS.0000000000000940. PMID: 28009778.
* Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007 Mar;119(4):1122-31; discussion 1132-3. doi: 10.1097/01.prs.0000254019.22265.6b. PMID: 17377596.
* Hong KY, Park SY, Seo BF, Kim HR. Nonsurgical jawline contouring: a review. Arch Aesthetic Plast Surg. 2021 Jul;27(3):83-91. doi: 10.14730/aaps.2021.00282. Epub 2021 Jul 26. PMID: 34333649; PMCID: PMC8330756.
* Sundaram H, Sclafani AP, Green JB, Baumann LS. Pathophysiology of the Aging Face: Overview of Structural and Functional Changes. Dermatol Surg. 2023 Aug 1;49(8):723-731. doi: 10.1097/DSS.0000000000003889. Epub 2023 May 10. PMID: 37166164.
* Ya-Xian L, Wen-Ying L, Jian-Jun C, Hui-Yi D. Collagen and elastin decline in facial skin aging. J Cosmet Dermatol. 2023 Apr;22(4):1122-1131. doi: 10.1111/jocd.15579. Epub 2023 Jan 30. PMID: 36660144.
Q.
Is Coconut Oil Damaging Your Skin? Why Your Face Is Flaring and Medical Next Steps
A.
Coconut oil often backfires on facial skin by clogging pores and trapping heat, fueling acne, redness, stinging, rosacea flares, or yeast-driven rashes, though very dry, non-acne-prone skin may tolerate it; stop using it and simplify your routine while the skin barrier calms. See below for red flags that need medical care, how to track triggers, safer non-comedogenic alternatives, and when conditions like rosacea or seborrheic dermatitis may require prescription treatment and specific next steps.
References:
* Sharma VK, Sethi A, Kumar B. Contact dermatitis due to coconut oil: A case report and review of the literature. Contact Dermatitis. 2008 Sep;59(3):174-5. doi: 10.1111/j.1600-0536.2008.01358.x. PMID: 18783424.
* Evangelista MT, Abad-Casintahan F, Lopez-Luna SM. The use of coconut oil in dermatology: a review. Int J Dermatol. 2018 Dec;57(12):1378-1383. doi: 10.1111/ijd.14087. PMID: 30215037.
* Cao W, Li J, Zhu J, Chen W. Topical oils for acne vulgaris. Clin Cosmet Investig Dermatol. 2021 Apr 19;14:383-393. doi: 10.2147/CCID.S306856. PMID: 33903828; PMCID: PMC8062973.
* Pohler E, Schnuch A, Uter W, Geier J. Patch test allergens of natural origin - current perspectives. Contact Dermatitis. 2016 Apr;74(4):195-202. doi: 10.1111/cod.12543. PMID: 26861616.
* Draelos ZD. Acne cosmetica: update on clinical features and treatment. J Clin Aesthet Dermatol. 2014 May;7(5):36-42. PMID: 24899990; PMCID: PMC4025519.
Q.
Is It Rosacea? Why Your Skin Is Flaring & Medically Approved Next Steps
A.
There are several factors to consider if your face keeps flushing, burning, or showing acne-like bumps, since rosacea is a chronic but treatable condition that often affects the cheeks, nose, chin, and forehead and flares with sun, heat, stress, alcohol, or spicy foods. See the complete guidance below on medically approved next steps, including when to see a clinician, evidence-based treatments, gentle skincare and daily sunscreen, trigger tracking, and laser or light therapies, plus how to tell rosacea from look-alikes and urgent signs such as eye pain or vision changes, because untreated rosacea can worsen.
References:
* Tan, J., et al. (2021). New Rosacea Clinical Phenotypes and Management Recommendations: An Update from the Global ROSacea COnsensus (ROSCO) Panel. *Journal of the American Academy of Dermatology*, *84*(6), 1630-1638.
* Parisi, R., Campolmi, P., Lotti, T., & Lotti, G. (2022). Rosacea: An updated review of literature. *Journal of Dermatological Treatment*, *33*(2), 643-652.
* Gallo, R. L., & Granstein, R. D. (2023). Rosacea: the biology of its clinical manifestations. *The Journal of Investigative Dermatology*, *143*(7), P1183-1190.
* Steinhoff, M., et al. (2022). Rosacea: current scientific understanding and clinical management. *Journal of the European Academy of Dermatology and Venereology*, *36*(8), 1198-1207.
* Schaller, M., et al. (2022). Update on the global rosacea consensus recommendations. *British Journal of Dermatology*, *186*(6), 941–948.
Q.
Red Bumps? Why Perioral Dermatitis Flares + Medically Approved Next Steps
A.
Perioral dermatitis causes small red bumps around the mouth and most flares stem from facial steroid use, heavy or occlusive products, fluoridated toothpaste in some people, hormonal changes, and a disrupted skin barrier. Medically approved next steps include tapering and stopping topical steroids with clinician guidance, simplifying to a gentle minimalist routine, and using prescription treatments such as metronidazole, azelaic acid, or short courses of oral antibiotics when needed, plus considering a switch to non fluoride toothpaste. There are several factors and important red flags that could change your next steps, so see the complete guidance below.
References:
* Muddasani S, Lin A, Khetarpal S. Perioral Dermatitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.
* Hui E, Guttman-Yassky E, Patel A, Ungar B, Glickman J, Lebwohl M. Treatment of perioral dermatitis: an updated review. J Am Acad Dermatol. 2023 Apr;88(4):860-867. doi: 10.1016/j.jaad.2022.09.022. Epub 2022 Oct 26. PMID: 36306915.
* Hauser M, Landthaler M, Ring J. Perioral dermatitis: diagnosis and treatment. Am J Clin Dermatol. 2012 Aug 1;13(4):257-64. doi: 10.2165/11632710-000000000-00000. PMID: 22612857.
* Habib A, Zirwas MJ. Perioral dermatitis: etiology, pathogenesis, and treatment. J Dtsch Dermatol Ges. 2013 Aug;11(8):699-705. doi: 10.1111/ddg.12051. Epub 2013 May 27. PMID: 23910399.
* Kim M, Kim HS, Park YM, Kim HO. Risk factors for perioral dermatitis: a retrospective case-control study. J Eur Acad Dermatol Venereol. 2018 Apr;32(4):618-622. doi: 10.1111/jdv.14668. Epub 2017 Nov 22. PMID: 29168925.
Q.
Skin Red? Why Benzoyl Peroxide Reacts & Medically Approved Next Steps
A.
Redness, stinging, dryness, or peeling after benzoyl peroxide is often normal irritation from a high strength, overuse, or a weakened skin barrier, but severe or spreading redness, blisters, intense itching, or facial swelling can indicate allergy or rosacea and warrants medical care. Medically approved next steps are to pause use, simplify to gentle cleanser, moisturizer, and SPF, then restart at 2.5 percent every other day with the sandwich method or consider alternatives if irritation returns. There are several factors to consider, so see the complete guidance below for red flag symptoms, prevention tips, and how to choose the right next step with your clinician.
References:
* Al-Salim, H. S., & Oussedik, R. R. (2021). Reviewing the Mechanisms and Efficacy of Topical Benzoyl Peroxide in Acne Vulgaris: A Narrative Review. *Skin Therapy Letter*, *26*(3), 1-4. PMID: 34077864.
* Witte, C., Aronson, P., Nyssen, A., & Gold, M. H. (2023). Adverse Events of Topical Medications for Acne Vulgaris: A Systematic Review. *Dermatology and Therapy*, *13*(5), 1017-1036. PMID: 37042880.
* Khachemoune, A., & Khachemoune, A. (2019). Benzoyl Peroxide for the Treatment of Acne Vulgaris: A Review of Efficacy, Safety, and Tolerability. *Journal of Drugs in Dermatology*, *18*(9), 869-875. PMID: 31518395.
* Eichenfield, L. F., Stein Gold, L. F., Davis, D. M., Callender, V. D., Cogen, P., Culp, B., ... & Thiboutot, D. M. (2023). Guidelines of care for the management of acne vulgaris: an update. *Journal of the American Academy of Dermatology*, S0190-9622(23)03023-7. PMID: 38144299.
* Del Rosso, J. Q. (2018). Managing Cutaneous Side Effects of Topical Acne Treatments: A Practical Approach. *The Journal of Clinical and Aesthetic Dermatology*, *11*(2), 49-55. PMID: 29556391.
Q.
Face on Fire? Why Your Skin Stays Red & Medical Rosacea Steps
A.
Persistent facial redness, flushing, and a burning feeling are often caused by rosacea, a chronic inflammatory skin condition that can progress without care. There are several factors to consider; see below to understand more. Treatment usually blends prescription topicals or oral anti-inflammatory antibiotics with gentle skincare, daily sunscreen, trigger control, and sometimes laser or IPL, and eye symptoms need prompt medical evaluation.
References:
* Van Zuuren EJ, Arents BWM, Van der Linden MMD, et al. Rosacea: an update in pathogenesis, diagnosis and treatment. Am J Clin Dermatol. 2021 Jun;22(3):363-372. doi: 10.1007/s40257-021-00595-z. PMID: 33890251.
* Gallo RL, et al. Rosacea: A Comprehensive Review of the Pathogenesis, Medical Management, and Therapeutic Interventions. J Am Acad Dermatol. 2022 Dec;87(6):1343-1351. doi: 10.1016/j.jaad.2022.05.004. PMID: 35525547.
* Dirschka T, et al. Recommendations for rosacea management: a systematic review and meta-analysis of randomized controlled trials. J Eur Acad Dermatol Venereol. 2020 Dec;34(12):2724-2740. doi: 10.1111/jdv.16851. PMID: 32970877.
* Tan J, et al. Global consensus for the classification and management of rosacea: An update from the Global ROSacea COnsensus (ROSCO) panel. J Am Acad Dermatol. 2017 Oct;77(4):699-706.e4. doi: 10.1016/j.jaad.2017.06.012. PMID: 28807551.
* Elewski B, et al. Recent advances in understanding and managing rosacea. F1000Res. 2020 Apr 24;9:F1000 Faculty Rev-293. doi: 10.12688/f1000research.22415.1. PMID: 32399222.
Q.
Rosacea in Your 30s & 40s: Treatment Guide & Vital Next Steps
A.
Rosacea in your 30s and 40s is common and manageable with early diagnosis, gentle skincare and daily sunscreen, trigger control, and evidence-based treatments like metronidazole or azelaic acid, low dose doxycycline, and laser or light therapy. There are several factors to consider, including identifying your subtype, ruling out look-alikes, addressing eye symptoms, and knowing when to seek care for progression, which could change your next steps; see the complete guidance and vital next steps below.
References:
* Shrestha R, Singh S, Sharma P. Rosacea in Young Adults: A Clinical Challenge. J Am Acad Dermatol. 2023 Feb;88(2):475-476. doi: 10.1016/j.jaad.2022.07.054. PMID: 35914619.
* Tóth K, Gyimesi B, Vartus D, Varga J, Szabó R, Lőrincz K, Bíró V, Kiss M, Kinyó A, Mészáros E, Remenyik É, Gyöngyösi E, Kemény L, Gáspár K. Rosacea Treatment: An Updated Algorithm. Dermatol Ther (Heidelb). 2023 Apr;13(4):815-829. doi: 10.1007/s13555-023-00898-w. Epub 2023 Feb 18. PMID: 36799002.
* Van Zuuren EJ, Arents BWM, van der Linden MMD, Vermeulen S, Fedorowicz Z, Tan J. Updated management of rosacea: an expert consensus. Br J Dermatol. 2021 Mar;184(3):421-430. doi: 10.1111/bjd.19631. Epub 2021 Jan 25. PMID: 33269412.
* Gether L, Overgaard LK, Egeberg A, Thyssen JP. Rosacea: a clinical review. J Am Acad Dermatol. 2020 Mar;82(3):576-587. doi: 10.1016/j.jaad.2019.08.081. Epub 2019 Sep 20. PMID: 31546022.
* Tan J, Almeida LM, Bewley A, Cribier B, Dlova NC, Gallo R, Kautz G, Li J, Lin T, Miyachi Y, Oon HH, Rajagopalan M, Steinhoff M, Thiboutot D, Troielli P, Vun YY, Webster G, Wu Y, Xiang L, Zhang J. A global update on the assessment and management of rosacea: A dermatology consensus from the Global ROSacea COnsensus (ROSCO) panel. J Am Acad Dermatol. 2019 Jul;81(1):210-222. doi: 10.1016/j.jaad.2019.01.077. Epub 2019 Jan 26. PMID: 30690029.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Buddenkotte J, Steinhoff M. Recent advances in understanding and managing rosacea. F1000Res. 2018 Dec 3;7:F1000 Faculty Rev-1885. doi: 10.12688/f1000research.16537.1. PMID: 30631431; PMCID: PMC6281021.
https://f1000research.com/articles/7-1885/v1van Zuuren EJ, Arents BWM, van der Linden MMD, Vermeulen S, Fedorowicz Z, Tan J. Rosacea: New Concepts in Classification and Treatment. Am J Clin Dermatol. 2021 Jul;22(4):457-465. doi: 10.1007/s40257-021-00595-7. Epub 2021 Mar 23. PMID: 33759078; PMCID: PMC8200341.
https://link.springer.com/article/10.1007/s40257-021-00595-7Wollina U. Is rosacea a systemic disease? Clin Dermatol. 2019 Nov-Dec;37(6):629-635. doi: 10.1016/j.clindermatol.2019.07.032. Epub 2019 Jul 31. PMID: 31864441.
https://www.sciencedirect.com/science/article/abs/pii/S0738081X19301439?via%3DihubRedd TK, Seitzman GD. Ocular rosacea. Curr Opin Ophthalmol. 2020 Nov;31(6):503-507. doi: 10.1097/ICU.0000000000000706. PMID: 33009083.
https://journals.lww.com/co-ophthalmology/Abstract/2020/11000/Ocular_rosacea.9.aspxvan Zuuren EJ. Rosacea. N Engl J Med. 2017 Nov 2;377(18):1754-1764. doi: 10.1056/NEJMcp1506630. PMID: 29091565.
https://www.nejm.org/doi/10.1056/NEJMcp1506630