3 Stages of Rosacea


Rosacea is a chronic skin disease that affects over 16 million people in the United States. Rosacea can cause the appearance of your skin to change. This is usually redness on the face and small, red, pus-filled pustules.

The symptoms can be broken down into four stages. Each stage being more severe than the initial stage.

Stage 1: The first stage of rosacea is characterized by flushing and transient erythema (TEWL). TEWL is a fancy word for when your skin becomes red. This happens due to sun exposure, emotional stress, hot drinks and food, wind, extreme weather conditions and exercise. Stage one rosacea can also include telangiectasias (broken capillaries) that appear as tiny spider veins on your cheeks and nose.

Stage 2: The second stage of rosacea also includes permanent erythema (PEWL) along with papules and pustules. PEWL in this case refers to persistent redness which does not go away after you stop being exposed to something that triggered it earlier like in stage one. Papules are small pink bumps on your face that are filled with pus and pustules are larger bumps that are filled with

Rosacea is a chronic, inflammatory skin condition that most often affects the face. Rosacea worsens with time if left untreated. It is often mistaken for acne, eczema, or a skin allergy.**

There are four subtypes of rosacea: Erythematotelangiectatic, Papulopustular, Phymatous and Ocular. The first three can occur together and have similar symptoms, whereas ocular rosacea typically occurs on it’s own.**

Rosacea can affect anyone but it most commonly begins after age 30 and approximately 14 million Americans are believed to be affected by the disease. While there is no cure for rosacea, medical treatment can control the signs and symptoms.**

The 3 Stages of Rosacea**

Stage 1: Erythematotelangiectatic Rosacea**

Erythematotelangiectatic rosacea (ETR) is characterized by redness on the cheeks, nose, chin or forehead; small visible blood vessels on the face; and burning or soreness of the face.*

If you only experience this stage of rosacea you may not need treatment but if your symptoms are bothersome there are several options available

When you first hear the word rosacea it immediately makes you think of a bright red face and inflamed skin. While this is the main characteristic of rosacea, there are other symptoms to be aware of when identifying this skin disorder.

Rosacea occurs in three stages, each stage progressing into the next if not treated correctly. It starts with persistent redness in the center of your face and can eventually progress to thickened skin, acne-like breakouts, and eye irritation. While there is no cure for rosacea, having a better understanding of these stages may help prevent more severe symptoms from developing.

Rosacea is a common skin condition that affects millions of people in the United States. It’s characterized by redness and frequently pimples. Rosacea affects adults and typically begins any time after age 30.

There are four subtypes of rosacea: erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea, and ocular rosacea.

Erythematotelangiectatic Rosacea: This subtype includes redness, flushing, visible blood vessels, and sometimes dry, irritated or swollen skin.

Papulopustular Rosacea: This subtype includes redness, swelling and acne-like breakouts. It may also produce skin that burns or stings.

Phymatous Rosacea: This subtype includes thickening of the skin and irregular surface nodules. It may also result in enlargement of the nose from excess tissue (rhinophyma).

Ocular Rosacea: This less common subtype involves the eyes. Clogged oil glands may result in styes or other eye irritation.

The 3 stages of rosacea are associated with symptoms of different severity. The first two stages, pre-rosacea and rosacea are associated with mild flushing and redness. The third stage of the disease is characterized by more severe symptoms, such as bumps and pimples on the skin, red and swollen nose, eyes inflammation, etc.

Anyone can develop rosacea, however middle aged women with fair skin are at the highest risk of developing it. In fact, studies have confirmed that people of Celtic origin (Celtic Irish, Scottish) have a higher chance of developing this condition than do people of other ethnicities.

The exact cause of rosacea is still unknown; however, it seems that various factors including family history, sun damage and genetics may play a role in its development.

Stage 1: This stage is considered the most mild, but can still be annoying. Some users may experience flushing or redness on their nose, cheeks, chin and forehead. These symptoms will not persist for long, as they will subside in a matter of minutes.

Stage 2: This stage is when the symptoms from stage 1 become more severe and more persistent. Redness on the nose, cheeks, chin and forehead will last for hours at a time rather than minutes. Small visible blood vessels may become apparent along the cheeks and nose.

Stage 3: During this stage some sufferers will experience thickening of the skin on their nose which gives it a bulbous appearance (rhinophyma). The redness that is experienced during this stage is often intense, with symptoms persisting throughout the day. Bumps and pimples can also occur along with burning or stinging sensations on the face.

Rosacea is a chronic, inflammatory skin condition that most often affects the face. Rosacea worsens with time if left untreated. It is often mistaken for acne, eczema, or a skin allergy. There are four subtypes of rosacea: Erythematotelangiectatic, Papulopustular, Phymatous and Ocular.

Rosacea typically begins any time after age 30 as a redness on the cheeks, nose, chin or forehead (though less often the latter two). Over time, the redness becomes more intense, taking on a ruddy appearance. Small dilated blood vessels may appear and be visible on the surface of the skin. In some cases, rosacea may also occur on the neck, chest, scalp or ears.

Affected people may also experience burning and stinging sensations; dryness and scaling; itching; and in some advanced stages thickening of the skin. Rosacea has been referred to as “adult acne.” Although rosacea causes some of the same problems as acne vulgaris — blackheads and pimples — they are considered separate conditions.

Treatment varies depending upon which subtype of rosacea you have. The goal of treatment is to reduce inflammation


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