Despite its potential to develop at any age, survey studies have shown that most people with rosacea are aged 30 and older.

Over the years, the skin may undergo changes, thus redness and skin sensitivity are not considered early signs of rosacea. Dr. Zainab Laftah, a dermatologist at GetHarley, mentioned, "The condition can also be hereditary, often presenting as a familial trait of rosy cheeks, which leads to delayed diagnosis."

Early Signs and Symptoms

According to Dr. Laftah, sensitivity and redness of the skin due to heat and alcohol consumption are initial indicators of rosacea. Patients often report a burning or stinging sensation caused by perfumed products or ingredients that leave the skin dry.

Causes of Rosacea

The exact cause of rosacea remains unknown; however, symptoms can worsen due to sudden changes in light and temperature. "The condition tends to be long-term," said Phil Day, a supervising pharmacist at Pharmacy2U. Known triggers that exacerbate the situation usually relate to lifestyle choices, including alcohol consumption, spicy foods, hot beverages, intense exercise, and stress.

Though the root cause is unidentified, rosacea is considered multifactorial. "A change in the skin's microbiome with an imbalance in immune response leads to increased inflammation and enlarged blood vessels. There's a genetic predisposition and known environmental triggers like sunlight and heat," added Laftah.

Treating Rosacea

Treatment involves avoiding and minimizing known triggers like alcohol and spicy foods. Skin care plays a critical role. "Using gentle cleansers and moisturizers, along with daily sunscreen, is advisable. In cases of significant inflammation, medicinal creams and/or oral medications may be required. Laser treatment can also be utilized for treating enlarged blood vessels," stated Laftah.

"If you believe you might have symptoms of rosacea, it's best to consult your general practitioner or visit a local pharmacist," advised Day.

Triggers

Despite the unknown cause of rosacea, certain factors can worsen symptoms:

- Alcohol.

- Spicy food.

- Hot beverages.

- Sunlight.

- Extreme temperatures.

- Exercise, such as running.

- Stress exposure.

According to Dr. Leah Totton, founder of Dr. Leah Cosmetic Skin Clinics, proper skincare alone can improve facial redness by 20 - 30 percent, depending on the severity of the condition. "For people with rosacea, choosing gentle skincare products is vital," she mentioned, highlighting the importance of paraben-free and fragrance-free cleansers, and moisturizers suitable for sensitive skin to avoid further redness. Sunscreen use is also a crucial step.

Totton further suggested that Vitamin C serum might benefit those with rosacea, depending on their skin type. "Vitamin A (retinol) helps reduce symptoms by strengthening the skin barrier. However, retinoids may irritate the skin, so consulting a doctor before choosing any treatment is recommended."