Rosacea is a common skin condition that mainly affects the central face. It is characterised by persistent redness, visible blood vessels, and occasional acne-like bumps. Rosacea often develops in adulthood and may come and go, with flare-ups triggered by environmental or lifestyle factors. While there is no cure for rosacea, treatment can help manage symptoms and improve quality of life.
At our Chiswick skincare clinic, we offer expert care for rosacea patients through personalised treatment plans. Most patients we see have erythematotelangiectatic rosacea, presenting with flushing and redness, or papulopustular rosacea, which includes bumps and pimples. We do not treat rhinophyma or ocular rosacea, but we can help those with flushing, sensitivity, and inflammation find relief.
At our rosacea treatment clinic in Chiswick, all consultations are led by Dr. Bela, an experienced dermatologist. We understand that rosacea doesn’t look the same for everyone. That’s why treatment must be tailored to your type of rosacea, symptom severity, skin tone, and lifestyle.
Common signs and symptoms of rosacea include facial redness, visible blood vessels, and bumps on your face that resemble acne. Many people with rosacea also experience stinging, sensitivity, and a tendency to flush or blush easily. Rosacea can lead to inflammation and thickening of the skin in some cases, though this is less common.
A diagnosis of rosacea is made clinically based on appearance and medical history. Rosacea may develop gradually and worsen over time if left untreated. During your consultation, we’ll assess the severity of your rosacea symptoms and explore your triggers. Treatment often includes:
While we recommend laser treatment or IPL for persistent redness and broken capillaries, we do not currently offer these in-clinic.
We typically avoid long-term oral antibiotics. Although doxycycline may be prescribed in some cases of papulopustular rosacea, we prefer to use topical therapies like azelaic acid and metronidazole. These options for rosacea are well tolerated and provide effective anti-inflammatory action without disrupting gut health.
Gentle skin care is essential for managing rosacea. Many people unknowingly use products that irritate sensitive skin and trigger flare-ups. At Chiswick Clinic, we use ZO® Skin Health routines, including:
Step 1: Cleanse and Soothe
ZO® Gentle Cleanser and Calming Toner remove dirt and oil without aggravating the skin.
Step 2: Target and Treat
Rozatrol™, designed specifically for rosacea-prone skin, helps calm the skin and improve microcirculation. We may also use azelaic acid, which is applied to the skin to reduce redness and inflammation.
Step 3: Protect and Strengthen
We always recommend daily use of sunscreen. ZO® Sheer Fluid SPF 50 protects your skin from the sun, one of the most common rosacea triggers. With long-term use, these products help control rosacea and support healthy skin.
The exact cause of rosacea is unknown, but rosacea may be triggered by:
We help our patients build a rosacea diary to monitor triggers and symptoms over time. This tool, recommended by the Rosacea Society and the Rosacea Resource Center, helps people with rosacea stay in control of their condition.
Rosacea symptoms may improve within a few weeks of starting treatment. For most patients with rosacea, it takes 4–8 weeks to see clearer, calmer skin. Consistency with topical therapy, trigger avoidance, and sunscreen use is key. Rosacea often requires ongoing care to prevent flare-ups and maintain results.
All rosacea consultations are led by Dr. Bela, a dermatologist with special interest in inflammatory conditions and skin of color. Occasionally, Brigi, our aesthetic practitioner, supports patients with therapy such as calming facials or LED sessions. Everyone’s skin deserves expert care, and our goal is to protect your skin and reduce symptoms.
Yes. Many patients with rosacea have a history of the condition in their family, especially those of Irish-Caucasian heritage.
Both can cause bumps and pimples, but rosacea also involves persistent redness and visible blood vessels. It may come and go and is linked with flushing and sensitivity.
There is no cure for rosacea, but treatment for rosacea can help manage symptoms and prevent worsening. Long-term care makes a real difference.
Not if you choose non-comedogenic, fragrance-free products. We offer advice on how to use makeup safely.
Ocular rosacea may cause eye symptoms like irritation, dryness, and redness. If these develop, see an eye specialist. We do not treat ocular rosacea in-clinic.
In rare cases, rosacea can thicken the skin of the nose, a condition called rhinophyma. We do not treat rhinophyma but can refer you to a specialist.
Call or message us for personalised health information and guidance. Treatment of rosacea is possible — and we’re here to help you manage your symptoms, protect your skin, and regain confidence.
