Rosacea, redness, broken capillaries as well as flushing and blushing are common medical conditions. Treating and identifying the triggers of rosacea and facial redness is equally as important as having laser treatments. In Brisbane there are two ‘peak seasons for rosacea- one in Winter, and the other in Spring. These are due to flare factors such as wind, changes in temperature, and sunlight. Stress also plays a role in rosacea flare ups. The good news is that Medicare partially covers the cost of up to six laser treatment for rosacea annually.
- Rosacea is a form of ‘adult acne’ and is one of the most common conditions that I laser on a daily basis
- It can present as pimples, flushing, broken capillaries, redness or poor skin texture
- Lasers can decrease redness, flushing and blushing as well as broken capillaries
- The use of correct anti-inflammatory skin care and avoidance of flare factors is equally as important in the management of rosacea
- Everyone will have their own pattern of rosacea including redness, pimples, blushing, diffuse capillaries, sensitive skin, enlarged noses and even eye symptoms
- Finding the correct program for your type of rosacea will give the best results
Rosacea, unlike acne is a chronic (life long) condition, however the good news is that it can be effectively controlled with lifestyle changes, diet, products and of course laser.
Rosacea can present in several ways- redness and broken capillaries, pimples, and thickening of the skin – especially on the nose.
Up to 10% of the population suffer from this condition- especially if you live in Queensland as the high UV index contributes to this condition. In Brisbane, rosacea is seasonal- most patients present in the months of Winter and Spring. Famous people who suffer from rosacea include Princess Diana and President Clinton. Rosacea is often misdiagnosed as ‘adult acne’. The way to tell the difference is that rosacea patients will have ‘flare ups’ related to stress, alcohol, sunlight, changes in temperature, climate and have sensitive skin.
Rosacea treatments Brisbane by Dr Davin Lim, Brisbane Dermatologist.
The main stay of treating rosacea is the avoidance of trigger factors such as foods, stress, UV and products that can irritate your skin (toners, SLS, and other chemicals).
The second tier is to use anti-inflammatory creams and tablets. La Roache Posay provide and excellent range of products for rosacea prone skin. In some cases, anti-inflammatory prescription medication maybe required.
The third method is with laser- this is my mainstay of rosacea management. I use various lasers depending on your type of rosacea, your skin colour and your previous success or failures with other lasers and light based treatments.
90% of patients respond better to laser such as V BEAM 595 compared to IPL. This is because laser is more focused and accurate compared to IPL.
Additionally laser treatment of rosacea and facial veins gives you a Medicare Rebate, whilst IPL does not.
Laser treatment is also more comfortable as a cooling spray is used prior to lasing.
No, laser plays an important role in the treatment of rosacea by decreasing redness, capillaries, excessive tissue and inflammation. It is only a part of the big picture of rosacea management. Other things to consider include-
- A customised skin care regime
- Avoidance of flare factors
- The correct make up
- Anti-inflammatory tablets and creams for flare ups
- Management of stress levels
Rosaea such as this can respond well to a combination of lasers and anti-inflammatory tablets. Rosacea treatment Brisbane – lasers can help with rosacea and red faces.
As a Specialist I understand the disorder of rosacea. I may not help everyone with laser therapy, but my success rate for reducing redness and flare ups is in the order of 95%.
I also choose the best (and most often the most cost effective) products for your skin and will guide you thru the confusion of what to use to reduce redness and inflammation.
I also have access to over half a dozen laser machines to treat redness, including 532 KTP, 595 Pulse Dye V Beam laser, 755 Alex lasers, 1064 Nd Yag for deep vessels, CO2 for thickened skin and even the simple IPL machines. Rosacea is a medical and not a cosmetic condition, as such IMO this condition should be treated by Specialist Dermatologist. I work with a team of rosacea specialist including medical dermatologists, laser dermatologist (myself), specialist skin care pharmacists, and eyes doctors as 25% of rosacea patients will suffer eye symptoms such as dry eyes. A team approach gives rosacea sufferers the best treatment outcomes. For more on rosacea management visit www.rosacea.org
Simple anti- inflammatory products are best for rosacea patients. I like the LRP or La Roche Posay range of cleansers, sunscreen and anti-inflammatory creams.
Stay well away from toners, scrubs, exfoliants, and eyes creams- these can flare up rosacea.
More on rosacea skin care
Yes. The most common flare up factors are –
2. Foods such as alcohol, spicy foods, and sweets
3. Change of seasons- as well as temperature changes
4. UV exporsure- note that the right side of your face is redder than the left? This is due to sun exposure. (sunscreen is super important in the management of rosacea.)
- Never clean with alcohol
- Never use a toner
- Avoid Vitamin A creams in high strength
- Low strength Vitamin A, B and C can help reduce rosacea flare ups
- Never exfoliate with BHA or AHAs
- Don’t use a facial scrub
- Don’t have facials – as they often flare up rosacea
- Keep showers less than 3 minutes
- Always use a sunscreen
- Mineral make up is best for rosacea prone skin
This is the very extreme of rosacea and presents as thickening of the nose. This is usually seen in men over the age of 50, treatments such as laser resurfacing and surgery can make a dramatic difference. Dr Davin Lim is one of Australia’s leading rhinophyma experts.
More on Rhinophyma treatments
Patient are out of pocket between $390- $420 per laser session, less if your Medicare Threshold has been reached. Most patient require between 2-4 laser sessions for optimal results, depending on the severity of your rosacea.
Cleansers, anti-inflammatory creams and moisturisers are not expensive – on average you will be spending $1 a day to keep you skin healthy and rosacea free.
Yes. The average out of pocket cost for laser is $410 per session.
There are several rulings to this- firstly they must be performed by a Specialist. Additionally only lasers are allowed (IPL is not a laser and hence it can not be claimed on Medicare.)
There are other rulings such as how visible your veins – redness are at a nominated distance. I follow all Medicare guidelines. The good news is that 90% of rosacea patients will be within the Medicare guidelines, so treatments can be subsidised.
Dr Davin Lim
Rosacea, facial redness and broken capillaries are one of the common conditions that I treat. There are two distinct peaks of rosacea- one during winter and the other in spring. Changes in temperature and UV exposure account for the flare ups.
Most patients do not realise that this is a medical condition and not a cosmetic condition and that patients can get a rebate from Medicare. This means patients can save hundred of dollars and get a tax rebate for this condition- providing treatment is performed by Specialists and not beauty laser clinics.
Education of the patient is the first step I take. Identifying and avoiding flare factors forms the basis of treatments. The second step is to use anti- inflammatory medications, such as vitamins, tablets, and creams. Foods such as alcohol, spicy foods, and life’s luxuries like chocolate can flare rosacea, and these have to be approached in moderation. Lasers play a small but important role in reducing redness, and capillaries. I find that laser and not IPL treatment is more effective for rosacea. For patients with Rhinophyma Rosacea, I use the CO2 laser to sculpt the nose and remove excess tissue. This procedure is life changing.