Rosacea is an adult inflammatory acne involving the mid face, nose, chin and forehead with pustules, papules, and redness/broken blood vessels. Some patients mainly have redness of the face which may fluctuate during the day and worsen with triggers such as hot spicy foods, red wine, heat, and sunlight.  The redness of rosacea may be treated with laser and two topical agents, brimonidine and oxymetazoline, which help constrict the superficial blood vessels of the skin and subsequently decrease the flushing/redness. The acne component is treated with oral low dose antibiotics such as doxycycline and topical medications like metronidazole, azelaic acid, ivermectin, and sulfur/sulfacetamide creams.