Rosacea Subtype 1 (Facial Redness)
There are four subtypes of rosacea. Rosacea patients may have more than one subtype at the same time.
The subtypes can progress from mild to severe, which makes it important to treat rosacea early in its course.
Image courtesy of the National Rosacea Society.
What is rosacea subtype 1?
Facial redness and flushing are the primary symptoms of rosacea subtype 1. It is sometimes referred to as erythematotelangiectatic rosacea.
- Flushing and persistent redness of the central face (may resemble a sunburn or blush)
- Small visible blood vessels on the surface of the skin. (telangiectasias)
- Swelling of the central face
- Burning and stinging
- Roughness or scaling
Treatment of Rosacea Subtype 1
Rosacea treatment options for this early stage of rosacea include:
- Topical medications. In some cases the redness can be effectively treated with a medication applied to the skin that reduces inflammation, such as azelaic acid (Azelex®, Finacea®), and metronidazole (MetroGel®). It can take a few months to see noticeable improvement from the use of a topical medication so it is important to be patient and take the medication each day as prescribed. Long-term use of a topical medication may be recommended to provide long-term control.
- Oral antibiotics, including doxycycline and minocyline.
- Electrocautery. Visible blood vessels (telangiectasias) can be destroyed with by treating the affected skin with a small electric current applied to anesthetized skin. Multiple treatments with electrocautery may be required and redness or swelling may result for 1-2 days.
- Laser and Light Treatments. A variety of laser and light treatments, including Intense Pulsed Light (IPL) may be recommend to treat the redness, flushing and visible blood vessels of rosacea subtype 1. Most people require 4 to 8 treatment sessions per year for a few years to significantly reduce redness and flushing. At least 2 treatments are needed to diminish visible blood vessels. Once the desired results are seen, patients may not need treatment again for several years, though results vary from person to person.
- Other medications. Your physician may prescribe other rosacea treatments to help minimize the redness and flushing.
Management of Rosacea Subtype 1 (Facial Redness and Flushing)
A variety of rosacea triggers can lead to a worsening of rosacea symptoms.. Some common rosacea triggers include sun exposure, spicy foods, hot baths and emotional stress. A rosacea diary can be very useful for tracking rosacea symptoms over time and identifying possible triggers, so that they can be avoided.
Work with your doctor to establish a skin care regimen that includes the daily use of sunscreens, gentle cleansing, and the use of skin care products that don't burn or sting. The appearance of flushing, redness and visible blood vessels may also be concealed with cosmetics, and facial discomfort may benefit from appropriate skin care.
© 2010 Vivacare. Last updated March 3, 2011.
Treatment images courtesy of Gerald Goldberg, M.D.
All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. You may not, except with our express written permission, distribute, reproduce, or commercially exploit the content.
This information is for general educational uses only. It may not apply to you and your personal medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional.
Communicate promptly with your physician or other health care professional with any health-related questions or concerns.
Be sure to follow specific instructions given to you by your physician or health care professional.
From Your Doctor service powered by Vivacare.
- Disease Types
- Treatment Summary