At PHI Clinic on Harley Street in London, doctors treat rosacea medically. Treatment plans are designed to calm inflammation, reduce redness, and restore skin health using evidence-based therapies tailored to each individual.

Rosacea can present in different forms, and many individuals experience features of more than one subtype:

• Erythematotelangiectatic rosacea (ETR): persistent redness, facial flushing, and visible capillaries or small blood vessels
• Papulopustular rosacea: redness with small bumpy spots, including acne-like bumps and pustules
• Phymatous rosacea: thickening of the skin, which can lead to a red or swollen nose
• Ocular rosacea: irritation, dryness, redness, or discomfort affecting the eyes and eyelids

Identifying the dominant subtype helps guide the most appropriate rosacea treatment approach.

The exact cause of rosacea is not fully understood, but it is known to involve abnormalities in facial blood vessels, inflammatory responses, and skin barrier function. Genetics can play a role, particularly in individuals with fair or sensitive skin.

Common rosacea triggers include heat, sun exposure, alcohol, spicy foods, stress, temperature changes, and irritating skincare products. Triggers vary for each person, and recognising them is an important part of long-term rosacea management.

Laser and light-based treatments can be effective for managing certain rosacea symptoms, particularly persistent redness and visible blood vessels.

Technologies such as Excel V+, Vbeam, and IPL treatment are used to target dilated blood vessels beneath the skin. These treatments deliver controlled energy that helps reduce redness, facial flushing, visible veins, broken blood vessels, and red thread veins over a series of sessions.

Laser and light treatments are not suitable for every type of rosacea and are always selected based on individual symptoms, skin type, and medical assessment. They are typically used as part of a broader rosacea management plan rather than as a standalone solution.

Gentle, medical-grade skincare is an important part of managing rosacea. Products are chosen to support the skin barrier, reduce inflammation, and minimise irritation.

Lifestyle management may also help reduce flare-ups and includes sun protection, trigger avoidance, and simplifying skincare routines. Education and consistency are key to achieving long-term improvement.

What Results Can I Expect?

Rosacea is a chronic condition, so treatment is aimed at long-term control rather than cure. With appropriate management, most patients experience a noticeable reduction in redness, flushing, sensitivity, and flare-up frequency.

Improvements develop gradually and are best maintained through ongoing care, follow-up appointments, and adherence to personalised advice. Expected outcomes vary depending on rosacea subtype and severity.

Is Rosacea Treatment Safe?

Rosacea treatments at PHI Clinic are performed by medically trained practitioners using evidence-based technologies and protocols.

Doctors always assess treatment suitability on an individual basis, taking into account skin sensitivity, medical history, and the specific type of rosacea present. Patient safety and skin health are prioritised at every stage of treatment.