What is Rosacea?


Rosacea is a chronic inflammatory disorder of the skin, which can be controlled with proper awareness and skin care. Rosacea is life-long skin condition that can worsen with age and environment.

  • The main cause of rosacea is sebaceous gland size and activity.

Sebaceous glands can enlarge with aging increasing the production of sebum, which leads to increased oiliness and inflammation. Rosacea and adult onset acne may be difficult to differentiate and the causes and appearance can be similar.

  • Factors that affect rosacea include: hormonal fluctuations, genetic tendencies, lifestyle changes and environmental conditions.

The diagnosis of rosacea requires the presence of sebaceous gland abnormalities plus two or more additional rosacea signs or symptoms.

Rosacea Symptoms

  • Erythema
  • Telangiectasia
  • Oily Skin
  • History of Acne
  • Changes in Skin Texture
  • Thick Skin with enlarged pores
  • Skin sensitivity and irritability
  • Acne-like cysts, granulomas
  • Post-inflammatory hyperpigmentation

Sub-Types of Rosacea

  1. Erythematotelangiectatic rosacea exhibits permanent redness (erythema) with a tendency to flush and blush easily, as well as sensitive skin. It is also common to have small, widened blood vessels visible near the surface of the skin (telangiectasias) and possibly intense burning, stinging, or itching.
  2. Papulopustular rosacea presents with some permanent redness with red bumps (papules); some pus-filled pustules can last 1–4 days or longer. This subtype is often confused with acne.
  3. Phymatous rosacea is most commonly associated with rhinophyma, an enlargement of the nose. Signs include thickening skin, irregular surface nodularities, and enlargement. Phymatous rosacea can also affect the chin (gnathophyma), forehead (metophyma), cheeks, eyelids (blepharophyma), and ears (otophyma). Telangiectasias may be present.

Rosacea Treatments

  • Awareness of lifestyle and environmental triggers
  • Oil and Sebum control
  • Skin regulation with proper general skin care
  • IPL for areas of redness
  • Anti-biotics for acute pustular rosacea
  • Oral and topical medication

New treatment for Rosacea

Rozatrol™ from ZO® clinically proven all in one treatment for red, sensitized skin which works simultaneously to relieve the multiple signs and symptoms associated with rosacea. This topical twice daily treatment works in unison with the ZO® Skin Normalizing System and has shown to be effective in the treatment of rosacea with just 6 weeks of use.

Rozatrol™ Multiplex

  • Multi-Redness Complex for redness and inflammation
  • Enzymatic Exfoliator to help with dryness and dullness
  • Triple Blend Sebum Minimizer to combat excess sebum and surface oil
  • Amino Acid complex to help decrease telangectasia
  • Hydrolyzed Algin to decrease redness and flushing

Steps in the ZO® Skin Normalizing System


  1. Skin Preparation

Cleanse with Formacleanse™, Exfoliate with Offects® Exfoliating Polish, Tone with Cebatrol™ Oil Control Pads

  1. Stabilize and Strengthen with Ossential® Daily Power Defense
  1. Correction with Rozatrol™ Normalizing Serum
  1. Protection with Oclipse® Suncreen and Primer SPF 30

Andrew P. Trussler MD is a plastic surgeon in Austin Texas that carries a full compliment of ZO® Medical products for all skin types. Rozatrol™ is a specialty product that may not be an everyday skin care staple, but patients struggling with rosacea should try it to help normalize their skin.

Dr. Trussler’s Austin plastic surgery office can help direct you to the skin care products that can help your skin look and feel its best.

Schedule A Consultation



01. Get to know Dr. Trussler.

02. Help him understand you and your goals.

03. Learn about our services and specialties.

“I’m very happy with my breast augmentation! Dr. Trussler did a breast augmentation and did a fabulous job. A very special thank u to the staff at the clinic as well, follow up visit amazing. Would highly recommend, Andrew P. Trussler, MD - Austin Plastic Surgery if you want the BEST!”

– Ruby Ward, Patient


* All indicated fields must be completed.


5656 Bee Cave Road
Suite J200
Austin, TX 78746



Monday to Friday: 8am – 5pm

Accessibility Toolbar