Understanding Rosacea + Treatment Options

Rosacea can feel confusing because it shows up differently from person to person. The good news: with the right plan—for gut improvement + facial treatments + home routine + daily SPF—skin can look calmer, steadier, and more even over time.

Here’s a clear guide to help you understand what’s happening and how we can help.

What is Rosacea?

Rosacea is a chronic, inflammatory skin condition that tends to flare and settle. Common signs include: 
- persistent redness,
- visible capillaries,
- flushing,
- sensitivity/heat, 
- sometimes breakouts that look like acne (but aren’t).

Triggers vary (gut imbalance, heat, alcohol, spicy foods, stress, intense workouts, certain cosmetics), so keeping a short trigger diary is useful.

The four main subtypes (you can have more than one)

• Erythematotelangiectatic (ETR): constant redness, flushing, and fine visible vessels—skin feels warm/reactive.
• Papulopustular: red bumps and pus-filled spots on a red background; often mistaken for acne.
• Phymatous: thickened, uneven skin (most often on the nose).
• Ocular: dry, irritated, watery eyes and lid margin inflammation—see your eye specialist if you notice these signs.

Skin–gut connection (plain English)

Traditional medicine does not know the exact cause of Rosacea. In functional/ holistic medicine, emerging research links rosacea with gut imbalances in some people (for example: low stomach acid, leaky gut, Candida overgrowth, small intestinal bacterial overgrowth or stomach bacteria like H. pylori). That doesn’t mean gut issues cause every case, but there may be a two-way conversation between the gut and the skin via the immune system and inflammation pathways. Stress and genetics also play major role. 

What you can do safely for your gut:

• Consistent meals: steady blood sugar can reduce flush-y spikes.
• Fiber & fermented foods (as tolerated): think oats, vegetables, kefir/yogurt—start small if you’re sensitive.
• Watch personal triggers: spicy foods, very hot drinks, and alcohol are common; hydration helps.
  

Facial treatment options

These are the best options right now:

1) IPL (Intense Pulsed Light) Facial for persistent redness & visible vessels
What to expect: a series of sessions (typically 3–5 spaced 4 weeks apart) that target vessel chromophores to reduce background redness and improve overall tone.
Downtime & care: transient warmth/redness; strict broad-spectrum SPF 50 daily, cool compresses as needed, avoid heat/exercise for 24–48h.

2) BioRePeel protocols for texture & papulopustular presentations
Aim: support smoother-looking texture and post-flare marks while respecting a reactive barrier.

Not every Rosacea skin is a candidate on every visit; important to time this outside of active, hot flares and may build tolerance over 4–6 sessions.
Downtime & care: mild, short-lived pinkness; avoid heat, actives, and sun for 48–72h; elevate hydration.