
Concern
Rosacea
A chronic condition that can be managed — not just masked
Rosacea affects over 415 million people worldwide. While there is no cure, Fotona laser treatment can significantly reduce persistent redness, visible blood vessels, and the frequency of flare-ups — addressing the underlying vascular component that topical treatments alone cannot reach.
What Is Rosacea & What Causes It
Rosacea is a chronic inflammatory skin condition primarily affecting the central face — cheeks, nose, chin, and forehead. It is characterised by persistent redness, visible blood vessels, and sometimes inflammatory papules and pustules. The condition tends to worsen over time if untreated.
There are four recognised subtypes. Erythematotelangiectatic rosacea (ETR) presents as persistent redness and visible blood vessels. Papulopustular rosacea includes acne-like breakouts alongside redness. Phymatous rosacea causes skin thickening, most commonly on the nose (rhinophyma). Ocular rosacea affects the eyes, causing dryness, burning, and swollen eyelids.
The exact cause remains unclear, but rosacea involves a combination of genetic predisposition, immune system dysregulation, and vascular instability. Common triggers include sun exposure, heat, alcohol, spicy food, stress, and certain skincare products. The dilated blood vessels that produce visible redness become permanent over time — this is the component that responds best to laser treatment.
Rosacea Is Progressive Without Management
Left unmanaged, rosacea typically progresses. Intermittent flushing becomes persistent redness. Visible blood vessels multiply. Skin may thicken. The psychological impact — anxiety, self-consciousness, avoidance of social situations — is well-documented and significant.
Effective management combines trigger avoidance, gentle skincare, topical or oral medications for inflammatory symptoms, and laser treatment for the vascular component. Laser addresses what medications cannot — the permanently dilated blood vessels that produce chronic redness.
Rosacea Treatments Compared
Fotona Nd:YAG Laser
Fotona's 1064nm Nd:YAG laser selectively targets haemoglobin in the dilated blood vessels responsible for rosacea redness. The laser energy heats and collapses these vessels, which are then reabsorbed by the body over the following weeks. The Nd:YAG wavelength is preferred for rosacea because it penetrates deeper than pulsed dye lasers, reaching the thicker dermal vessels that drive persistent redness. Unlike V-beam, it does not cause significant purpura (bruising), making it more socially convenient.
IPL
Topical Treatments
Oral Antibiotics
Low-dose doxycycline (sub-antimicrobial dose) is used for its anti-inflammatory properties in papulopustular rosacea. It reduces inflammatory lesions but does not address vascular redness or telangiectasia. Typically prescribed in 6-12 week courses. Not a long-term solution as a standalone treatment.
V-Beam (Pulsed Dye Laser)
The 595nm pulsed dye laser (V-beam) is highly effective for superficial rosacea redness and telangiectasia. However, it causes purpura (bruising) in many patients that lasts 7-10 days, making it socially inconvenient. It is less effective than Nd:YAG for deeper dermal vessels.
Experienced Rosacea Management
At 99 Medispa Sydney, we understand that rosacea requires a long-term management approach, not a one-time fix. Our practitioners use TGA and FDA approved Fotona Nd:YAG laser technology to target the vascular component of rosacea effectively, and provide guidance on trigger management and skincare to minimise flare-ups between sessions.
Frequently Asked Questions
Book Your Free Consultation
Your rosacea consultation includes a detailed assessment of your skin, identification of your rosacea subtype, and a personalised management plan combining laser treatment with lifestyle and skincare guidance.
Your consultation is complimentary — no deposit required
Location
Sydney, NSW
Technology
Fotona Nd:YAG
Sessions
3-5 Typical
Consultation
Complimentary


