Rosacea occurs in the age groups from 30 to 50, often in fair skinned, blonde with blue eyes, from Celtic or Scandinavian descent and with the propensity to have acne. Women have it more than men but men can develop a more serious case. Causes are variable. It is hereditary, there is some role of the immune system, and there are other theories which are not proven yet. There are different subtypes of rosacea ranging from facial redness, flushing and visible vessels of subtype 1 to subtype 4 which can even involve eyesight and have rhinophyma a thickening and bumpiness of the nose. Various treatments can be use including topical medicines, sunscreen, emollients, chemical peels, laser and light treatments. Laser, dermabrasion, electro cautery may have a role in reducing the thickness of the skin. Rosacea is a chronic condition that requires avoiding triggers, using treatments to prevent its advancement and treatments to reduce breakouts.