There are four subtypes of rosacea, which include erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea, and ocular …show more content…
Often times, it occurs before or at the same time as the bumps of subtype 2. Blood vessels may be visible and the skin may be sensitive. Subtype 1 can be difficult to treat with medical therapy. Most physicians prescribe aspirin, antihistamines, or other similar agents to help reduce the flushing. Subtype 2, papulopustular rosacea, is characterized by redness paired with bumps and pimples. In mild to moderate cases of subtype 2 rosacea, most doctors prescribe oral and topical therapy to bring the condition under control immediately. Once it is under control, long-term use of topical therapy alone is prescribed to maintain remission. Subtype 3, phymatous rosacea, often involves excess tissue on or around the nose. Enlargement of the nose is also known as rhinophyma and is the most common form of phymatous rosacea. During its early stage, topical therapy and oral antibiotics may be appropriate. Oral isotretinoin, used in severe acne cases, has been proved to decrease nasal volume. More severe rhinophyma, where there are bumps and pimples as well as excess tissue, may require surgical therapy. Surgical therapy options may include lasers, electrosurgery, a heated scalpel, cryosurgery,