Rosacea is a chronic inflammatory skin condition characterized by erythema, telangiectasia and inflammatory lesions on the face. Rosacea, and the adverse events occurring during its treatment, are commonly more severe in older versus younger adults (adults aged > 65 years). Treatment personalisation is especially relevant for older adults. Personalising treatment by basing it on an individual’s presenting features aids in improving treatment versatility and patient-centred care in this population. Potential adverse events, comorbidities and drug-drug interactions should be considered when prescribing treatment. Therapeutic options include topical and oral pharmacological agents, light-based therapies and minimally invasive surgeries.