What Is Rosacea? – Subtypes, Symptoms, and Common Triggers

Rosacea is a chronic inflammatory skin condition that affects over 16 million people in the U.S. alone. It primarily impacts the central face—including the cheeks, nose, chin, and forehead—and is often mistaken for acne or sensitive skin. At BayWay Dermatology in Brooklyn, we frequently see patients struggling with facial redness, irritation, and flare-ups they didn’t realize were signs of rosacea.

🔍 Subtypes of Rosacea

Rosacea is not a one-size-fits-all condition. It has four recognized subtypes:

1. Erythematotelangiectatic Rosacea (ETR)

   • Persistent facial redness

   • Flushing and visible blood vessels (telangiectasia)

   • Sensitive, dry, or stinging skin

2. Papulopustular Rosacea

   • Red bumps (papules) and whitehead-like pustules

   • Often confused with adult acne

   • Common in middle-aged women

3. Phymatous Rosacea

   • Thickened, bumpy skin texture

   • Most often affects the nose (rhinophyma)

   • More common in men

4. Ocular Rosacea

   • Dry, irritated, red eyes

   • Swollen eyelids and light sensitivity

   • Can precede or follow facial symptoms

⚠️ Common Rosacea Symptoms

• Persistent facial redness or blotchiness

• Visible blood vessels

• Facial burning, stinging, or itching

• Acne-like breakouts

• Swelling, especially around the eyes or nose

• Skin thickening in later stages

These symptoms can come and go—or flare up in response to certain external or internal triggers.