Roseca papules, sebaceous hyperplasia, millia, are these the same thing?

Milia are just stopped up oil glands, sebaceous hyperplasia is overgrowth of the oil glands and neither of these are part of rosacea. the papules of rosacea if they occur are like other acne lesions. Tea trea oil will be of no benefit

Tea tree oil is not a recognised treatment. Additionally sebaceous hyperplasia is a seperate condition from rosacea and easily managed. Best see a medical dermatologist for both these problems, then work in with a laser dermatologist to treat residual areas of redness and sebaceous hyperplasia with lasers. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)

To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. 

A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers ( to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 

2. Creams - anti inflammatory

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. 

4. For females- Mineral make up is recommend, over make up that contains parabens. 

For the best results, consult a dermatologist for both medical and laser treatment options. 

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia.