Rosacea • Central London
Flushing, persistent redness, visible vessels and spots can almost always be brought under control. I confirm the diagnosis, treat the inflammation, and use laser to clear the redness that creams cannot.
As featured in
Rosacea is a mixture of features, and each responds to a different treatment. Choose what bothers you most to see which treatments are likely to help.
Six quick questions, and I will show you the treatments most likely to help.
Answer six quick questions about your skin and I will show you the treatments most likely to help, and why.
Mild rosacea can be managed with skincare and a cream from your GP. When it persists, a specialist makes the difference.
Rosacea is often confused with eczema, seborrhoeic dermatitis, acne and perioral dermatitis - and they can occur together.
Creams and tablets chosen for your features, including options rarely started in general practice.
Visible vessels and constant redness do not respond to creams. Vascular laser and IPL can clear them.
You receive a letter summarising my assessment and your plan, and can contact me with questions afterwards.
I examine your skin and check whether anything else - including steroid creams - is contributing.
Flushing, redness, vessels, spots, thickening or eye symptoms: each needs a different approach.
Alcohol, heat, exercise, sunlight, stress and skincare - managed without giving up everything you enjoy.
Usually a combination of gentle skincare, prescription treatment and, where redness persists, laser.
Most people need a combination. These are the treatments I use and what each is best for.
Ivermectin is particularly effective for bumps and pustules. Metronidazole and azelaic acid are alternatives and suit long-term maintenance.
A few months of a tetracycline such as lymecycline settles inflammation. Low-dose isotretinoin is reserved for resistant rosacea or early thickening of the skin.
Pulsed dye laser is my first choice for redness and fine vessels, Nd:YAG for larger vessels. IPL also treats brown pigmentation.
Laser for persistent redness
Once the spots have settled, redness often remains because the enlarged blood vessels are still there. No cream or tablet removes them. Vascular laser targets the blood in these vessels so they fade, and for many people it is the treatment that finally makes the difference.
Often the earliest and most frustrating symptom. Managing triggers helps, and medications such as carvedilol can reduce flushing. Creams such as brimonidine and oxymetazoline temporarily reduce redness for special occasions. Treating the vessels with laser can also reduce flushing over time.
After many years, rosacea can thicken and enlarge the nose, more often in men. Isotretinoin can slow progression in the early stages, and established thickening can be reshaped with the carbon dioxide laser at OneWelbeck, from £1475 (an indicative price - you will be given a quote after your consultation).
Gritty, irritable, red eyes and inflamed eyelids are common. Warm compresses and lid hygiene help, and tablet treatment can improve the eyes as well as the skin. If you have a painful red eye, sensitivity to light or any change in vision, seek urgent advice from your GP, optician or eye casualty.
A gentle cleanser and light moisturiser, daily broad-spectrum SPF 30 or higher, and new products introduced one at a time. See my rosacea-safe skincare routine and the ingredients to avoid.
Self-pay prices. If you have medical insurance, check your cover before booking.
In person or by video
Review and adjustment of treatment
Per session, pulsed dye or Nd:YAG
Per session
Prices are indicative and not binding. You will be given a quote after your consultation.
A consultation is needed before laser to confirm it is suitable. Full price list
108+ verified patient reviews.
“Dr Lynch was thorough and gave excellent explanations when diagnosing and the subsequent follow up care. I felt very reassured following the consultation.”
Verified by Doctify“Excellent service with a very approachable and friendly manner. Very clear assessment and advice. Very happy with the appointment.”
Verified by Doctify“The treatments provided were top-notch, and the follow-up care made me feel valued as a patient.”
Verified by DoctifyMA(Cantab) DPhil(Oxon) MRCS FRCP
I am a Consultant Dermatologist in Central London, trained at Cambridge and Oxford and at St John's Institute of Dermatology. My NHS practice is at Guy's Hospital and I lead a research group at King's College London. In private practice I treat rosacea, acne, scarring and pigmentation.
Book a consultationWhat patients most often ask about rosacea treatment.
A new consultation costs £250 and a follow up £220. Medication is charged separately by the pharmacy. Vascular laser is from £500 per session and IPL from £545; most people need a course of several sessions. See the prices page. Prices are indicative and not binding. You will be given a quote after your consultation.
Both treat redness and blood vessels. Pulsed dye laser is generally more effective for redness and fine vessels and is safer on darker skin. IPL is gentler and can treat brown pigmentation at the same time. See IPL vs pulsed dye laser.
Laser usually reduces redness and flushing. There can be temporary redness and swelling for a few days and occasionally bruising. Treatment is planned carefully, with a test patch for larger areas. See can laser make rosacea worse?
Yes. Remote consultations with clear photographs work well for straightforward rosacea. If you are interested in laser, an in person consultation is better so I can assess your skin directly.
No. Rosacea can look like acne but usually affects a different age group, has different triggers, and blackheads and whiteheads are not a feature. Some acne treatments irritate rosacea, and the two can occur together.
There is no cure, but in most cases it can be well controlled. Many people use a maintenance cream, and after laser an occasional top-up session keeps the result. See long-term rosacea management.
Your GP can prescribe first-line treatment and this is often a sensible first step. If symptoms persist, the diagnosis is uncertain, or you want treatment for redness and vessels - not usually available on the NHS - it is worth seeing a dermatologist. See NHS vs private rosacea care.
List the treatments you have tried and whether they helped, take photographs during flare-ups, and if possible come without make up. See preparing for a dermatology appointment.
More on rosacea: Do I really have rosacea? • Types of rosacea • Triggers • Perioral dermatitis vs rosacea • Steroid-induced rosacea • Rosacea in darker skin
Most rosacea can be controlled very effectively, and redness that has been there for years can often be substantially reduced. Request a callback within one working day, or book online instantly.
I am available for consultations at several sites in Central London. Some conditions such as acne and rosacea are also suitable for a remote consultation with photos. Either enter your details and my practice management team will contact you within 1 working day or use instant online booking. Alternatively you can call or email directly. Please note that not all open clinic slots are visible on the instant booking link.
I see adults aged 18 and over. I do not offer patch testing for allergies, or tablet and injection treatments for eczema or psoriasis.
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