If you are dealing with facial redness, bumps, or recurring breakouts, it is easy to assume you have acne. But what looks like acne is not always acne. Rosacea and acne can have similar-looking symptoms, but they are different dermatologic conditions that require different treatment approaches. Rosacea can cause acne-like bumps and pustules, while acne can cause inflammation and redness around individual breakouts. It is also possible to have both conditions at the same time.