Acne vs Rosacea: Understanding the Difference

Written by: withJuno Editorial Team, Reviewed by Dr Julian Hong

Many people suffer from skin conditions such as acne or rosacea. Both can cause redness, bumps, and irritation to the face. But it is important to understand that these two common skin conditions are not the same and require different treatment strategies to achieve the best results.

This article will explore the difference between acne and rosacea to help you better identify which condition may be affecting your skin.

Let’s get started.

What is acne?

Acne is an inflammatory skin condition that is characterised by clogged pores, whiteheads and blackheads (comedones), pimples, and in some cases, nodules or cysts. It typically affects the face, neck, chest, back, and other areas prone to excessive oil production. Acne is a common skin disorder that often leads to embarrassment for those affected and can cause psychological distress.

Signs and symptoms of acne

The various signs and symptoms of acne are as follows:

Blackheads and whiteheads:

These are common types of acne that appear as small bumps on the skin. They tend to be caused by clogged pores and can often cause irritation or itchiness.

Cysts/nodules:

These are large deep pimples that are painful to touch and can take up to eight weeks to heal.

Inflammation:

The condition when the skin around an acne lesion becomes swollen and red due to irritation from bacteria, dirt, or sweat.

Causes of acne

The causes of acne are:

  • 1. During puberty, hormone levels fluctuate, which can cause increased oil production in the skin and lead to acne.
  • 2. Prolonged exposure to stress has been linked to an increase in breakouts due to a decrease in healthy habits like eating right, exercising, and sleeping and an increase in cortisol production, which can worsen acne.
  • 3. Certain medications, such as birth control pills and corticosteroids, have been known to cause breakouts due to their effects on hormone balance or increased oil production in the skin.

Acne treatment

1. Topical treatments

2. Oral medications

3. Phototherapy

4. Chemical peels

5. Laser or other energy

What is rosacea?

Rosacea is an inflammatory skin condition that usually affects the face. It typically appears as flushing, redness, and bumps on the cheeks, chin, nose, and forehead. Though it can occur in people of any age, it is most common among women aged 30-50. The cause of rosacea is unknown; however, some factors may contribute to its development. 

These include sun exposure, stress, genetics, and certain medications. Rosacea treatment typically involves a combination of lifestyle changes and medications.

Signs and symptoms of rosacea

The signs and symptoms of rosacea may include:

  • 1. Facial redness, typically across the cheeks and nose. This is caused by increased blood flow near the surface of your skin.
  • 2. Visibly broken blood vessels or telangiectasia. These tiny spider veins appear on your face due to chronic inflammation and dilation of the small facial capillaries.
  • 3. Swollen bumps and red pimples on your face are major signs of acne rosacea. It’s important to note that acne rosacea differs from regular acne – it does not respond to traditional acne treatments such as benzoyl peroxide or salicylic acid.

Causes of rosacea

The rosacea causes are

  • A family history of Rosacea may be more prone to developing it. 
  • Certain foods, such as spicy foods and dairy products, can trigger symptoms of Rosacea in some people.
  • Stress can cause an increase in blood flow to the face, leading to flare-ups of Rosacea symptoms.
  • Some medications, such as topical steroids, are known to cause or worsen the condition of Rosacea.

Rosacea treatment

1. Anti-inflammatory cream

2. Laser therapy

3. Oral medications

4. Topical medications

5. Dietary changes

Difference between acne and rosacea

Acne and rosacea are two skin conditions with many similarities and a few distinct differences. When we look at acne vs rosacea, it is important to note that both conditions can cause redness and inflammation of the skin. Acne is typically characterised by blackheads, whiteheads, pimples, or cysts, which are caused by clogged pores. Persistent flushing, red bumps, and pus-filled spots characterise rosacea, on the other hand.

Acne usually affects teenagers and young people, whereas rosacea tends to affect individuals aged 30 and over. While treatments are available for acne, such as topical creams, oral antibiotics, or retinoid medications, rosacea requires more specific treatment, including topical creams containing antibiotics or anti-inflammatory agents, laser therapy, or light therapy.

It is important to visit a medical professional if you are concerned that you may have either acne or rosacea to receive the correct diagnosis and treatment plan. An accurate diagnosis is essential to treat the condition effectively and minimise flare-ups.

Conclusion

Acne and rosacea are distinct skin conditions with different causes, symptoms, and treatments. While many people confuse the two, it’s important to understand the difference between them to get the most effective treatment for your condition. Both conditions can be managed with proper diagnosis and treatment options, including lifestyle modifications, topical applications, and oral medications if necessary.

FAQs

1. How do I know if it’s rosacea or acne?

Acne rosacea is commonly mistaken for acne, but there are important distinctions. Rosacea typically presents redness on the cheeks, nose, chin, and forehead, accompanied by bumps, pimples, and minor swelling. Blackheads, whiteheads, pus-filled pimples, and cysts usually characterised acne.

2. Can rosacea look like acne?

Yes, rosacea can look like acne. Many people confuse the two conditions due to their similar symptoms. However, some major differences between the two can help make an accurate diagnosis.

3.Can you have rosacea without acne?

Yes, it is possible to have rosacea without acne. Rosacea is a chronic skin condition that causes redness, flushing, and bumps on the face. While acne can also cause these symptoms, it is possible to have rosacea without acne.

4. Can you treat rosacea like acne?

The short answer is no. Rosacea and acne have different causes and treatments. While they might look similar at first glance, there are key differences between the two conditions.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Book a consultation with Ova Singapore’s medical team to learn more about reproductive healthcare treatments here.

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