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Rosacea

Rosacea is a condition that results in a ‘blush’ or redness that typically involves the central region of the face, mainly the forehead, cheeks, chin and lower half of the nose. It is most commonly seen in people with light skin. Symptoms are initially intermittent but usually progress to become consistent.

The redness in rosacea, often aggravated by flushing, may cause superficial blood vessels in the face to dilate and become visible through the transparency of the skin resulting in facial threadveins.

Continual or repeat episodes of flushing and ‘blush’ may promote inflammation, causing pustules and papules to develop.

Symptoms usually commence between the ages of 30 to 50.

Many people who have rosacea just assume they blush easily, or suffer from increased sensitivity to the sun.

Before treatment

After treatment

The signs of Rosacea are:

  • Redness of the face or cheeks (Erythema)
  • A tendency to flushing or blushing
  • Dilated blood vessels (Telangiectasia)
  • Acne like skin eruptions (Inflammatory pustules and papules)
  • Burning sensation on the face

As well as physical symptoms rosacea is often associated with a degree of psychological overlay that can generate feelings of frustration, embarrassment and lowered self-esteem. The psychological fear or worry that flushing or blushing will cause social distress often exacerbates the physical symptoms.

The cause of Rosacea is unknown and it cannot be cured but its symptoms can be controlled to improve the appearance.

Avoidance of triggering stimuli including heat, vigorous exercise, alcohol consumption, spicy foods, hot beverages (particularly caffeine) and rubbing the affected skin helps control symptoms partially.

Conventional medical treatment involves either topical antibiotics or oral antibiotics both of which effectively treat inflammatory pustules and papules.

Conventional medicine fails to treat redness or reduce the appearance of dilated blood vessels and is ineffective for flushing symptoms. Laser and light therapy offers gold standard treatment of these unwanted symptoms

Cambridge Skin & Laser Clinic offers the complete range of laser and light technologies to ensure the optimal results for rosacea treatment.

  • Intense Pulsed Light (IPL) 540-950nm for the treatment of superficial diffuse redness and smaller blood vessels
  • Intense Pulsed Light (IPL) 570-950nm for the treatment of deeper diffuse redness and smaller blood vessels
  • Pulse Dye Laser (PDL) 585nm for the treatment of stubborn diffuse redness that fails to respond to ILP
  • KTP 532nm LP Laser for the treatment of larger bright red discrete blood vessels
  • Nd Yag 1064nm LP Laser for the treatment of larger purple/blue discrete blood vessels and the treatment of flushing.

Why choose us?

As Cambridge Skin & Laser Clinic offer the entire range of lasers and IPL to treat rosacea, we can truly recommend the system that is best suited to your individual symptoms and skin type. Whichever system we recommend, you can be assured that we are not using it because it is all we have to offer but because it is the best choice for you.

Our treatments are delivered with forced cold air skin cooling reducing discomfort and skin damage.

We have delivered over 10,000 successful rosacea procedures over a 20-year period.

We are a CQC (Care Quality Commission) registered clinic that is regularly inspected and assessed by government. This is the best indicator available that the clinic is trustworthy.

All rosacea treatment procedures at Cambridge Skin & laser Clinic are performed by fully qualified doctors, nurses and practitioners. To ensure the highest ethical standards are maintained at all times, staff at Cambridge Skin & Laser Clinic are never offered bonus incentives to sell treatments.

How does the treatment work?

Lasers emit high energy at a specific wavelength (or colour) in a single beam. Intense pulsed light (IPL) is broadband light and delivers hundreds of wavelengths (or colours) in a single discharge. Both lasers and IPL are able to specifically target blood (haemoglobin) in the skin without damaging surrounding tissues. The light energy is absorbed by blood inside the veins, heating up the vessel wall, which collapses and then dissolves. Whereas lasers are able to deliver focused pulses of energy to individual larger blood vessels, IPL is more suitable for large areas of diffuse redness or fine ‘blushes’ of vessels.

What does the treatment feel like?

The energy is delivered in very short flashes of light called pulses. As the laser light impacts onto the skin’s surface the sensation is similar to the snap of a thin rubber band. The procedure produces only mild discomfort and usually normal activities can be resumed immediately.

Are there any side effects?

IPL and 1064 Nd:Yag lasers – In rare cases redness and irritation of the treated area may occur (like sunburn). There is also a small risk of pigment change following treatment. A small minority of patients develop bruising and blistering. This settles within a few days.

Pulsed dye lasers – The main side effect is bruising in the form of round purple spots (5mm in diameter) that fade after 7 to 10 days. Occasionally blistering and mild crusting occurs, this settles in a few days. Long-term side effects such as pigment change and scarring are rare.

Who performs the treatment?

All procedures at Cambridge Skin & Laser Clinic are performed by fully qualified doctors, nurses and practitioners. To ensure the highest ethical standards are maintained at all times, staff at Cambridge Skin and Laser Clinic are never offered bonus incentives to sell treatments.

How many treatments are needed?

A series of 4 to 6 treatments is recommended at monthly intervals for rosacea.

Is laser treatment safe?

There is no evidence whatsoever to suggest laser treatment can lead to skin disorders or increase the risk of skin cancer. We are a CQC (Care Quality Commission) registered clinic that is regularly inspected and assessed by government. This is the best indicator available that the clinic is trustworthy. Our lasers are cleared by the American Food and Drug Administration (FDA) and have full CE clearance for Europe.

The majority of laser clinics in the UK only offer IPL treatment and claim to be expert at rosacea treatment.

The following discussion is intended to explain the differences between Rosacea treatment offered on every street corner and treatment provided by medical specialists from a designated laser suite.

Why choose us?

Expert treatment of Rosacea requires a skilled laser operator who is able to safely alter the following parameters:

  • Wavelength (colour of light)
  • Pulse Width (shutter speed)
  • Spot size (measured usually in mm)
  • Fluence (power)

The appropriate selection ensures optimal destruction of target blood vessels without collateral damage to the surrounding skin.

Laser Wavelength

The optimal treatment of rosacea involves the use of laser and light technologies to target haemoglobin within blood vessels situated at multiple depths throughout the skin.

At Cambridge Skin & Laser Clinic we utilize numerous laser wavelengths to achieve superior results. In general, the longer the wavelength the deeper the laser penetration.

penetration-depths

This is important because flushing is controlled by destroying deeper feeder vessels requiring a deeply penetrating, rapid pulsing Nd Yag 1064nm LP laser.

  • Superficial diffuse redness is treated using 2 high-powered Intense Pulsed Light (IPL) devices with filters set within both superficial green (540 -950nm) and deeper yellow spectrum (570 -950nm)
  • Discrete blood vessels are removed using either the KTP 532nm LP laser for bright red (oxygenated) vessels or Nd Yag 1064nm LP laser for purple/blue (de-oxygenated) vessels.
  • Stubborn areas of diffuse redness that fail to respond to IPL are treated using the Pulsed Dye Laser (PDL) either in purpuric (bruising) or non- purpuric (non-bruising) modes.

Pulse Width

Vessel closure is pulse width (shutter speed) dependant not fluence (power) dependent.

This is important because thin structures such as fine blood vessels are unable to ‘hold’ heat and short pulse widths (10ms) are needed to ensure vessel closure and destruction. Larger blood vessels heat more slowly and require much longer pulse widths (30ms -40ms)

For optimal results, multiple pulse widths are required to close and destroy blood vessels of different diameters.

Spot Size

Intense Pulse Light devices have large light guides or footplates (often measuring 5-6 cm2) enabling both the rapid treatment of large areas of diffuse redness, anddestruction of very fine superficial blood vessels (measuring less than 0.5mm in diameter)

Lasers have small spot sizes (usually measuring mm in diameter) enabling the targeting of larger specific blood vessels (measuring greater than 0.5mm in diameter)

Ideally spot size should equate to vessel diameter so often multiple spot sizes are required to optimally treat varying vessel diameters.

Fluence (power)

Successful closure and hence destruction of blood vessels necessitates heating the blood within the vessel to at least 70 degrees centigrade. The resulting thermally injury to the blood vessel wall stimulates an inflammatory reaction and re-absorption of the damaged structure.

Effective treatment hence necessitates high quality lasers that can safely deliver large amounts of energy.

Cambridge Skin & Laser Clinic also provides protective skin cooling using forced cold air to ensure any unwanted heat transferred to the skin is quickly removed.

The use of laser and light technologies with variable wavelengths, variable pulse durations, variable spot sizes and variable fluences enable the laser operator to take advantages of each systems strengths but not be restricted by its weaknesses.

No matter the symptom, be it redness, visible thread veins, flushing or inflammatory acne eruptions, we have a laser or conventional treatment for all prospective clients.

High quality lasers must be accompanied by skilled laser operators for superior results.

Our expert medical team has in excess of 20 years laser experience and have completed more than 100,000 successful treatments. Rest assured you are in safe hands. All procedures at Cambridge Skin & Laser Clinic are performed by fully qualified doctors, nurses and practitioners.

Pricing Information

The initial consultation is free of charge with no obligation to undergo treatment. Costs vary depending on the area treated.

PRICE PER SESSION: Rosacea treatment
Full Face £225
Cheeks £150
Nose £125
Cheeks, chin and nose £200
Cheeks and nose £175

Please Note: Prices quoted are per session and are an approximate guide only. If you require a more accurate pricing prior to consultation, please contact us directly.

Although laser treatment may seem expensive, one must bear in mind the enormous acquisition and maintenance costs of the laser devices.

I’d suffered from facial redness for a number of years and as time passed it got steadily worse, so had to wear more and more make up to conceal it.

It really got me down, and I sometimes used to think about having laser treatment, but never went through with it. Just the word “laser” made it sound scary, and I was worried it might go wrong. It was getting engaged and planning for my wedding which finally made me pluck up the courage, although I was still very nervous when I contacted the clinic.

Dr Holt and his staff were friendly, informative and reassuring, and there was no pressure to have anything done. The treatment was exactly as described and I suffered no ill-effects.
I’d left it too late to have the full course before the wedding, but even after a couple of treatments I could see the difference, and was able to wear much lighter make-up on the day. I also felt happy and confident having the photographs taken.
I’d become very good at disguising the redness and only one of my closest friends knew there was a problem, but a number of people have commented lately how well I look and how I could easily pass for someone younger (I’m in my forties).

I’ve still got a couple of treatments to go but have a good idea what the end result will look like, and I’m so pleased I’ve had the work done, not just because of my improved appearance but because I’ve made the effort to do something for me.

It’s really boosted my confidence and self-esteem, and I now feel able to go for walks with my husband without plastering myself in foundation – and enjoy treats like facials, which I’ve always avoided because I was so self-conscious.

Maggie from Cambridge

I have had 4 treatments for rosacea and so far I have found the results very good. There has been a significant reduction in redness, visible veins and flushing is now very minimal. I have found everybody at the clinic very friendly and Dr Holt has been very good at explaining the treatments and effects and answering any questions I have had.

GV
All consultations are free of charge so why not call our team of experts today?
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