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Rosacea vs. acne: Spot the difference

Rosacea, a chronic skin condition linked to inflammation, is often confused with acne. But they're separate and distinct conditions that require different treatments. Here's how to tell them apart.

Rosacea vs. acne

Rosacea:

Facial redness (may appear violet or brown on darker skin). Redness may come and go or be permanent.
Visible blood vessels.
Eye discomfort, including redness and swelling.
Acne-like breakouts without blackheads.
Sensitive skin that may react when makeup or skin-care products are used.
Usually appears after age 30.

Acne:

Common on the face, back, chest, neck and shoulders.
Redness only around breakouts.
Oily skin.
Several types, including blackheads; whiteheads; and deep, painful cysts.
Most common in teens and tweens.
Bumpy skin due to blemishes or scars.

Tell your doctor if you think rosacea is causing your skin problems.

Reviewed 3/21/2025

Sources

American Academy of Dermatology Association. "Acne or Rosacea." https://assets.ctfassets.net/1ny4yoiyrqia/1Raw7Rd3qgI62f0cUf3EpD/266d7421d50cb7167c606db25b590d39/Acne_Rosacea_Infographic.pdf.
American Academy of Dermatology. "All About Rosacea: Signs & Symptoms and Treatment." https://www.rosacea.org/patients/all-about-rosacea.