However, the affected skin swells and these bumps do not develop into blackheads. Other symptoms In advanced cases, rhinophyma may develop. Rhinophyma makes the nose larger ( bulbous nose ) and the cheeks puffy. These are caused by the enlarged oil glands. At the lower half of the nose, thick bumps also develop. Examples of common triggers are sun exposure, spicy food, skin products, some food and dairy products. For those who have only mild symptoms, treatment is as simple as avoiding contact with various triggers. Those who have more extreme symptoms need continuous medication and treatment. And this is life long treatment. These machines seem to be currently two of the best treatments of rosacea because they penetrate the skin and eliminates the redness that ensues. Some people get to have those symptoms completely removed for a long period of time. Of course the condition will likely occur again but at least patients are given a period of reprieve. This results in the skin looking puffy and warm. As the blood vessels dilate, they are visible on the skin as small red lines. It is called telangiectasia, commonly referred to as spider veins . At this time, the skin also becomes more sensitive. When cosmetics and other skin products are used, there often is a stinging or slightly burning sensation. Some cope with this while others curse the problem. Although it is not particularly dangerous, rosacea can affect people psychologically. There are a lot of people with rosacea who refuse to go out because of how they look. They are ashamed of their skin. The problem can severely affect self-esteem and social skills. - Foods that contain caffeine. These are another set of culprits for people who are having trouble in maintaining their skin care regimen and those who are prone to suffering to skin diseases such as Rosacea. If you are prone to this, it is best to avoid foods as well as drinks that have high caffeine content such as coffee, chocolates, sodas that are caffeinated as well as teas.