Treatment Of Rosacea - Psoriasis & Skin Clinic - Gosford, Central Coast 

Rosacea is a chronic inflammatory skin disorder that affects the central face, leading to persistent redness, visible blood vessels, flushing, sensitivity, and sometimes acne-like bumps or eye irritation.

It often follows a pattern of flares and remissions and is most common in adults aged 30–60. Modern research shows rosacea involves abnormalities in the body’s immune system, neurovascular dysregulation, and an impaired skin barrier, making the skin unusually reactive to internal and external triggers.  

  • Several biological and environmental factors can activate or worsen rosacea.

    • Vascular over reactivity (blood vessels dilate easily)

    • Overgrowth of Demodex mites

    • Impaired skin barrier causes increased sensitivity

    • Overactive innate immunity may create inflammation & bumps

  • These internal factors initiate the inflammatory cycle before external, or lifestyle factors worsen symptoms.

    • Genetic predisposition

    • Overactive immune pathways

    • Neurovascular hypersensitivity leading to easy flushing

    • Temperature dysregulation

    • Hormonal influences

  • Secondary triggers do not cause rosacea but can significantly exacerbate it in individuals with underlying susceptibility.

    These may worsen existing rosacea:

    • Heat, sun, wind, humidity changes

    • Alcohol (especially red wine)

    • Spicy foods & hot drinks

    • Histamine-rich foods

    • Stress & vigorous exercise

    • Harsh skincare: fragrance, alcohol, exfoliants

    • Chemical or heat exposure at work

  • Rosacea includes several subtypes.

    ·       Erythematotelangiectatic rosacea involves persistent facial redness and visible vessels.

    ·       Papulopustular rosacea—often called acne rosacea—causes pustules and inflamed bumps.

    ·       Phymatous rosacea leads to skin thickening, most commonly on the nose (rhinophyma).

    ·       Ocular rosacea affects the eyes, causing irritation, dryness, redness, and light sensitivity.

    Many patients experience overlapping features, and the condition may evolve over time.

  • Appropriate treatment helps

    • Reduces redness, inflammation and control flushing

    • Controls bumps & inflammation

    • Prevents progression

    • Restores skin comfort & barrier health

    • Improves confidence & quality of life

    Early and consistent treatment improves skin comfort, reduces flare frequency, and significantly enhances quality of life for people living with rosacea.

Take Control of your Rosacea

Treating rosacea requires a comprehensive approach that addresses primary and secondary triggers both internally and externally.  

My approach is straightforward, offering an incremental holistic approach that is customised for the personalised treatment of your skin condition 

My approach is based on Prof. Tirant’s method, which has been used by practitioners around Australia and Europe for a number of years, achieving very significant treatment success rates.

I have further developed on this method, to   

1. Address the triggers which activate and exacerbate episodes (diet, hormonal, stress and lifestyle-related)   

2. Treat the symptoms with topical application to relieve physical symptoms from Professor Michael Tirants' range 

3. Support the body internally with targeted natural-based “Practitioner Only” medicines 

4. Establish long-term solutions to help patients manage their conditions

My Method

  • Using differential diagnosis techniques, I assess your skin's condition

    • I identify the primary triggers that initiated your condition. 

    • I also attempt to identify all the secondary triggers that exacerbate your condition. 

    • These may be present in your environment or related to your lifestyle and / or your diet. 

    • I develop a customised treatment plan to bring your skin condition symptoms under control. 

    • There are usually a number of variants in an individual's skin conditions.  

    • As a result, I can have vastly different treatment plans for people suffering from the same condition. 

    • I treat your symptoms and address your triggers to help you work towards a long term remission of your skin complaint. 

  • I develop a maintenance program to support you in achieving long term remission, if required.

How to engage

Initial Consultation

In person or Telehealth

    • Up to 45-minutes inclusive of admin & medication preparation.

    • I will develop a customised treatment plan and walk you through it.

    • I will prepare and supply you with medications and topicals as per your treatment plan.

  • $ 155

    *Private billing only - no Medicare applicable

    **Medicines and topical applications are additional to the consultation fee.

Review Consultation

In-person or Telehealth

    • Up to 30-minutes inclusive of admin & medication preparation.

    • I will review the results of your treatment since the prior visit.

    • I will tweak or switch your medications and topicals depending on the milestones achieved.

    • If required, I will supply you with replacement medications and topicals.

  • $ 55

    *Private billing only - no Medicare applicable

    **Medicines and topical applications are additional to the consultation fee.

    Note: From 1st June 2025, the cost of the review consultation will be $ 65

Medications & Topicals

Accessible by patients only

  • Your treatment plan is valid for upto 6-months and determines what you can order for replenishment.

    If your symptoms have changed, please arrange for a review consultation.  

  • The cost will vary depending on your order.  

    You can pick up your order from the clinic (no additional fee)

    or

    arrange for delivery to your home ($15.00 delivery costs are applicable)