The Summer Rosacea Review is now online at rosacea.org. This issue celebrates the 20th anniversary of the National Rosacea Society and its ongoing commitment to improving the lives of people with rosacea through awareness, education and support of medical research. The newsletter also recaps a research analysis that attempts to answer a question that has long vexed the scientific community: Which comes first – rosacea or Demodex mites? Also highlighted are results of a patient survey showing that physical discomfort often accompanies the visible signs of rosacea, as well as a summary of a presentation at the annual meeting of the American Academy of Dermatology that pointed out that rosacea and seborrhea often occur together. Other features include tips for skillfully applying cosmetics, a Q&A on salicylic acid, a new success story and a new patient survey on the rosacea and other skin disorders.