The exact cause is not fully understood, and most cases involve more than one factor. Genetics, harsh skincare products, spicy foods, alcohol, hot beverages, sun exposure, stress, long-term use of topical steroids on the face, an increase in Demodex mites, and changes in the skin microbiome can all contribute.

Can rosacea be cured?

Rosacea is a chronic condition, which means it is not curable. With the right plan, however, symptoms can be well managed. Treatment typically combines gentle skincare, prescription topicals or oral medications, lifestyle adjustments, and laser therapy when appropriate.

Is rosacea the same as acne?

No. Rosacea and acne can look similar, especially the papulopustular subtype of rosacea, which causes red bumps and pus-filled lesions. They are different conditions, however, and respond to different treatments. A dermatologist can confirm which one you have.

What triggers should I try to avoid?

Common rosacea triggers include spicy foods, alcohol, hot drinks, sun exposure, heat, stress, and harsh skincare. Long-term use of topical steroids on the face can also make rosacea worse. Triggers vary by person, so part of treatment is identifying your own.

When should I see a dermatologist for rosacea?

Consider seeing a dermatologist if you notice persistent facial redness, visible blood vessels, frequent flushing, bumps that look like acne, or eye irritation along with skin symptoms. Early treatment can help prevent symptoms from worsening over time.

Comprehensive Rosacea Treatment in Encinitas, CA

End the redness and regain your confidence. Dr. Sheila Krishna offers gentle, effective rosacea treatments that calm inflammation and reduce flare-ups. Get personalized care that brings lasting relief.

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Understanding Rosacea

What Is Rosacea?

Rosacea is a chronic skin condition that mainly affects the face, causing redness, visible blood vessels, and sometimes small bumps or pus-filled lesions. It can also bring sensitive skin, flushing, and discomfort. Rosacea is common and very treatable.

Erythematotelangiectatic

Persistent redness across the central face with visible blood vessels and a tendency to flush or blush easily. No bumps or pustules.

Papulopustular

Persistent redness with small red bumps and pus-filled lesions. Often mistaken for acne, but treated differently.

Phymatous

Less common. Causes thickening and irregular texture of the skin, often on the nose, sometimes called rhinophyma.

Ocular

Affects the eyes. Can cause redness, dryness, itching, burning, and in some cases vision changes. May occur alongside skin symptoms.

Personalized Care

How Dr. Krishna Approaches Rosacea

Treatment starts with identifying your subtype and triggers, then matching gentle, evidence-based therapies to your skin.

01

Identify the Subtype

Rosacea has several forms and they can overlap. Dr. Krishna pinpoints which type you have so treatment matches the right pattern.

02

Map Your Triggers

Skincare, diet, stress, sun, and heat can all flare rosacea. Together you review what's setting yours off.

03

Build a Personalized Plan

Dr. Krishna combines medical, skincare, and laser options to fit your subtype, sensitivity, and goals.

Treatment Options May Include:

Gentle Skincare & Sun Protection Fragrance-free cleansers, moisturizers, and daily mineral sunscreen to support a calmer skin barrier.
Trigger & Lifestyle Support Identifying personal triggers (heat, alcohol, spicy food, stress) and lifestyle adjustments that help reduce flares.
Topical & Oral Medications Prescription topicals including ivermectin, plus oral antibiotics when inflammation is more pronounced.
Laser Therapy Intense pulsed light (IPL) or vascular laser for visible blood vessels and persistent facial redness.

I have rosacea and it had not felt like it was under control in years. I was referred to Dr. Krishna and was able to get in right away. Everyone in her office made me feel welcome.

Shawnee A., patient review

Your Questions, Answered

Frequently Asked Questions About Rosacea

What causes rosacea?

The exact cause is not fully understood, and most cases involve more than one factor. Genetics, harsh skincare products, spicy foods, alcohol, hot beverages, sun exposure, stress, long-term use of topical steroids on the face, an increase in Demodex mites, and changes in the skin microbiome can all contribute.
Can rosacea be cured?

Rosacea is a chronic condition, which means it is not curable. With the right plan, however, symptoms can be well managed. Treatment typically combines gentle skincare, prescription topicals or oral medications, lifestyle adjustments, and laser therapy when appropriate.
Is rosacea the same as acne?

No. Rosacea and acne can look similar, especially the papulopustular subtype of rosacea, which causes red bumps and pus-filled lesions. They are different conditions, however, and respond to different treatments. A dermatologist can confirm which one you have.
What triggers should I try to avoid?

Common rosacea triggers include spicy foods, alcohol, hot drinks, sun exposure, heat, stress, and harsh skincare. Long-term use of topical steroids on the face can also make rosacea worse. Triggers vary by person, so part of treatment is identifying your own.
When should I see a dermatologist for rosacea?

Consider seeing a dermatologist if you notice persistent facial redness, visible blood vessels, frequent flushing, bumps that look like acne, or eye irritation along with skin symptoms. Early treatment can help prevent symptoms from worsening over time.