Rosacea can be divided in to three stages
Stage I is the general redness and flushness on the cheeks, nose, and central face.
Stage II is the addition of papules or pustules, and is referred to as acne rosacea.
Stage III includes the changes associated with long standing rosacea, namely a larger bulbous nose or chin. In addition, rosacea patients can also suffer from blepharitis (inflammation of the eyelid margin) and the formation of styes.
For stage I rosacea, treatments include a topical medication such as metronidazole, sodium sulfacetamide, or azaleic acid twice a day. The effects of these topicals are varied. Laser is an excellent treatment for these cases, and sometimes the only acceptable cosmetic treatment. We use Prescribed Solutions (TM) products which have natural products that help in Calming the skin down.
For both stage I and stage II rosacea, the addition of doxycycline, minocycline, or tetracycline is usually added. Low-dose accutane can also be used in these cases.
For stage III changes, a small surgical procedure or laser can correct some of the changes seen with long standing rosacea.
The goal is to calm down the acne portion of your rosacea, then to perhaps do laser once that part of it is controlled.
Accutane is a reasonable option if you are a good candidate.