Sun exposure is a major triggering factor for rosacea, and other than that sudden temperature changes, hot showers, steam, and sauna can be held responsible for aggravating melasma. Dietary items such as alcohol especially red wine, caffeine, hot and spicy food and hot beverages such as tea and coffee are also can trigger this problem. Sometimes. Menopause, emotional stress and premenstrual hormonal fluctuations too can aggravate Rosacea.
As Rosacea is a chronic condition with phases of clearance and flare-ups, so, understanding the triggers and avoiding them meticulously will go a long way to prevent flare-ups. Once the patient has achieved control over rosacea, one must understand that the skin continues to be prone to irritation and therefore patients have to avoid using beauty products and should continue to use their sunscreens and moisturizers regularly. A diary must be maintained to keep a record of when the flare-ups happen.
The skin bumps or pimples may get better quickly, but redness and flushing take longer to improve. Once a patient has achieved control over Rosacea then a dermatologist may consider light treatments such as IPL to reduce the redness and improve the texture of the skin. If the patient has developed a swollen, thickened and bumpy nose (termed as Rhinophyma) Ablative Radiofrequency or Surgical removal can be considered.