For patients with severe rhinophyma ( bulbous nose ), laser re-surfacing can be used to reshape your nose. Acne and Rosacea There is no truth that one causes the other, but these two skin conditions often appear together. Unfortunately, acne ( acne vulgaris ) and rosacea required two different kinds of treatments. Inflammatory rosacea When papules (small red bumps) and pustule (pus-filled pimples) star appearing, rosacea has entered the inflammatory stage. These two symptoms are like acne, but they are totally different and require different treatments. Late rosacea This is the most advanced phase of rosacea. The illness still has all its earlier symptoms, only they appear more intense. To avoid the occurrence of rosacea, refrain from eating foods high in B6 and B12 doses, chocolates, tomatoes, garlic, wine, citrus fruits, eggplants, avocadoes, spinach, raisins, figs, bananas, hot beverages, hard liquor, beer, cheeses, yogurts, sour creams, milk, hot sausages, red, black and white peppers, vinegar, paprika, and marinated meats. Photophobia (sensitivity to light) and pain are sometimes present. The nose In the face, it is the nose that sometimes gets disfigured by rosacea. It can become bumpy and red, sporting dilated small blood vessels. Left unattended (and untreated), the advanced stages of rosacea can develop into rhinophyma. In fact, even with more than 46 million Americans affected by the skin problem, only few know just what exactly rosacea is. Some do not even know that they have rosacea. One reason is the fact that symptoms are not regular. It is not like a disease that you will have symptoms for and it will not go away until it is cured. Doctors advise that people try to determine what triggers affect their break out and endeavor to avoid them. This approach works in mild cases of rosacea. But with extreme cases when there are a lot of flare-ups, oral and topical antibiotics. Usually, management of rosacea is a long term one. People who are afflicted with the problem spend their whole lives controlling the disease.