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Medical dermatology
Rosacea treatment in Richardson, TX
Care for facial redness, flushing and breakouts that keep coming back, from a board-certified dermatologist who sees every patient herself.
Dr. Kelsie Riemenschneider
MD, FAAD · Board-certified dermatologist. You will see her at every visit.
Overview
What causes rosacea
Rosacea is a common, long-term skin condition that causes redness, flushing and sometimes acne-like bumps across the central face. The exact cause is not fully understood, but it involves sensitive blood vessels, inflammation and an overactive response to everyday triggers. It is most common in middle-aged and older adults and is often mistaken for adult acne or a sunburn that never fades.
Triggers differ from person to person. Sun, heat, hot drinks, spicy food, alcohol, stress and harsh skincare products are the most common. Rosacea affects every skin tone. On darker skin the redness can be harder to see, and burning, stinging or bumps may be the main sign.
When to see a dermatologist
Redness or flushing lasts, or keeps returning
Bumps on the cheeks, nose, chin or forehead are not responding to acne products
Your skin burns, stings or reacts to most products
Your eyes are often red, dry or gritty
Types of rosacea we treat
Redness and flushing. A lasting flush across the cheeks, nose, chin or forehead.
Visible blood vessels. Fine red lines, most often on the cheeks and around the nose.
Bumps and pimples. Red bumps and pus-filled spots that look like acne but have no blackheads.
Thickened skin. Bumpy, thickened skin, most often on the nose.
Eye rosacea. Dry, red, irritated eyes and eyelids.
Treatment
How we treat rosacea
Rosacea cannot be cured, but it can be kept under control. Treatment depends on which features you have, so the first step is identifying your type of rosacea and your triggers.
Prescription creams and gels. Options such as metronidazole, azelaic acid and ivermectin for bumps, and creams that temporarily reduce redness.
Oral medication. Low-dose antibiotics such as doxycycline for flares of bumps and for eye symptoms.
Skincare and trigger plan. A gentle routine, daily mineral sunscreen and a simple way to pin down what sets off your flares.
Laser referral. Discussed when visible blood vessels or lasting redness do not respond to medication.
Your visit
What to expect at your rosacea visit
Tell us about your flares. What sets them off, how long they last and which products sting or burn.
Dr. Riemenschneider examines your skin.She confirms rosacea and rules out conditions that look similar, such as acne or seborrheic dermatitis.
You leave with a plan. A gentle routine to follow, with any prescriptions sent to your pharmacy.
In network with most major health plans. See every plan we accept
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No. Rosacea can cause bumps that look like acne, but it does not cause blackheads, and many acne products irritate it. The treatments are different, which is why the right diagnosis matters.
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The most common triggers are sun, heat, hot drinks, spicy food, alcohol, exercise, stress and harsh skincare. Keeping a short diary for a few weeks is often the quickest way to find yours.
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There is no cure, but most people can keep it well controlled. Flares tend to become less frequent once you know your triggers and have the right treatment.
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Keep it simple: a gentle, fragrance-free cleanser, a plain moisturizer and a mineral sunscreen every day. Avoid scrubs, toners with alcohol and anything that stings.
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Yes. Rosacea can cause dry, red, irritated eyes and swollen eyelids. Tell us if you have these symptoms, since eye rosacea needs its own treatment.
Related care Acne Seborrheic dermatitis and dandruff Melasma and dark spots Personalized skincare consult All medical dermatology
Reviewed by Dr. Kelsie Riemenschneider, MD, FAAD, board-certified dermatologist. Last reviewed October 2026. Sources: American Academy of Dermatology; National Institutes of Health.
Address 702 W Arapaho Rd, Suite 104, Richardson, TX 75080
Hours Monday to Friday, 8 AM to 5 PM
Phone 214-833-5300