See a dermatologist for a confirmed diagnosis and a long-term treatment plan
Use prescribed topical medications consistently (commonly metronidazole, azelaic acid, ivermectin, or topical antibiotics)
Consider prescription oral therapy when appropriate (commonly doxycycline in low-dose anti-inflammatory regimens)
Avoid triggers that worsen flushing and redness (heat, hot drinks, alcohol, spicy foods, sun exposure, stress, and extreme temperatures)
Use daily broad-spectrum sunscreen (SPF 30–50) and reapply as needed
Choose gentle, non-irritating skincare (fragrance-free cleanser, moisturizer, and products labeled for sensitive skin)
Avoid harsh exfoliants, scrubs, alcohol-based toners, and irritating acids/peels unless your dermatologist approves
Use lukewarm water and avoid hot showers and saunas
If you have ocular symptoms, use eye treatment as prescribed and coordinate with an eye doctor
For persistent visible blood vessels or persistent redness, ask about in-office procedures (vascular laser or intense pulsed light)
For thickened skin or rhinophyma, ask about dermatologic/surgical options (as appropriate)
Manage inflammation early to reduce flare frequency and severity
Continue maintenance therapy even when symptoms improve (as directed)
Do not stop medications abruptly without clinician guidance
Track flares and likely triggers to guide ongoing prevention and medication adjustments