Rosacea in Teens and 20s

Rosacea is most commonly diagnosed in middle age, but it can and does affect younger people, including teenagers and young adults. In the last year I have seen several patients in their 20s with severe rosacea which had previously been diagnosed as acne. In this age group there is often an overlap with acne which can make the diagnosis more challenging.

Can young people really get rosacea or is it just acne?

Yes, young people can certainly get rosacea. While less common than in older adults, a genetic predisposition can cause symptoms to appear early.

How can early rosacea be distinguished from breakouts?

Particularly in younger patients, the diagnosis may be subtle and is not always associated with classic features such as facial flushing and background redness.
If a diagnosis of acne has been made but there is not response to first line treatments it is always important to question the diagnosis and consider other diagnoses. See Differential Diagnosis of Rosacea.

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Dr. Magnus Lynch, Consultant Dermatologist

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

I am the founder of Revessa Health which provides online consultations for acne and rosacea across the UK (see below).

Revessa Health
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Founded by Dr Magnus Lynch, Consultant Dermatologist
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