01
“My face becomes red very easily.”
Frequent, disproportionate flushing to minor triggers — the earliest sign.
↗Concern · Face & Skin · 07
Redness, flushing, vessels.
Rosacea is a chronic condition of facial redness, visible vessels and inflammatory eruptions — aggravated by heat, sun, alcohol and stress. The pathway is diagnostic-first, then trigger control and targeted treatment.
Before · Flushed & vascular
After · Calmed skin
VISIA reading
Vessels mapped
With dermatoscopy
What it is
A chronic inflammatory condition.
Rosacea is a chronic skin condition characterised by facial redness, dilation of visible blood vessels and inflammatory eruptions. It is often aggravated by external factors — temperature changes, sun exposure or stress.
Vascular changes are caused by the temporary or persistent dilation of superficial blood vessels. Both need diagnostic differentiation from acne and other conditions before treatment.
“Corticosteroids applied to rosacea will make it worse. Diagnosis before treatment isn't optional here — it's protective.”
What patients notice.
Symptoms named in the patient's own words alongside the clinical read.
02
Persistent or recurrent facial flushing
Central-face redness that recurs or fails to resolve fully between episodes.
↗03
Small visible blood vessels (telangiectasias)
Fine linear vessels visible on the cheeks and nose — the vascular hallmark.
↗04
A burning or warm sensation on the face
Sensory symptoms without external cause — reflect underlying inflammation.
↗05
Inflamed, pimple-like lesions without blackheads
The papulopustular subtype — often mistaken for adult acne.
↗06
Flare-ups triggered by sun, alcohol or heat
Classic rosacea triggers — identifying and avoiding them is core to the pathway.
↗The forms of rosacea.
Rosacea has recognised subtypes — the pathway depends on which is dominant.
#SubtypeWhat's happeningPathway
01Erythemato- telangiectatic.Persistent redness and visible vessels — the most common presentation.Vascular laser · Topicals
02Papulopustular rosacea.Papules and pustules on top of redness — often mistaken for adult acne.Topical / systemic
03Phymatous rosacea.Skin thickening on the nose and cheeks — a specialist referral pathway.Specialist referral
04Ocular rosacea.Eye irritation, dryness or vessels — needs joint dermatology and ophthalmology.Ophthalmology referral
05Vascular irregularity.Isolated telangiectasias without wider rosacea presentation.Vascular laser
Diagnostics-first
We differentiate before we treat.
Rosacea is diagnosed by pattern, history and imaging — not by presentation alone. Differentiation from acne, seborrhoeic dermatitis and lupus matters clinically.
- i.Clinical consultation25 min
- ii.Visual assessment of redness and vessels10 min
- iii.Differentiation from acne and other conditions10 min
- iv.Medical history and trigger identification15 min
- v.VISIA imaging and dermatoscopy25 min
Treatment pathways
How we treat it.
Trigger management is the constant. Topicals and — where indicated — systemic treatment address the papules; light and laser target the vessels.
Lead pathway · Vascular
Vascular laser & IPL.
Pulsed dye laser and IPL selectively target visible vessels and diffuse redness — the pathway of choice for the vascular presentation.
Course3–5 sessions
Interval4–6 weeks
DowntimeMinimal
Metronidazole, azelaic acid.
Topical anti-inflammatory treatments — long-term and safe for most cases.
Supportive · SystemicLow-dose doxycycline.
Sub-antimicrobial systemic doxycycline for the papulopustular subtype.
Supportive · BarrierViora Infusion.
Deep hydration and barrier support alongside the anti-vascular pathway.
Supportive · TriggersTrigger management.
SPF, heat and alcohol control — the daily practice that keeps flares down.
Book a diagnostic consultation
Begin with a differential.
A specialist reviews your flushing pattern, images the vascular signature and — if the presentation warrants it — refers for ophthalmology alongside skin-directed treatment.
Tumanyan St. 11 · Yerevan·
Sayat-Nova Ave. 35 · Yerevan·
Daily 10:00 — 20:00