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Rosacea

What is rosacea?

Rosacea is a chronic inflammatory skin condition predominantly affecting the central face and most often starts between the age of 30–60 years.

Rosacea is common and is characterised by persistent facial redness. It typically has a relapsing and remitting course, with symptoms controlled by lifestyle measures, general skin care, medications, and procedural interventions.

Rosacea consultation at Sapphire Skin Laser Clinic

What causes rosacea?

The pathogenesis of rosacea is thought to be multifactorial and includes:

  • Genetic:
  • Susceptibility

Association with single nucleotide polymorphisms related to the class II major histocompatibility complex.

Altered microbiome of the skin and gut Bacterial overgrowth of the small intestine, Helicobacter pylori infection, and increased density of Demodex folliculorum and Staphylococcus epidermidis on the skin may play a role in skin inflammation.

Dysregulation of the immune response may lead to excessive inflammation, vasodilation, lymphatic dilatation, and angiogenesis.

Neurocutaneous mechanisms

Triggers include ultraviolet (UV) radiation, temperature change, exercise, spicy foods, alcohol, psychological stress, air pollution, and tobacco smoking. Calcitonin gene-related peptide (CGRP) may play a role in flushing and erythema.

Vascular laser treatment for rosacea

Impaired skin barrier

  • Affected skin displays features indicating skin barrier impairment, allowing bacterial colonisation and inflammation.
  • treatment combines gentle daily skin care, trigger avoidance, and prescription creams or oral medicines tailored to your specific symptoms.
  • Topical Treatments (Applied to Skin) Azelaic acid and metronidazole (such as Rozex) help calm inflammation, reduce redness, and clear bumps.
  • Ivermectin (such as Soolantra) targets skin mites and reduces inflammatory lesions.
  • Brimonidine and oxymetazoline are gels that narrow blood vessels to temporarily reduce flushing and persistent redness.
  • Oral Medications (Pills)Low-dose oral antibiotics (like doxycycline) are used for moderate to severe cases to lower inflammation rather than fight infection.
  • Isotretinoin may be prescribed by a specialist for severe, treatment-resistant cases.
  • Procedures and Self-Care Laser therapy targets and shrink visible blood vessels and chronic redness.
  • Daily sunscreen (SPF 30 or higher) protects against ultraviolet light, a common flare-up trigger.
  • Gentle skin care avoids scrubs, heavy fragrances, and foaming cleansers to protect your skin barrier.
  • Vascular Laser / IPL - For the treatment of spider and thread veins, and some vascular birthmarks and Rosacea
  • Light pulses targeted at the red-pigment (hemoglobin) in the blood which heats and destroys the pigment without affecting the skin or Other tissues.

Book your rosacea consultation

Call us on (02) 7500 5858 or book online.

Book An Appointment
(02) 7500 5858