Q. My rosacea seems to get worse in the fall and spring. Why would this be so?

A. Many rosacea patients report that changing seasons are hard on their condition, and it's possible your rosacea is affected by environmental factors that are more pervasive during these times. In the fall you may be exposed to colder temperatures, more frequent windy days and perhaps more stress because of holiday commitments, all of which can be rosacea tripwires. In the spring, your rosacea may be aggravated by increased sun and outdoor activity.

You may want to keep a diary during the fall and spring to pinpoint and then avoid what may be causing flare-ups for you during these seasons.
 

Q. I was diagnosed with rosacea when I was 26, but had visible blood vessels, bumps and pimples since I was a teen. Does that mean it will be more severe when I am older?

A. Studies have not been conducted to determine whether there is any correlation between age of onset and the ultimate severity of rosacea. However, it has been widely observed that the signs and symptoms of rosacea tend to become increasingly severe without treatment, and there is a great deal of research showing that medical therapy can successfully control rosacea and keep it in remission.

In light of this, the past may be far less important than doing what you need to do today.