Rosacea

How it works

Realistic expectations are essential, as Rosacea is a medical condition and we consider treatment to be management rather than a cure. Treatment aims to try and prevent the Rosacea worsening and reducing the frequency and severity of flare-ups.

Treatment must be tailored to each individual. Treatment options include:

Control any Acne if present. This will include similar options as we use in our Acne programs including, over the counter topicals, prescription topicals, prescription medications and various laser and light treatments.
Use of a daily topical cream (Mirvaso) can help control redness in some patients but is not for everyone.
Reducing redness using a Vascular laser and/or BBL. The light from these devices can result in a significant reduction in facial redness by shutting down and removing unwanted blood vessels. The choice of the vascular laser will depend on individual requirements. We have used the Pulse Dye Laser, the EXCEL V laser, Laser Genesis, Varilite Laser, and the Sciton BBL.

A combination approach of therapies usually achieves the most effective results.

FAQs

How does Rosacea differ from Acne?

Features of Rosacea include burning or stinging, with dry and thickened skin and sensitivity to cosmetics. Itchiness is not a typical symptom. Rosacea is a chronic condition that typically flares up intermittently. Inflammatory lumps are usually red dome-shaped lumps with or without pustules but not comedones (i.e. no blackheads or whiteheads) which are found in Acne.
What things aggravate Rosacea?
While trigger factors can vary between individuals, clinical studies report that the most common triggers for Rosacea are: sun exposure, stress, hot weather, humidity, indoor heat, hot baths, wind and cold weather, heavy exercise, alcohol, spicy foods and hot drinks, certain skincare products and cosmetics.
The following are also known to be triggers:
- Certain food additives (e.g., MSG in Chinese food and sodium nitrate in cured meats)
- A variety of medications (e.g., Calcium channel blockers, Vasodilators, Tamoxifen, Cholinergic drugs), and some supplements (e.g. Nicotinic Acid).
Are there different types of Rosacea?
Yes, there are 4 main types, and patients can have more than one type at the same time. They are:
1. Facial redness (Erythemato-Telangiectatic Rosacea) – flushing and persistent central facial redness with or without visible blood vessels.
2. Bumps and pimples (Papulopustular Rosacea) – Also called Acne Rosacea. It is characterised by pimples, lumps, and pustules and is usually seen on a background of facial redness.
3. Skin thickening (Phymatous Rosacea) – Thickening skin, irregular surface nodules, and enlargement. May occur on the nose, chin, forehead, and checks. The most common presentation is as Rhinophyma where there is thickening of nasal skin resulting in an enlarged, bulbous nose.
4. Eye irritation (Ocular Rosacea) – Redness or irritability of the eyes. Eyelids may show redness and scaling.
What can I do to prevent flare-ups?
Identify and avoid trigger factors. Here are some tips:
- Avoid irritating skincare products. Gentle skincare with no scrubs, astringents, alcohol; eucalyptus or witch hazel.
- Sun protection with hats/shades and use of sunscreen. Zinc Oxide or Titanium Dioxide in simethicone/dimethicone base seems better in Rosacea.
- Use a hypoallergenic moisturiser.
- Make-up can be used but should not clog pores, and a green tint is usually the most effective for camouflage of the redness. Take off at night.
- Consider topical Niacinamide, which improves skin barrier function and also reduces inflammation and oil production.
- Treat any Acne. This can involve the use of topical cream or oral treatments.

How it works

FAQs

How does Rosacea differ from Acne?

What things aggravate Rosacea?

Are there different types of Rosacea?

What can I do to prevent flare-ups?

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