Let’s talk about Rosacea

it’s a dysregulated immune response which breaks down the skin barrier. Its aggerated by alcohol, caffeine, sun exposure, changes in temperature, exercise, spicy foods, cheese and emotional stress.

Therefore it’s important for the patient to try and avoid these triggers and keep a diary of flare ups

Symptoms include red facial veins, blushing across nose, cheeks forehead and chin that comes and goes. You may also get red bumps and acne which may be called acne roseacea.

A stinging and burning feeling occurs when you apply skincare products

Other symptoms include

  • dry skin
  • swelling, especially around the eyes
  • yellow-orange patches on the skin
  • sore eyelids or crusts around roots of eyelashes – this could be blepharitis
  • thickened skin, mainly on the nose (usually appears after many years)

Here at our Cheltenham clinic in St Georges Road we can help you with your skin concerns. We carry out a consultation prior to any treatments and plan the best way forward for you.

Rosacea is a mystery to us as there are only theories on what causes it


  1. Demodex mites- these mites are on everyone’s skin but some people may be allergic to them causing redness, irritation & causing inflammation
  2. Its Genetic as it usually runs in families
  3. Enlarged blood vessels which maybe exacerbated by sun exposure
  4. A bacteria in the gut which increase the digestive enzme and in turn causes facial flushing.

Who’s more prone to Rosacea?


  1. If you’re blond and blue eyed
  2. Are female and between 30-50
  3. Are 50 plus and female due to hormonal changes
  4. Have family members with roseacea
  5. If you smoke
  6. Are prone to acne

How to avoid flare ups!

  • wear a high SPF sunscreen of at least SPF 30 every day
  • try to avoid heat, sunlight or humid conditions if possible
  • try to cover your face in cold weather
  • use gentle skincare products for sensitive skin
  • clean your eyelids at least once a day if you have blepharitis
  • take steps to manage stress


With the differing of severity of rosacea there isn’t one treatment which suits all

  1. Clear papules and pustules
  2. reduce redness and inflammation
  3. rebuild the skin barrier with specialized skincare bespoke to the patient


Try to follow these tips every day to help fade the redness on your skin:

  1. Put on sunscreen Use one that’s a broad spectrum (blocks UVA and UVB rays) and SPF 30 or higher whenever you go outside. Also wear a wide-brimmed hat that covers your face
  2. Use only gentle skin care products that are recommended by your practitioner. Medical grade or prescription skincare are a lot more effective than high street brands as they work form the inside out. Avoid cleansers and creams that have alcohol & fragrances and other harsh ingredients. After you wash your face, gently blot your skin dry with a soft cloth
  3. Use a moisturiser. It’s especially helpful in cold weather. Lower temperatures and wind can dry up your skin. it’s important to use the correct hydrator for your skin type

Our Nurse Prescriber can help with your skin complaint and prescribe the correct treatment plan that’s unique to you. This is achieved by a skin care plan, prescription medication, light treatment .

Call us at our Cheltenham Clinic 01242896997 or email helen@helencleland.co.uk