Rosacea is a common condition characterized by flushing and redness in the central face.

  • As rosacea progresses, other symptoms may develop such as permanent redness, red bumps (some with pus), red gritty eyes, burning and stinging, small blood vessels visible near the surface of the skin and, in some men, a bulbous nose.
  • Rosacea affects both men and women and occurs in all races, but most often in lighter-skinned individuals.
  • Triggers that cause episodes of flushing and blushing play a part in the development of rosacea such as exposure to temperature extremes, strenuous exercise, heat from sunlight, severe sunburn, stress, cold wind, moving to a warm or hot environment from a cold one.
  • There are also some foods and drinks that can trigger flushing, these include alcohol, foods high in histamine and spicy food.

There are four identified rosacea subtypes: erythematotelangiectatic, papulopustular, phymatous and ocular rosaceas. An individual may have an overlap of multiple subtypes.

  • Erythematotelangiectatic rosacea is characterized by permanent redness with a tendency to flush and blush easily, small blood vessels visible near the surface of the skin, and burning or itching sensations including sensitivity to many topical products.
  • Papulopustular rosacea is characterized by permanent redness with red bumps and pustules, all lesions that are easily confused with acne.
  • Phymatous rosacea is usually characterized by sebaceous gland enlargement on the nose.
  • Ocular rosacea is characterized by red, dry and irritated eyes and eyelids, as well as foreign body sensations, itching and burning of the eyes.

To Make An Appointment Call (425) 672-1333

Rosacea Puget Sound Dermatology
Rosacea Puget Sound Dermatology

Treatment For Rosacea

The treatment of rosacea is varied and depends upon the specific symptoms of each individual.  Treatment  options include topical antibiotics and topical anti-inflammatory medications, oral antibiotics, isotretinoin.

Excel V Laser treatment for the redness associated with rosacea is popular in our office

For more information visit the National Rosacea Society website at

Meet Our Providers

Our providers continue to maintain the highest levels of accreditation and progressive ongoing education to learn and understand the latest developments in medical dermatology. Each provider's education and bio can be viewed below.


Melanie Kuechle, MD

Dr. Kuechle is a native of Texas and a graduate of Baylor University College of Medicine. She completed her dermatology residency at...


Dr. Jill McKenzie

Dr. Jill McKenzie graduated from Washington State University with her Bachelor of Science degree, Magnum Cum Laude.  She attended the University of...


Ame Phitwong

Ame is a board certified Adult-Gerontology Primary Care Nurse Practitioner who has worked entirely...


Dr. Craig Birkby

Dr. Craig Birkby has been a leader in the treatment of skin cancer in the Seattle area for over 20 years. He attended medical school at...