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There are 4 types of Rosacea which are all described below:

Type 1 - Flushing

This is the most common type and it may be spontaneous or can be caused by a trigger factor. The most common trigger is sun exposure, however trigger factors are very individual.

Type 2 - Papulopustular

Can occur following a period of flushing or develop at the same time. The spots look like acne, but there are no comedomes and spots may be follicular or interfollicular.

Type 3 - Phytomatous

Increased blood flow through the skin lead to hypertrophic growth of sebaceous glands and fibrous tissue leading to lumpy swelling of the skin. Often affects the nose, but can be cheeks, chin and forehead.

Type 4 - Ocular

Can affect even very mild rosacea and affect up to 50% of sufferers. Initially the eyes become gritty and dry, followed by chemosis and red eyes. In severe cases this may lead to keratitis and is a recognised cause of blindness.

Which Treatment is Right for Me?

The most important part of treatment is recognising which type of rosacea you have. There are different treatments for each type. It is really important to get a diagnosis first as treatments for type 1 will have no effect on type 2.

Following your consultation and diagnosis of type, you will be able to follow a treatment pathway that is based on the Acne & Rosacea Association guidelines and good clinical data. Therefore a consultation to diagnose before prescribing treatment is essential.

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