Long-Term Rosacea Management

Rosacea is a chronic condition, which means without ongoing treatment it will not fully go away. Long-term management usually involves periods of more intensive treatment to gain control, for example antibiotic tablets or isotretinoin combined with longer term maintenance treatments including prescription topical treatments and a skin care regimen.

Follow-up frequency

After your initial diagnosis and starting a new treatment plan, a follow-up appointment after 3-4 months is helpful to assess your progress. Once your condition is stable and well-controlled, you can continue on maintenance treatment indefinitely and return for review if you experience a flare up or have other concerns.

Maintenance strategies

The key to long-term control is consistency. This includes: * Daily Care: Sticking to your gentle skincare routine and using broad-spectrum SPF 30-50 every day. * Maintenance Topicals: Many patients continue using a topical treatment (like ivermectin (Soolantra) or azelaic acid) either daily or a few times a week to keep inflammation suppressed. * Trigger Management: Continuing to be mindful of your personal triggers and managing your exposure to them. * Intensification: To gain initial control of inflammatory rosacea or to manage flares a course of oral antibiotics or low dose isotretinoin may be required.
Procedural:* For those with background redness, following a course of laser or IPL treatment, a maintenance laser or IPL session every 6-12 months can be useful for maintaining clearance.

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Dr Magnus Lynch

About Dr Magnus Lynch

MA(Cantab) DPhil(Oxon) MRCS FRCP

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John's Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King's College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions.

My NHS practice is at Guy's Hospital. I consult with private patients at OneWelbeck (near to Bond Street station) and on Harley Street. Book A Consultation.

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