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, Consultant Dermatologist

About Dr Magnus Lynch

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. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

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