Rosacea is a chronic inflammatory skin condition that predominantly affects the central areas of the face. It typically emerges between the ages of 30 and 60 and is a common cause of persistent facial redness. In its initial stages, rosacea tends to be intermittent, with symptoms like flushing, redness, and pustules resembling pimples. Management involves lifestyle adjustments, such as avoiding common triggers like alcohol, excessive heat, spicy foods, and sun exposure, as well as general skincare, medications, and laser treatments.
Rosacea is a prevalent condition, impacting around 5% of adults, and occasionally even children. Its occurrence tends to increase with age, and it is more common among individuals with fair skin. Detecting rosacea in darker skin tones can sometimes be challenging.
Treatment Approach at The Marr Clinic
Our goal is to not only address the clinical features of rosacea but also improve the client's quality of life. While rosacea is not life-threatening, it can have a significant psychosocial impact.
Our treatment begins with a comprehensive skincare consultation with our experienced practitioners. We strive for complete symptom resolution, as studies have shown that this approach prolongs the time to symptom relapse.
To effectively treat rosacea, a combination of treatments, including skincare and laser therapies like Clear and Brilliant, V laser, and LED, is often necessary.
By offering a holistic approach to rosacea treatment, we aim to provide our clients with the best possible outcomes and an improved quality of life.
Treatment Approaches for Rosacea:
Effective rosacea treatment combines lifestyle measures, medical-grade skincare, and laser procedures.
Causes of Rosacea:
Various factors contribute to the development of rosacea, including:
- Genetic susceptibility.
- Altered skin and gut microbiome. This may involve bacterial overgrowth in the small intestine, gut infections, and increased presence of the Demodex mite on the skin, potentially contributing to skin inflammation.
- Altered immune response.
- Excessive inflammation, blood vessel dilation, and the formation of new blood vessels, which can lead to flushing and visible broken blood vessels in later stages.
- Environmental triggers.
- These triggers include sun exposure, excessive heat, physical activity, spicy foods, alcohol, air pollution, and smoking.
- Impaired skin barrier.
- A compromised skin barrier can lead to bacterial and mite overgrowth on the skin, contributing to inflammation.
Specific Treatment Measures:
For transient flushing:
- Topical Brominidine or oral beta blockers may help reduce flushing.
For persistent redness and visible broken vessels:
- Vascular 532nm laser (V laser) or Clear and Brilliant laser treatments can be effective.
For inflammatory pustules:
- Topical Ivermectin or topical metronidazole (prescription medications) may be prescribed.
- In some cases, an oral retinoid (a type of Vitamin A, available by prescription) could be recommended.
Skincare for Rosacea:
- Use mild cleansers instead of soap.
- Use physical sunscreens containing Zinc Oxide or Titanium dioxide.
- Consider anti-inflammatory agents such as salicylic acid or azelaic acid.
- Regularly moisturize to repair and strengthen the skin barrier.
- Avoid the use of topical steroids.
MEET DR. MAY MARR
Dr May Marr is a Flinders University Medical School graduate and a member of the Royal Australasian College of Physicians. She has a long-held interest in aesthetic medical procedures and evidence-based skin care. She holds a passionate belief that people should have access to procedures and products that are research-backed, ethically prescribed and skilfully delivered.
Dr Marr has trained with Dr Jacque Le Coz at the Institute of Mesotherapy in Paris. She holds an Advanced Diploma in Dermatology from the Australian Institute of Dermatology and in 2020 completed her Dermatology Fellowship.
The ethical, educational and procedural standards that Dr Marr brings to aesthetic medicine have been recognised by some of the largest aesthetic companies in the world. She holds advanced injector status and her extensive clinical experience sees her regularly called upon as an industry educator.
“OUR PHILOSOPHY IS TO KEEP OUR PATIENTS LOOKING NATURAL – NOT ‘DONE’.”
DR MAY MARR