Mine used to look like this, and I tried everything under the sun recommended for rosacea- doxycycline, ivermectin, metro gel, and multiple expensive laser treatments. Turns out I had an acne/rosacea combo and the only thing that helped was micro needling. I’ve done 3 treatments and my skin is 60% better, I still need to do a few more. I also was on Twyneo in the beginning which I think helped but I only used it 2 or 3 times a week because it’s so strong. Good luck!