Your personal plan · Type 2 · PPR
Bumps & pustules
Inflammatory bumps and pus-filled spots, often mistaken for adult acne. The treatment ladder is well-established — and notably different from acne care.
What this subtype is
Type 2 rosacea (PPR) presents as inflammatory papules and pustules on a background of redness, usually central-face. It's frequently misdiagnosed as acne — but standard acne treatments like regular benzoyl peroxide often make PPR worse (a gentler prescription form, microencapsulated BPO — Epsolay — is FDA-approved for rosacea). The distinguishing feature: no blackheads or whiteheads (comedones), which are hallmark of acne.
Your daily routine
Build up slowly. Introduce one new active at a time over two weeks.
- 1CleanseGentle, fragrance-free, non-foaming cleanser.
- 2TreatAzelaic acid targets both bumps and redness (OTC 10%; Rx 15% used twice daily as directed).
- 3MoisturiseLightweight ceramide moisturiser.
- 4ProtectMineral SPF 30+. Calms inflammation, prevents flares.
- 1CleanseSame gentle cleanser.
- 2TreatRx ivermectin 1% (Soolantra) if prescribed — strong evidence for PPR.
- 3MoisturiseCeramide cream to offset any dryness from actives.
Ingredients: do & avoid
Your treatment ladder
Highlighted rungs are the evidence-backed steps for Type 2.
Evidence grades A–D follow published clinical guidelines. How we grade →
Four picks for your routine
Graded A–D on published evidenceCommission never changes the grade FTC disclosure →
See which of these triggers are actually yours
Log your skin for two weeks. The tracker calculates your personal flare correlations — so you stop guessing and start adjusting from data.
Get prescription treatment
When self-care isn't enough
If bumps persist after 8–12 weeks of azelaic acid, a clinician can prescribe topical ivermectin and/or low-dose doxycycline 40mg — both FDA-approved for inflammatory lesions of rosacea. Telehealth is well-suited to this step.
Ranked on rosacea fit, not commissionLicensed US providers FTC disclosure →
Frequently asked
Is Type 2 rosacea curable? +
Rosacea is chronic and managed rather than cured — but the right routine and treatments control it well for most people. Consistency matters more than intensity.
How long until I see results with this plan? +
Gentle skincare calms reactivity in 2–4 weeks; actives like azelaic acid take 8–12 weeks for full effect. Track your skin so you can tell what's working.
Can I follow this plan without a prescription? +
Yes — the foundation (gentle routine + OTC actives) is non-prescription. Prescription steps are optional escalations if OTC isn't enough after 8–12 weeks.
Is this a diagnosis? +
No. This plan is educational and based on your quiz answers. A board-certified dermatologist remains the source of diagnosis and prescriptions.
Email me my plan
We'll send this plan plus the one-page cheatsheet — your routine, avoid-list, and product picks for your subtype.
- No spam, unsubscribe anytime
- We never sell email lists