Answer: There are actually two parts to this question:
1) How accurate are online medical photos?
2) When should I get a second opinion?
Online medical photos can be pretty lurid. When I was looking to illustrate my series on sensitive skin, I had to be careful to avoid scaring small children. Medical illustrations usually feature full blown disease states. Early stages or mild cases often look very differrent. It may be that you are comparing your newly diagnosed rosacra with long term, wide spread rosacea– are fortunately your complexion issues are not as severe or advanced.
Try the suggested treatment for two weeks. If there is no improvement you have two options– go back to the same MD and ask for a different approach or make an appointment with a different dermatologist.
The decision to try another doctor is often rooted more in personality than performance. We all need ( and deserve) medical professionals who are accessible, and willing to explain to you what is happening to your body and how the treatments are designed to work. You should feel comfortable asking questions– lots of them. Once you leave the office, if you have questions or new issues, your MD should get back to you within a day.
One final thought. Many of us need to go to physicians on our health care plans and this may limit choices. While it does decrease options, there are still plenty of professionals available. I’ve always found that nurses are the best judge of a physicians’ skill levels. Ask nurses in your plan, not who they recommend, but who THEY actually go to for skin care issues. I learned the approach when my oldest daughter was born and I needed a new pediatrician. Now she has two children of her own and its still a great way to find good doctors.