The complexity surrounding the causes of rosacea are briefly outlined, such as organism colonisation, susceptible skin types, and the challenge of misdiagnosis. The author classifies the condition into the following sub-types: erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea and ocular rosacea. There is some critical discussion around the evidence underpinning systemic and topical therapies, for both intermittent flushing and papulopustular symptoms. It is important for the aesthetic clinician to remain mindful of the necessity to refer for specialist input, where the diagnosis is unclear, or where the management is complex and beyond the clinician’s competence and skillset. There is some discussion around phymatous rosacea, yet, given the specialised nature of this presentation – particularly variants such as rhinophyma – further information and guidance could have been provided around treatment options beyond prescribed topical regimens, as well as the specialised management of ocular rosacea. There is good discussion surrounding the importance of the psychological impact of rosacea and recommendation for accessing support. Further signposting may have given the aesthetic clinician guidance on specific rosacea support groups.
