Yes. Although rosacea has a variable course and is not predictable in everyone, it gradually worsens with age, especially if untreated. In small studies, many rosacea sufferers have reported that without treatment their condition had advanced from early to middle stage within a year. With good therapy, it is possible to prevent progression of rosacea.
I wear a full face of full coverage makeup every weekday for work. To get it all off, I used to rely on makeup wipes before face wash. I later realized the wipes, while convenient for nights you're ready to PTFO and must, were kind of just sliding product around my face instead of truly cleaning it. Thankfully, a facial with celebrity esthetician Renée Rouleau introduced me to the idea of double cleansing.

No one factor causes acne. Acne occurs when sebaceous (oil) glands attached to the hair follicles are stimulated at the time of puberty or due to other hormonal changes. Sebum (oil) is a natural substance that lubricates and protects the skin. Associated with increased oil production is a change in the manner in which the skin cells mature, predisposing them to plug the follicular pore. The plug can appear as a whitehead if it is covered by a thin layer of skin, or if exposed to the air, the darker exposed portion of the plug is called a "blackhead." The plugged hair follicle gradually enlarges, producing a bump. As the follicle enlarges, the wall may rupture, allowing irritating substances and normal skin bacteria access into the deeper layers of the skin, ultimately producing inflammation. Inflammation near the skin's surface produces a pustule; deeper inflammation results in a papule (pimple); if the inflammation is deeper still, it forms a cyst.
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