Treatment: Sun protection and sunscreen use are important for all patients with rosacea, especially the erthematotelangiectatic form. The use of topical and oral antibiotics (e.g., topical metronidazole, sulfacetamide, oral tetracyclines) has long been the mainstay of therapy. Topical azelaic acid has also been helpful. Avoidance of triggers is helpful in some individuals. Use of the 585-nm pulsed dye laser has led to excellent results in treating the underlying redness from telangiectatic blood vessels. Isotretinoin has been used in severe cases, including rosacea fulminans. Rhinophyma is typically treated with a surgical approach to debulk the extra tissue and reshape the nose.
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