Photofacial and rosacea: what to know

Rosacea is a long-term inflammatory skin condition that can cause flushing, persistent redness, visible vessels, warmth, stinging, and sometimes pimple-like bumps. A photofacial uses intense pulsed light to target selected colour in the skin; it does not remove the underlying tendency to flush. Some people may instead be considered for a pulsed dye laser or prescription treatment, depending on whether redness, vessels, bumps, or irritation is the main concern.

A consultation should distinguish rosacea from acne, contact dermatitis, sun damage, and other causes of facial redness. Active irritation, tanning, a recent peel, or a history of pigment changes may change the timing or make light treatment unsuitable.

Tell the clinician about flushing triggers, current creams, medicines, cold sores, recent sun exposure, and previous reactions to energy treatments. Follow instructions about stopping irritating products, avoiding tanning, and protecting the skin from sunlight. Use gentle cleansing and moisturising while the area settles. Do not pick at bumps or treat post-procedure redness with an unapproved active product. Rosacea care may also include azelaic acid treatment when bumps or inflammation are present.

Seek prompt medical advice for blistering, increasing pain, marked swelling, crusting, pus, spreading redness, or a colour change that continues to worsen. Eye pain, light sensitivity, or vision change alongside facial symptoms needs urgent assessment because rosacea can affect the eyes. A flare that does not settle should be reviewed before another session.

Is my redness consistent with rosacea, and which feature are we treating? Would IPL photofacial or pulsed dye laser be more appropriate? How will my skin tone and current flare affect the settings? Which products should I pause, and what symptoms mean I should contact you?