How is acne rosacea differentiated from acne if both cause my cheeks to be red with small bumps? (photo)

Doctor's Answers 1

Thanks for the question.

Both acnevulgaris and acne rosacea can present with pimple like bumps on the face.

Acne rosacea often occus in the middle age adults. There is often associated symptoms of facial redness and flushing. This is often aggravated by sun exposure and with alcohol intake. Fine blood vessels called telangiectasia can be seen more prominently on the face.

Acne vulgaris is the common acne that occurs in adolescents. It tends to occur in teenage years although it can also persist in some people into adulthood. It is also common to get comedones (black and white heads) associated with it.

If in doubt, you can see your doctor or dermatologist for a proper assessment to confirm the diagnosis and for treatment.

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Thanks for the very helpful picture. Your condition is typical of moderate to severe acne, due to the presence of active pimples, acne scars and comedones (or blackheads). The dark coloured, bigger lumps that you described is an infected cyst – the reason why it’s tender, swollen and dark coloured, is because your body mounts an inflammatory response to the clogged pores and trapped bacteria; similar to how your other pimples are formed.

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Nothing in life is permanent. It is true! except scars. So you are right, its important that we try to minimise the outbreaks when possible. If you are a male patient, I would opt to do Accutane and then tail down the dose and keep on a very low maintenance dose (which virtually eliminates side effects) and yet keeps the oiliness and pimples at bay. Topical products actually play a huge role in skin care. I have seen so many patients who come completely clueless, and using the most oily Korean moisturisers for their already oily skin--- because Korean stars are using it.

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