Rosacea is a chronic skin condition characterized by facial flushing, redness, telangiectasias (visible vessels) and bumps and pimples. The first sign of rosacea may be redness or flushing that comes and goes. Rosacea is most often seen in fair-skinned people between the ages of 30 and 50 and typically affects the cheeks, nose, forehead and chin. It is more common in women but more aggressive in men. The cause of rosacea is not yet certain; theories include small intestine bacterial overgrowth, an immune reaction to a natural mite (demodex mite) that lives in our skin, unstable vessels, genetics and sun exposure. What we do know is that something irritates the skin, leading to chronic inflammation with intermittent flare-ups.