I'm a 19 year old guy who has recently realized he suffers from rosacea. I remember about 2 years ago I sort of noticed that my face was always redder than other peoples', concentrated mainly on the chin and cheeks. I have a somewhat mild form of acne (never being free of pimples, but having few enough that it didn't really look bad), so I just figured the redness which never went away was part of that, the skin just never getting a chance to fully heal before more pimples came.
About 6 months ago the doctor told me I suffer from rosacea, and gave me some samples of metronidazole(sp?) cream, enough to last for 3 weeks or so. That didn't make a difference at all. About 3 months ago I went to another doctor who prescribed me some monocycline (mainly for the acne I think?). I was on that since then and just finished the course a few days ago. Three weeks ago I went to the doctor since the redness in the chin just wasn't getting better at all. He gave me some samples of dermatop (http://health.yahoo.com/drug/d03225a1), and i finished those the other day as well. The pimples are basically cleared up, but the redness in my chin is the same or worse.
My chin has been a bit of a problem for a long time, but now it just seems horrible. It's bright enough that people comment on it, and it looks very rash-like. My skin is dry, flaky sometimes, but at the same time there is almost always a thin layer of oil which shines, especially in pictures. It seems very "thin" and weak. It's hard to explain. The redness in my chin is sort of outlined by lines going straight down from the outside of my lips. I also have constant redness in my cheeks, above sort of horizontal lines from my lips, following my cheek bones outwards. In my opinion it looks bad having red cheeks and chin, and then the lower side portions of my face being white and normal.
I'm not really sure what else I can do about this. I guess I can let in a bit of my lifestyle. I mountain bike in the summer, and snowboard very often in the winter. This winter I wore something covering my face since my chin would get very red, but I just attributed that to windburn. Even though it didn't happen nearly as badly to anyone else. I drink (pretty hard) at least once or twice a week, for the last 3 years or so. I realize that drinking is a huge trigger of rosacea, but I really think it would be lame to quit. I'm a 19 year old university student who just wants to make the most out of life, and I don't want to miss out on a lot of good times with friends because of some skin condition.
What can I do? I've browsed a bit and have seen a lot of talk on laser treatment and accutane. Can someone give me a bit of guidance here? Unless there is something else I haven't been given, topical treatment doesn't work at all for me. Would accutane help? Keep in mind I have thin, dry skin. I read that accutane makes skin drier, so i am not sure. Maybe take it along with a good moisturizer to help that? Or should I ask about laser treatment? Can someone recommend me a good moisturizer to use? I have been using cetaphil gental skin cleanser for the last 2 weeks and it seems to be working very good. I was using an alchohol based aftershave up until a few days ago, so I'm hoping that was one of the things that caused problems.
I will see a doctor again pretty quick and get a referral to a dermatologist, I am just going to wait a few days because I currently have a bit of sunburn and pimple flare-ups from last weekend which are now just about fully cleared again, and I don't want the doctor to just pass the redness off as sunburn.
Sorry for the rambling thoughts, I'm just writing stuff down as I think it, and thanks to anyone who can give advice.