The exact cause of rosacea is not fully understood, but it is believed to involve a combination of vascular sensitivity, immune system dysregulation, and skin barrier dysfunction. Common triggers include sun exposure, heat, spicy foods, alcohol, stress, and harsh skincare products.

These triggers cause blood vessels in the face to dilate, leading to flushing and inflammation. Over time, repeated inflammation weakens the skin barrier, making it increasingly reactive and prone to flare-ups.

Yes. Rosacea is often under-recognised in melanin-rich skin because redness may be less visibly obvious compared to lighter skin tones. Instead, clients may notice warmth, burning sensations, swelling, or acne-like bumps without prominent flushing.

Misdiagnosis as acne is common, which can lead to inappropriate treatments that worsen inflammation. At Dr Mélanin, we understand the nuances of rosacea presentation in darker skin tones and tailor treatment accordingly to reduce inflammation without triggering pigmentation changes.

Rosacea management focuses on reducing inflammation, strengthening the skin barrier, and controlling triggers. As a chronic condition, it requires long-term management rather than a one-time solution.

A gentle, barrier-supportive skincare routine is essential, as harsh exfoliants, strong acids and abrasive treatments can worsen rosacea. Prescription topical medications may be used to reduce redness and inflammatory lesions. Identifying and avoiding personal triggers plays a key role in long-term control, and daily SPF 50 is strongly recommended.

In selected cases, polynucleotides may be advised to help reduce redness and inflammation, or vascular laser or light-based treatments may be used to reduce persistent redness and visible blood vessels. These treatments must be carefully selected in skin of colour to minimise the risk of pigmentation changes.

Rosacea improvement is gradual. Many clients begin to see reduced flare frequency and calmer skin within several weeks of starting appropriate treatment. However, because rosacea is chronic, ongoing maintenance is typically required to keep symptoms under control. Early intervention often prevents progression and reduces long-term skin changes.

Rosacea is a chronic condition and cannot be permanently cured. However, it can be effectively managed and controlled with the right treatment plan.

No. Although rosacea can cause red bumps similar to acne, it does not usually involve blackheads and is primarily an inflammatory vascular condition.

Yes, when properly assessed and managed. Treatments must be chosen carefully to avoid irritation or post-inflammatory hyperpigmentation.

Untreated rosacea may gradually worsen, with increased redness, more frequent flare-ups, and in some cases skin thickening.

Mild rosacea may improve with appropriate skincare and trigger management. Moderate to severe cases often require prescription treatment and medical supervision.