Rosacea

Rosacea is a chronic inflammatory vascular condition that primarily affects the central face, causing persistent redness, visible blood vessels, and sometimes small, fluid-filled bumps. Unlike adolescent or adult acne, rosacea does not typically feature blackheads, and it is heavily driven by blood vessel hyper-reactivity and environmental triggers rather than just excess sebum production. Dr. Melissa L.F. Knuckles performs thorough total-health examinations to accurately distinguish between the two and provide the proper medical treatment.

Rosacea triggers vary widely from person to person, but common culprits include sun exposure, emotional stress, hot or spicy foods, alcohol, extreme weather temperatures, and harsh skincare ingredients. Part of our personalized clinical care involves helping you track and identify your specific environmental triggers so you can manage your condition safely and cleanly at home.

Yes. Advanced or untreated rosacea can lead to a condition called rhinophyma (thickened, bumpy skin on the nose) or ocular rosacea (dry, bloodshot, or gritty-feeling eyes). Because excellence is derived from decades of clinical experience, Dr. Knuckles provides comprehensive diagnostic screening and targeted interventions to address both the cutaneous and ocular manifestations of this progressive disease early.

While rosacea is a chronic condition without a permanent cure, our medical treatments are engineered to bring it into long-term remission. Most patients notice a significant reduction in burning, stinging, and inflammatory bumps within a few weeks of starting their customized clinical plan, with facial redness continuing to fade steadily over time to bring about a deeply positive physical and mental change.