It’s rosacea awareness month and I wanted to share wiht you some of the latest research and management options to treat rosacea, which is a chornic vascular conditions affecting millions pof people world wide.

I was recently lucky enough to attend IMCAS Paris this year and attend the round table Rosacea lectures. What I learnt here is that my approach to rosacea- which is holistic, personalised and symptom based, as opposed to the "one size fits all" approach is right on track with the evidence and current best practice of rosacea.

Symptom Based Management Of Rosacea

Flushing: Lifestyle (avoidance of certain foods, alcohol, stress reduction) , mirvaso propanalol, carvedilol. Topical microtox can help as well.
Sensitivity: topical Niacinamide gentle moistyrisers- avoid added alcohol, fragrance
Papules: topical ivermectin, oral docycycline or minocycline, isotretinoin.
Redness: IPL and vascular lasers to target redness specifically, combined with exosomes to reduce the vascular component. We recommend an intensive phase of 4 sessions followed by one ever 3 months to maintain concerns.
Sundamage and oxidative stress: rosacea symptoms such as redness is especially common in caucasian patients with sun damaged skin- both men and women suffer from this. The combination of a medical grade retinol and IPL/vascular laser works well in these patients, who tend to have thicker less sensitive skin.
Hormonal Flares: Rosacea flares with excess oestrogen, and is common in perimenopuase. Managing your gut biome so it can effectively process oestrogen in important- aim for fibre 25 - 35g a day, and reduce processed food and alcohol. Consider a supplement like DIM 200mg a day. See your GP to manage perimenopause.
Phymatous changes: long term inflammation can cause dermal swelling and enlargement of tissue, notably the nose region. The best approach for this is Ablative Laser combined with isotretinoin.

Rosacea is now seen as an inflammatory, as opposed to an solely infective disease.

New insights were the use of Exosome therapy to target and reduce skin inflammation. As such I have introduced this to my pathways in the clinic, combined with Vascular laser.

Whatever the approach- rosacea is a chronic issue- it will wax and wane throughout your life. If you suffer from rosacea we recommend a consultation with an expert to help you determine the best approach for your skin symptoms, and a self management plan.

As someone who suffers from rosacea myself, I understand how challenging it can be. If you suffer from rosacea and would like evidence based advice and treatments, please contact the clinic for an appointment with our dermal therapists- the girls will assess your concerns, educate you, and design a treatment plan based on your concerns. They will refer you to me if you need medical management.

Book a consultation with Dr Jemima Grant