Everything You Need To Know About Rosacea

From what it is to how best to treat it, Dr Victoria and Dr Charlotte share their expert advice…
Is Rosacea a pain point for you? You’re not alone.

 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.

The origins of rosacea are still debated, however there are triggers that can lead to the presence and flare up.


April is Rosacea awareness month, so to help raise awareness we’re focusing on the different types of Rosacea and how to manage it

How do we diagnose Rosacea?


  • Persistent midface redness associated with intermittent intensification by potential trigger factors
  • Phymatous changes.


Major criteria

  • Flushing/transient midface redness
  • Inflammatory papules and pustules
  • Telangiectasia — multiple visible spider vein blood vessels
  • Ocular rosacea (lid margin telangiectasia, blepharitis, keratitis/conjunctivitis/sclerokeratitis/anterior uveitis).

Minor features

  • Burning sensation of the skin
  • Stinging sensation of the skin
  • Oedema
  • Dry sensation of the skin.


The four subtypes of rosacea which are:

  • Erythematotelangiectatic Rosacea – Subtype one is identified with redness, flushing, and thread veins.
  • Papulopustular Rosacea – Subtype two is often known as acne rosacea, is associated with spots and breakouts.
  • Phymatous Rosacea – Subtype three is a rarer form of rosacea linked to thickening of the nose skin, often more commonly found in men.
  • Ocular Rosacea – Subtype four usually only affects the eye area.

Many people experience symptoms of more than one type of rosacea, meaning you may experience a mix of symptoms from each kind.

It’s important to identify the type or types of rosacea that cause your symptoms but to also understand which of your everyday habits and routines may be contributing to your symptoms.

Some simple lifestyle changes could help to improve the symptoms of rosacea…

  • Reduce exposure to ultraviolet and infrared radiation
  • Reduce exposure to the sun – and always wear SPF factor 50
  • Managing stress levels – stress and anxiety can increase inflammation
  • Cut down or avoid altogether spicy foods, dairy, caffeine and alcohol
  • Demodex mite – Also known as eyelash mites, they have increasingly been found to be associated with several skin and eye disorders, including rosacea.

Treatment and a good skincare routine will also help with symptoms. Although rosacea is not a life-threatening condition, it is a chronic disease that requires long-term management of relapsing and remitting symptoms.

A good rosacea skincare routine can:

  • Help your skin feel more comfortable
  • Improve the results you see from any facial treatments you have
  • Boost your skins overall health
  • Reduce/prevent future rosacea flare ups
What should your skincare routine look like?


  1. Cleanse your face twice a day with the ZO Gentle Cleanser. Double cleanse at the end of the day. Be gentle with your skin. Avoid rubbing and scrubbing your face.
  2. Moisturise every day. Skin Bureaux Super Defence Day Serum. This is a is a super antioxidant serum designed to help combat modern pollution and its effects on inflammatory triggers and the signs of ageing.
  3. Apply a daily SPF. Heliocare AR Emulsion. A firm favourite of ours. This light fluid is specifically designed for skin that is prone to redness and sensitive skin. The Heliocare 360 A-R Emulsion provides very high levels of broad-spectrum protection and features an innovative anti-redness system to help reduce and prevent redness.
  4. Choose rosacea friendly skincare products. Skin Bureaux Super Defence Day Serum – A super antioxidant serum designed to help combat modern pollution and its effects on inflammatory triggers and the signs of ageing. Skin Bureaux’s Rescue and Relieve Anti-inflammatory Moisturiser – Has anti-inflammatory effects and soothes irritated skin, improving skin tone and reducing redness.
Other treatment recommendations:



Intense Pulsed Light is a type of facial treatment that uses light wavelengths that are pulsed into the skin. Once the light reaches the skin, the light energy becomes heat energy that can be used to target and remove select skin cells. By focusing on a particular area and removing skin cells that are damaged, or causing damage, the cell rejuvenation process will be triggered, allowing new skin cells to replace the old. This will help to reduce, control, and manage the symptoms by reabsorption of facial veins and improving blood flow.

A course of IPL is a minimum of 3 sessions taken 4-6 weeks apart. At the end of this course, patients will receive a review, where there may be a recommendation for more treatments, depending on the severity and how patient’s skin responds. Find out more.



HydraFacial™ is a unique and non-invasive multi-step skin treatment combining six separate skin rejuvenation procedures in one: Detox, Cleansing, Exfoliation, Extraction, Hydration and Antioxidant protection.

This medical deep clean for the skin, removes impurities and feeds the skin with the nutrition it needs. HydraFacial’s work well to clear congestion for Papulopustular Rosacea (acne rosacea). Find out more.



Visible thread veins can be treated with Thermavein. This treatment is aimed at the visible blood vessels causing them to shrink and make them less visible.

Thermavein® is an exceptionally safe treatment that can be carried out on any skin type with instant results. The treatment is suitable for use on the face with the nose, chin and cheek being the most commonly requested areas.



Skin peels can have a beneficial effect on rosacea and can help better manage the redness. Prominent blood vessels will improve after a special chemical peel for rosacea.

Medical grade skin peels brighten, deeply exfoliate and rejuvenate the skin, reducing the appearance of fine lines and wrinkles, stimulating new cell growth and collagen production, and improving both texture and tone. Find out more.

Dr Victoria Manning comment


“I recommend Skin Bureaux’s Rescue and Relieve Anti-inflammatory Moisturiser. A powerhouse anti-inflammatory and hydrating moisturiser with Vitamin B3, B5 and E to help reduce signs of damage and treat skin concerns, such as rosacea prone skin. Ultra-Low Molecular Weight Hyaluronic Acid helps hydrate and plump, whilst probiotics and adaptogens help restore the skin’s natural balance”.

Dr Victoria Manning