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Dermatology · Rosacea

Calm the redness, quiet the flare

Rosacea — persistent facial redness, flushing, visible vessels and sometimes acne-like bumps across the cheeks and nose — is common, harmless and very manageable. It can't be cured, but with the right diagnosis, trigger awareness and professor-led treatment, it can be brought under lasting control.

Treatment options
Redness & flushing Professor-led Long-term control
Rosacea treatment at Circle Care
Calmer skin
fewer flares
Professor-led
dermatology

What it is

More than a rosy complexion

Rosacea is a long-term inflammatory skin condition that mainly affects the central face — the cheeks, nose, chin and forehead. It starts as flushing and persistent redness, and can progress to visible blood vessels, acne-like bumps and, in some people, thickened skin or irritated eyes.

It's most common in fair-skinned adults from their thirties onwards, and it tends to come and go in flares. It isn't caused by poor hygiene or by anything you've done — it's how your skin and blood vessels react. And while it can't be cured, it responds genuinely well to the right treatment and a little trigger know-how.

Settling the inflammation — and keeping the flares away.

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Types of rosacea, explained

Four faces of the same condition

Rosacea shows up in different ways — and many people have features of more than one type at once. Recognising which you have is key to treating it well.

Redness & flushing

Erythematotelangiectatic

Persistent redness across the central face, easy flushing and often visible small blood vessels. Skin may sting, burn or feel sensitive.

Bumps & pustules

Papulopustular

Redness with acne-like papules and pustules — sometimes mistaken for acne, but without blackheads. Comes in flares.

Skin thickening

Phymatous

Less common — skin thickens and becomes bumpy, most often on the nose (rhinophyma). More frequent in men, and very treatable.

Eye involvement

Ocular rosacea

Dry, gritty, red or irritated eyes and lids. It can occur with or without skin symptoms and shouldn't be overlooked.

Often overlapping. Most people don't fit neatly into one box — you might have redness and bumps together, or skin symptoms alongside eye irritation. Your specialist treats your particular mix, and adjusts as it changes over time.

Causes & triggers

Why rosacea flares

Rosacea comes from how your skin is built — but everyday triggers are what set off the flushing and flares. Knowing yours is half the battle.

Genetics & skin type

Rosacea runs in families and is most common in fair skin that flushes easily. It reflects how your blood vessels and immune system are wired.

Overactive blood vessels

Facial vessels dilate too readily and stay dilated, driving the flushing and persistent redness at the heart of rosacea.

Immune & inflammation

An overactive inflammatory response — sometimes linked to Demodex skin mites — fuels the bumps, pustules and sensitivity.

Trigger sensitivity

Skin over-reacts to everyday triggers — heat, sun, spice, alcohol, stress — setting off the flares rosacea is known for.

Common flare triggers

Sun and heat
Hot drinks and spicy food
Alcohol (especially red wine)
Stress and strong emotion
Extreme temperatures & wind
Vigorous exercise
Harsh or fragranced skincare
Some medications

Triggers are personal — part of our care is helping you find and manage yours, often with a simple flare diary.

Treatment options

A calm, tailored approach

Rosacea treatment is about control, not cure — matching gentle, effective options to your type and triggers, and adjusting as your skin settles.

Foundation

Gentle skincare & sun protection

A calming, fragrance-free routine and daily SPF — the base of every rosacea plan, reducing sensitivity and flare frequency.

Topical

Topical treatments

Prescription gels and creams — such as metronidazole, azelaic acid and ivermectin — that calm redness, bumps and inflammation.

Oral

Oral medication

For more active or bumpy rosacea, low-dose oral courses settle inflammation and bring flares under control.

In-clinic

Laser & light (IPL)

Targeted laser or intense pulsed light to reduce persistent redness and visible blood vessels that creams can't reach.

Ocular

Eye (ocular) care

Lid hygiene, drops and specific treatment where rosacea affects the eyes — an often-missed but very treatable part.

Ongoing

Trigger & maintenance plan

Identifying your personal triggers and a long-term routine to keep skin calm and flares few and far between.

Myths vs facts

Clearing up the confusion

Rosacea is widely misunderstood — and the myths can be hurtful as well as unhelpful. Here's what's actually true.

Rosacea is just having rosy cheeks

It's a genuine inflammatory skin condition that can progress — from flushing to persistent redness, bumps, visible vessels and eye symptoms — and benefits from real treatment.

It's caused by poor hygiene

Not at all. Rosacea is about genetics, blood vessels and inflammation — nothing to do with cleanliness. Over-washing actually makes it worse.

Rosacea is a type of acne

They can look similar and even overlap, but rosacea has no blackheads and is driven differently. Treating it like ordinary acne often backfires.

Only heavy drinkers get it

A harmful myth. Anyone can have rosacea; alcohol can trigger a flare but doesn't cause the condition. Plenty of people who rarely drink have it.

There's nothing you can do about it

There's a lot you can do. It can't be cured, but treatment and trigger management bring most people real, lasting improvement.

Sunscreen isn't necessary

Sun is one of the biggest rosacea triggers. Daily, gentle sun protection is one of the most effective things you can do to reduce flares.

What to expect

A clear path to calmer skin

Rosacea settles gradually with the right plan — and staying ahead of your triggers keeps the improvement going.

1

Consultation

A careful assessment to confirm it's rosacea, identify your type(s) and understand your flares, triggers and any eye symptoms.

2

Your plan

A personalised plan — gentle skincare, topical or oral treatment and any in-clinic options — with realistic expectations set from the start.

3

Treatment

Settling active inflammation and redness, with guidance on a calming routine and how to manage your triggers day to day.

4

Review & maintain

Reviewing progress and fine-tuning, then a long-term maintenance plan to keep flares infrequent and skin calm.

Prof. Dr. Milos Pavlovic

Your specialist

Prof. Dr. Milos Pavlovic

Our Professor of Dermatology brings deep expertise to rosacea — accurately diagnosing its type, calming inflammation and redness with the gentlest effective treatment, and building a long-term plan around your triggers. Expert care to bring calm, lasting control.

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Good to know

Rosacea, answered

Do I need a referral to be treated for rosacea?
No referral is needed. You can book a consultation directly, and we'll confirm the diagnosis, identify your type and build a treatment plan for you.
Can rosacea be cured?
Rosacea can't be cured, but it can be very well controlled. With the right treatment and trigger management, most people achieve real, lasting improvement — calmer skin, less redness and far fewer flares.
How is rosacea different from acne?
They can look similar and sometimes overlap, but rosacea centres on redness, flushing and sensitivity, and — unlike acne — has no blackheads. The treatments differ too, which is why an accurate diagnosis matters.
What triggers should I avoid?
Common triggers include sun, heat, hot drinks, spicy food, alcohol, stress and harsh skincare — but they're individual. We help you identify your own, often with a simple flare diary, so you can manage them without unnecessary restriction.
Will laser treatment help my redness?
For persistent redness and visible blood vessels that creams can't clear, laser or IPL can be very effective. We'll advise whether it's right for your type of rosacea as part of your overall plan.
Is rosacea treatment covered by insurance?
Cover varies by policy. Our team is happy to help you understand what your plan includes and to assist with any claim.

Calmer, more comfortable skin

Book a rosacea consultation

Persistent redness, flushing or bumps you'd like to bring under control? Book online or message us and we'll build the right plan for your skin.

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