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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!
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.
Your doctor may ask these questions to check for this disease:
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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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/10.1101/2024.08.29.24312810v1Buddenkotte 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