What is Rosacea?
Rosacea is a chronic inflammatory skin condition that primarily affects the face. It often begins with persistent redness and can develop into visible blood vessels, bumps, and irritation.
While it can affect anyone, it’s most commonly seen in adults with fair skin, particularly between the ages of 30 and 50.
Common Signs and Symptoms:

• Facial redness (especially on the cheeks, nose, forehead, and chin)

• Visible blood vessels (also called telangiectasia)

• Red bumps and pustules that can resemble acne

• Burning or stinging sensations

• Dry or rough skin texture

• In some cases: eye irritation or thickening of the skin, especially around the nose

What Causes It?
The exact cause of rosacea is still unknown, but several contributing factors include:

• Genetics

• An overactive immune system

• Demodex mites (a type of skin mite naturally found on the skin)

• Triggers like heat, sun exposure, spicy foods, alcohol, stress, or certain skincare products

Rosacea is not contagious, but it is a recurrent condition, which means it can flare up and go into remission at different times.

Rosacea types: 

Erythematotelangiectatic Rosacea (ETR)

This is the most common and earliest form of rosacea, and it primarily affects individuals with fair, sensitive skin.

Key Characteristics:

• Persistent facial redness (erythema), often mistaken for flushing or blushing

• Visible, dilated blood vessels (telangiectasia), especially on the cheeks and nose

• Skin may feel hot, tight, dry, or stinging

• Flushing episodes triggered by heat, emotions, sun, alcohol, or spicy foods

Commonly Affected Areas:
Cheeks, nose, forehead, and chin.

Clinical Notes:
ETR tends to progress gradually. If left untreated, it can become more persistent and evolve into other forms. It is often confused with sunburn or general skin sensitivity.

Management Focus:
Barrier repair, anti-inflammatory topicals, vascular laser or IPL, sun protection, and identifying lifestyle triggers.

2. Papulopustular Rosacea

Sometimes called “acne rosacea,” this type resembles acne but without the presence of blackheads or excess oil.

Key Characteristics:

• Redness with inflammatory papules and pustules (small red bumps and pus-filled pimples)

• Skin may feel rough, sensitive, or tender

• May include swelling and burning sensations

• Often accompanied by ETR symptoms

Commonly Affected Areas:
Central face—cheeks, nose, and chin.

Clinical Notes:
Often misdiagnosed as adult acne or hormonal breakouts, but unlike acne vulgaris, rosacea lacks comedones (blackheads/whiteheads). Stress, diet, and inappropriate skincare can exacerbate flare-ups.

Management Focus:
Topical or oral anti-inflammatory treatments (e.g., metronidazole, azelaic acid), non-comedogenic skincare, and gentle professional treatments.

3. Phymatous Rosacea

This is a less common but more severe subtype, involving skin thickening and enlargement of sebaceous (oil) glands.

Key Characteristics:

• Thickened, bumpy, or uneven skin texture

• Enlargement of facial features, especially the nose (rhinophyma)

• Skin may appear oily with large pores

• Can occur with or without other rosacea symptoms

Commonly Affected Areas:
Primarily the nose, but may also involve the forehead, chin, ears, and eyelids.

Clinical Notes:
This form progresses slowly and is more often seen in men. Rhinophyma is the most recognized feature, often misunderstood as a result of alcohol use, which is a myth.

Management Focus:
Early intervention is key. Advanced cases may require surgical reshaping, laser resurfacing, or dermabrasion. Topicals can manage underlying inflammation.

4. Ocular Rosacea

This type affects the eyes and eyelids, and is frequently underdiagnosed.

Key Characteristics:

• Red, irritated, watery, or bloodshot eyes

• Sensation of grit, dryness, or burning

• Swollen or crusted eyelids (blepharitis)

• Sensitivity to light (photophobia)

• In more severe cases, it can affect vision

Commonly Affected Areas:
Eyes and eyelids.

Clinical Notes:
Ocular symptoms may occur before or without skin symptoms. It often overlaps with other eye conditions and requires co-management with an eye care professional.

Management Focus:
Artificial tears, warm compresses, lid hygiene, oral antibiotics (like doxycycline), and collaboration with ophthalmologists.

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How We Treat Rosacea: A Tailored, Multidimensional Approach

As a chronic inflammatory skin condition, rosacea requires more than just a single solution. It demands a personalized, layered strategy that addresses the skin’s sensitivity, inflammation, barrier health, vascular activity, and microbiome—all while avoiding unnecessary irritation.

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🔬 1. Chemical Peels – Gentle, Anti-Inflammatory Formulations

Despite common misconceptions, chemical peels can be very beneficial for rosacea-prone skin—when done correctly. We do not use aggressive or exfoliative peels on reactive skin. Instead, we select anti-inflammatory and barrier-supportive peels, such as low-strength mandelic acid, lactic acid, or polyhydroxy acids (PHAs), which:

• Calm inflammation

• Reduce papules and congestion

• Strengthen the skin’s acid mantle

• Brighten dull, blotchy tone without aggravating blood vessels

These are always chosen based on skin condition and tolerance, and often performed in a series of treatments to build results gradually and safely.

🌬️ 2. CO₂ Oxygen Facial – Healing Through Oxygenation

Rosacea-prone skin is often compromised in circulation and oxygen delivery, leading to dullness, congestion, and a sluggish repair response. The CO₂ Oxygen Facial (also known as oxygenation therapy) stimulates a natural Bohr Effect, triggering the body to send a rush of oxygen-rich blood to the treated area.

Benefits include:

• Increased healing and repair response

• Improved circulation and toxin removal

• Reduced redness and inflammation

• Gentle exfoliation without mechanical friction

This treatment is soothing, non-invasive, and safe even during flare-up phases, making it an ideal option to boost skin resilience.

✨ 3. IPL Skin Rejuvenation – Vascular and Redness Management

Intense Pulsed Light (IPL) is one of the most effective treatments available for persistent redness, flushing, and visible blood vessels associated with rosacea.

How it works:

• IPL targets hemoglobin in broken capillaries and dilated vessels

• Light energy is absorbed and converted to heat, collapsing the vessels

• Skin tone becomes more even, with reduced flushing and redness

Over a course of treatments, IPL can dramatically improve the visible symptoms of rosacea. It’s especially effective for Erythematotelangiectatic Rosacea (ETR), but always requires a professional assessment and pre-treatment skin preparation.

🧴 4. Professional Skincare – Barrier Repair & Inflammation Control

No rosacea treatment plan is complete without a dedicated skincare protocol that addresses the skin’s barrier, inflammation, and microbiome. Our product recommendations focus on:

• Calming ingredients like niacinamide, azelaic acid, panthenol, and oat beta-glucan

• Barrier-repairing lipids such as ceramides and essential fatty acids

• Non-irritating SPF to protect fragile skin from UV-triggered inflammation

• Minimal formulations free of fragrance, alcohol, and harsh actives

We select and customize your skincare plan carefully, updating it as your skin evolves over time.

💊 5. Oral Nutritional Support – Advanced Nutrition Programme Accumax®

Skin health begins from within, and many rosacea clients benefit from targeted oral supplementation. One of the most effective options is Skin Accumax® by the Advanced Nutrition Programme. Though originally formulated for acne-prone skin, it has shown excellent results in rosacea cases that present with papules, pustules, and inflammation.

What makes it powerful:

• DIM (Diindolylmethane) – Helps regulate hormonal pathways and inflammation

• Vitamin A – Supports healthy cell turnover and skin healing

• Antioxidants – Help calm oxidative stress and environmental triggers

Skin Accumax is well-tolerated, non-irritating, and works synergistically with professional treatments.

🧬 Each Skin is Unique — So Is Every Rosacea Treatment Plan

It’s important to understand: rosacea isn’t one-size-fits-all.
Some clients deal primarily with redness and flushing, others with papules or ocular sensitivity, and many with a mix. That’s why every treatment plan we offer is:

• Tailored to your exact subtype and symptoms

• Adjusted based on season, lifestyle, and medication history

• Developed as a step-by-step protocol that evolves with your progress

• Often includes a mix of in-clinic treatments, professional skincare, and internal supplementation

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🤝 Let’s Build Your Rosacea Protocol — Together

Our goal isn’t just to calm your symptoms—it’s to restore your skin’s function, strengthen its defenses, and help you feel confident again. With the right combination of clinical expertise, technology, and support, rosacea can be successfully managed and your skin can thrive.

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💼 Pricing & Booking Information

Because rosacea presents differently in every individual, treatment prices vary depending on your skin’s specific needs and the type of therapy best suited for you. A proper skin assessment is essential before creating your personalized rosacea treatment plan.

If you're ready to begin your skin journey, I always recommend starting with a Hydrofacial Deep Cleanse.

Why?
I believe in working on clean, prepped skin to properly assess your skin’s behavior, sensitivity, and overall health. This deep-cleansing treatment helps me:

• Observe your skin in its cleanest, most natural state

• Remove congestion and buildup

• Begin calming inflammation immediately

• Determine which advanced treatments or combinations will suit you best

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✨ Start with a Hydrofacial Deep Cleanse to begin your rosacea protocol the right way.

From there, we’ll build a plan that’s clinically effective, personalized, and designed for long-term skin health.