Rosacea Signs Symptoms and Treatment Protocol


What is Rosacea?


Rosacea is a chronic skin condition, that may develop at any age as fl ushing or redness on the
cheeks, nose, chin or forehead. Although the cause of rosacea remains unknown, studies have
shown that the facial redness is likely to be the start of an infl ammatory continuum initiated
by a combination of neurovascular dysregulation and the innate immune system. Research has
demonstrated that a marked increase in mast cells, located at the interface between the nervous
system and vascular system, is a common link in all major presentations of the disorder.

Beyond neurovascular and immune system factors, the presence of a microscopic mite called
Dermodex folliculorum has been considered as a potential contributor to rosacea. This mite is
a normal inhabitant of human skin but has been found to be substantially more abundant in the
facial skin of rosacea clients. The good news is that knowledge of the signs and symptoms of
rosacea have advanced to where it can be e ectively controlled with topically applied skincare
and lifestyle changes.


Signs of Rosacea

Persistent facial redness – the most common individual sign of rosacea, and may resemble a
blush or sunburn that does not go away.

Flushing – many people with rosacea have a history of frequent blushing or flushing. This facial
redness may be accompanied by a sense of heat, warmth or burning comes and goes, and is
often an early feature of the disorder.

Bumps and Pimples – small red solid bumps or pus-filled pimples often develop. While these may
resemble acne, blackheads are absent and burning or stinging may occur.

Visible Blood Vessels – in many people with rosacea, prominent and visible small blood vessels
(telangiectasia) develop on the cheeks, nasal bridge, and other areas of the central face.

Eye Irritation – in many rosacea patients, the eyes may be irritated and appear watery or
bloodshot, a condition commonly known as ocular rosacea. The eyelids also may become red
and swollen, and styes are common. Crusts and scale may accumulate around the eyelids or
eyelashes, and patients may notice visible blood vessels around the lid margins.


Secondary Signs & Symptoms of Rosacea

Swelling – facial swelling, known as edema, may accompany other signs of rosacea or occur
independently. Raised red patches, known as plaques, may develop without changes in the
surrounding skin.

Dryness – The central facial skin may be rough, and appear scaly despite some clients
complaining of oily skin.


Professional Treatment Protocol for Rosacea Skin

Dr. Des’s Rosacea protocol is a 4 – 6 week treatment plan developed for clients who have been
clinically diagnosed with Rosacea, helping to assist in cooling and sterilising the skin. It is important
to note there is a possibility that skin may become worse before seeing an improvement when
introducing this treatment plan. If this should occur it is important to be persistent and follow the
set protocol as per the treatment plan to achieve best results.




Gently cleanse skin with tepid water only and softly pat dry. After cleansing, apply 3 – 4 drops
of A, C & E Oil followed by SPF.


Gently cleanse skin using Skin EssentiA Mild Cleansing Lotion, remove with a tepid facial
compress and repeat. Gently pat dry. After cleansing, apply 3 – 4 drops of Vitamin A, C & E Oil.


  • Skin EssentiA Mild Cleansing Lotion – helps to gently cleanse and assist in balancing the pH
    of the skin.
  • A, C & E Oil – helps to normalise the skin with the addition of jojoba oil to assist in
    rebalancing the skin’s ceramide content necessary to rebuild a healthy barrier function.



  • In some cases treatment may extended beyond the 4 – 6 weeks, it is advised at this point to
    peel skin fortnightly instead of weekly.
  • After the initial 4 – 6 week Rosacea treatment plan, Colostrum Gel may be introduced to help
    build skin immunity and improve barrier function.
  • After 2 – 3 bottles of Vitamin A, C & E Oil step skin up to the Vitamin A, C & E Body Oil
    Forte and as barrier settles you can slowly introduce the Skin EssentiA or Youth EssentiA
    step up range.



Enivron 2020, “New Professional Treatment Protocol for Rosacea Skin”, Environ.