Complete-Skin-Specialists
Skin Conditions

Rosacea

Rosacea is a common skin condition that can vary in severity and presentation. While it is a chronic condition, a range of treatment options are available to help manage symptoms.

At Complete Skin Specialists, our dermatologists, dermal therapists, and cosmetic nurses work together to offer individualised rosacea care. This may include skin care recommendations, prescription treatments, and laser-based therapies to support the management of redness, visible capillaries, and facial flushing.

Rosacea

About Rosacea

Rosacea is a common skin condition that causes redness, flushing, and sensitivity, particularly on the face. It may also include red bumps, pimple-like breakouts, and visible blood vessels (capillaries). Over time, the skin can become more irritated and inflamed.

The exact cause of rosacea is not fully understood, but early diagnosis and treatment may assist in managing symptoms and reducing the likelihood of progression.

Rosacea is most common in people with fair skin, particularly those of English or Irish heritage. It is more frequently seen in women aged 30 to 50, but men and even teenagers can also develop it. In some cases, hormonal changes, such as those experienced during menopause, may play a role.

Rosacea symptoms can vary, but common signs include:

  • Persistent redness – Typically across the cheeks, nose, chin, and forehead
  •  Flushing or blushing – Skin may feel warm and sensitive
  •  Acne-like breakouts – Red bumps and pustules (without blackheads)
  • Visible blood vessels (capillaries or telangiectasia)
  • Skin sensitivity – Burning, stinging, or irritation from skincare products or environmental triggers
  • Swelling – In more advanced cases, swelling may occur across the nose, cheeks, forehead, and chin
  • Eye symptoms – About 50% of people with rosacea experience dry, irritated, or red eyes, which may feel gritty or inflamed

For some, rosacea worsens over time. Initially, redness may come and go, but without treatment, it can become more persistent. In severe cases, a condition called rhinophyma may develop, where thickened skin and enlarged oil glands cause the nose to appear bulbous. 

This occurs more commonly in women and may require laser or surgical treatment.

Rosacea can present in different ways, and it is classified into four main subtypes:

  • Erythematotelangiectatic Rosacea – Persistent redness, flushing, and visible blood vessels
  • Papulopustular Rosacea – Redness, swelling, and acne-like breakouts
  • Phymatous Rosacea – Thickened, bumpy skin (most commonly on the nose)
  • Ocular Rosacea – Red, irritated eyes, swollen eyelids, or what appears to be a sty.

Rosacea triggers vary between individuals, but common factors include:

  • Alcohol – Red wine, beer, gin, vodka, and champagne may cause flare-ups. Some people react to sulphites in wine.
  • Hot beverages – Coffee, tea, and other hot drinks can worsen symptoms.
  • Spicy foods – Certain foods, including tomatoes, eggplants, citrus fruits, and dairy products, may contribute. Keeping a food diary may help identify triggers.
  • Extreme temperatures – Hot showers, saunas, strong winds, and cold weather can trigger rosacea.
  • Exercise – Intense physical activity may cause flushing.
  • Skin care products – Products with alcohol, fragrances, witch hazel, or strong anti-aging ingredients (e.g., retinoids, AHAs) can irritate sensitive skin.
  • Certain medications – Some prescription topical steroids may help initially but can worsen rosacea with long-term use.
  • Emotional stress – Stress and anxiety can be aggravating factors.

By identifying and avoiding triggers, you can help reduce flare-ups and maintain better control over your rosacea.

Treatment for rosacea is tailored to your symptoms, triggers, and skin type. Management typically focuses on three key areas:

1. Supporting the Skin Barrier

Using gentle, rosacea-appropriate skincare and sun protection may help reduce irritation and support daily symptom management. Your clinician can offer guidance on suitable products as part of an individualised plan.

2. Addressing Inflammation (Redness and Acne-like Breakouts)

  • Treatment options vary depending on the severity and presentation of rosacea. These may include:
  • Non-prescription products with anti-inflammatory properties
  • Prescription topical medications to assist with redness or breakouts
  • Oral antibiotics, sometimes used for short-term inflammation
  • Oral isotretinoin, which may be considered in severe cases

3. Reducing Redness and Visible Capillaries

Laser-based treatments may be used to address visible blood vessels and persistent facial redness. Specific options, such as vascular lasers, can be discussed with your practitioner if appropriate for your skin. These therapies are typically offered as part of a longer-term management plan.

All treatments carry potential risks and benefits. A consultation with a qualified practitioner is required to assess suitability and discuss options.

Common treatment pathway for Acne & acne scarring

Stage 1

A patient typically needs to see a Dermatologist for correct diagnosis (as there are various sub types of Rosacea), education on environmental and lifestyle triggers, and prescription Medication – such as antibiotics and topical soothing creams.

Stage 2

Following this, they are referred to dermal therapy team for skin care advice; correct skin care is essential in the management of Rosacea and incorrect cosmetic products can be a huge trigger for symptoms and irritation – we need to care for the skin and strengthen the barrier.

Stage 3

We then discuss vascular laser (Vbeam) to target redness, flushing and broken capillaries (main symptoms of Rosacea). We typically start with 3 lasers, 8 weeks apart.

Stage 4

We review the patient after each laser and again at 6 months.

Stage 5

Once their Rosacea is under control; they are referred to a maintenance plan where we recommend a Vbeam laser every 6-12 months.

*Please note, treatment pathways may vary depending on individual circumstances. This plan is a typical pathway.

Understanding Treatment Options for Rosacea

Depending on where you’re at in your journey, you can book an appointment with our dermatology practice, or cosmetic practice.

Treatment options

Visit our Dermatology Practice

Depending on individual circumstances, treatment options may include:

  • Topical treatments
  • Oral medications
  • Lifestyle and trigger management advice
Location

39 Station Street, Sunbury VIC 3429

Treatment options

Visit our Cosmetic Practice

Depending on individual circumstances, treatment options may include:

  • Vascular laser therapy (Vbeam)
  • Intense Pulsed Light (IPL)
  • LED light therapy
  • Dermapen – Complete Skin Needling
  • Skincare advice
Location

Building 1: 115 O’Shanassy Street, Sunbury VIC 3429

New patient to Complete Skin Specialists?

If you’re a new patient, you’ll be invited to attend an initial consult prior to your service to ensure it’s right for you.

Book your initial consult

See your GP to obtain a referral

Initial consult to discuss skin concerns and goals

Initial consult to discuss
skin concerns and goals

Procedure

Receive a treatment plan to support your skin health

Why choose Complete Skin Specialists to help treat

Broad-spectrum Treatment

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Long Lasting Results

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