Dear patient,

Thanks a lot for your concerns.

By the description of the symptoms and your age well past puberty, there are several possibilities including rosacea, photosensitive damage including actinic keratosos and telangiectasias; as you mention well the lesions do not appear to be acne.

My best advise is for you to be seen by a dermatologist, who can see the lesions in person, palpate them and use a magnifier if needed. Most of the conditions I mentioned have specific treatments, therefore it would be worthwhile to visit a qualified dermatologist and confirm the possible cause.

Hope this is useful; let me know if you need clarifications.

Wish you the best health

dr brenes salazar md
mayo clinic rochester

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