Hi Paul,
Thanks for your reply.
From all the research I have done, I think it may be a combination of things. One is that on my Dad's side a lot of the family have skin like mine and it changed in a similar way as we've grown older. On my Mum's side the female relatives have high colouring and thread veins. So I'm guessing it is partly genetic - I always did have rosy cheeks!
I've never really thought of myself as someone with problem skin until the last few years or so, and that also fits in with a general deterioration in my health. I've been on quite a few different medications (some hormonal) and that has got to take some toll on my body.
I have used spot treatments like Oxy or Clinique's blemish gel since I was a teenager, but only on small areas like my chin or forehead where I had a spot and never for any real length of time. My cheeks and nose were generally clear and I've never used special skin care products for acne prone skin.
Now though I've realised that although my skin was never that bad as a teenager, even now at 51 (

) almost every day I still get simple pus filled spots (that pop easily

), on or around my nose and chin (plus a monthly hormonal spot!). I thought these spots were caused by the products I use on my face and I have been chopping and changing for ages now, without any real improvement (I have no regular regimen just now).
The redness on my face is not particularly sensitive or at all painful and I don't get the flare ups that I have read about. That's why I'm not sure about having Rosacea. My cheeks and nose have been red with thread veins now for as long as I can remember and I just used make up to even out my skin tone.
My biggest concerns now are the lumps and pores on my cheeks and nose (I have 6 small lumps on one side of my nose alone, in an area of about an inch square). The pores are not blocked, just open and empty (some are like pin holes) and I can't find a way to disguise this problem with make up because they are on a red area of skin. The lumps can be covered up easily enough, but they look like covered up spots, but I did wonder if the lumps were caused by Sebaceous Hyperplasia because they are skin coloured i.e. not red and fit the description of Sebaceous Hyperplasia very well.
I sound like a bit of a moaner, but I don't want to end up with horrible skin if I can do something about it. Just typing this out had made me realise that I should speak to my GP. I just wanted the opinions of some posters on here who have more experience and knowledge than me about this.