As rosacea progresses from mild to moderate all aspects of rosacea symptoms intensify and become more frequent and as they occur last longer. The facial redness may persist for days to weeks at a time before gradually becoming slightly less intense. For the most part the central facial areas will take on a constant appearance of redness which may appear in blotchy patches or as a centralized burn on the cheeks, nose and forehead. It’s usually at this stage that one begins to experience episodes of pimple and papule breakouts. The pimples are similar in appearance to common acne pimples and the papules are areas of red bumps which do not contain pus. These red bumps can vary in size from quite tiny dots to the size of the tip of your pinky finger. You may begin to notice more lasting damage to the blood vessels as they begin to lose elasticity and break down forming spidery looking veins.
At this stage a lot of people feel the need to try to reverse the damage to the vessels through laser therapy. In theory this should work, you seal off the damaged vessel and prevent further leakage of blood through the weaken veins. But in practicality one must acknowledge that the purpose of the blood vessels is to provide nutrients to the skin, if you seal off the vessel, you remove the source of life-sustaining nutrients to the skin. In effect the skin must either repair and rebuild the vessels or die. The result is that while laser can be a short-term cosmetic treatment, it does not fix the problem and is not a long-lasting solution.