How can I tell rosacea from acne?

Rosacea can cause flushing and heat, persistent redness, acne-like bumps and pustules, and fine visible blood vessels on the cheeks or nose. But it usually does not show blackheads and whiteheads the way acne does. Telling them apart matters because some acne treatments and frequent exfoliation can make rosacea-prone skin more sensitive, and the two conditions can occur in the same person.

Key numbers

  • Blackheads and whiteheads — Points toward acne
  • Central redness and visible vessels — Points toward rosacea
  • Can be affected — The eyes

Signs of rosacea

  • Episodes of flushing and heat in the face.
  • Persistent redness that does not fade easily.
  • Bumps and pustules that look like acne but do not work in quite the same way.
  • Fine visible blood vessels on the cheeks or nose.

Why does telling them apart matter?

Frequent exfoliation, rubbing, fragrance and switching between many active ingredients can increase rosacea redness. Red skin is not skin that needs stronger exfoliation; it often needs less irritation. Treating visible vessels is also different from treating inflamed bumps.

Key takeaways

  • Blackheads and whiteheads point toward acne; central redness and vessels point toward rosacea.
  • Both can occur together, and the diagnosis decides the right treatment for each sign.
  • A gentle routine and sunscreen are the foundation in rosacea.

Rosacea: Redness, Bumps, Visible Vessels and Treatment

Medical references