Treating Papulopustular Rosacea and Facial Redness in a 33-Year-Old Female
Village Dermatology | Katy & Houston, Texas
Overview
A 33-year-old female presented to Village Dermatology as a new patient with a persistent facial rash characterized by flushing, redness, and acne-like bumps involving both cheeks. Symptoms had been present for several months and were gradually worsening, prompting evaluation by a board-certified dermatologist.
This case highlights the diagnosis and management of papulopustular rosacea, a chronic inflammatory skin condition that commonly affects adult women.
Clinical Evaluation
On examination, the patient demonstrated:
Diffuse facial redness
Inflammatory papules and pustules along the central cheeks
Background flushing consistent with rosacea
The patient appeared healthy, well-nourished, and in no acute distress. Dermoscopic evaluation was performed to further assess the skin findings.
Diagnosis: Papulopustular Rosacea
Based on the clinical presentation, the patient was diagnosed with papulopustular rosacea, a subtype of rosacea marked by redness, flushing, and acne-like lesions. At the time of the visit, the condition was considered inadequately controlled.
Rosacea is a chronic condition that can fluctuate over time and is often triggered by environmental and lifestyle factors.
Treatment Plan
After a detailed discussion of treatment options, a customized rosacea regimen was initiated.
Medical treatment included:
Initiation of a triple rosacea cream applied to the entire face
Continued use of gentle cleansers and moisturizers
The patient was advised to discontinue harsh or irritating skincare products and focus on skin barrier protection.
Patient Education & Counseling
Extensive counseling was provided regarding:
The chronic nature of rosacea
Common triggers, including sun exposure, heat, exercise, stress, alcohol, and spicy foods
The importance of daily sun protection
Expectations for improvement, which typically occurs gradually over several weeks
The patient was also informed that laser and light-based therapies, such as IPL (intense pulsed light) or Clear + Brilliant, may help reduce persistent redness and visible blood vessels in the future.
Cosmetic Concerns: Enlarged Pores
During the visit, the patient also expressed concern about enlarged facial pores. Cosmetic treatment options were reviewed, including microneedling, which stimulates collagen production and can improve skin texture and pore appearance. Pricing and expectations were discussed, and the patient elected to consider treatment at a later date.
Follow-Up Plan
The patient will return to the clinic in 6–8 weeks to assess response to therapy and adjust the treatment plan as needed.
Expert Rosacea Care in Katy & Houston
Rosacea can significantly impact quality of life when left untreated. At Village Dermatology, we offer personalized rosacea treatment plans, combining prescription therapies, skincare guidance, and advanced laser treatments to help patients achieve clearer, calmer skin.
If you are experiencing facial redness, flushing, or acne-like bumps, our dermatology team in Katy and Houston, Texas is here to help.
