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Effectively treating rosacea isn't easy. What works for one person doesn't work for the next.

And what triggers rosacea is different for each individual too. According to the Australasian College of Dermatologists, while the condition can never be cured, it can be controlled.

The first step is typically antibiotics, although the college acknowledges relief is often temporary, but dermatologists have also had success with laser to treat broken capillaries.

Skin Deep Medi-Spas owner Helen Golisano said she had been treating rosacea with IPL and laser for more than eight years with great success.

"The redness on the cheeks, nose and chin are basically visible blood vessels," she said.

"The IPL is designed to be attracted to those vessels under the skin. It heats them up and it causes them to disintegrate. You do it gently and you do need a couple of treatments."

Not only the redness but also the bumps and "pimply" appearance could be removed with IPL, Mrs Golisano said.

"IPL is not a cure (but) instead of people having that really red flush on their face all the time, you can reduce it to a point of normality. And with regular treatments, you can keep it at that point."

But this acne-like appearance can fool people into thinking they have pimples and need to start a regime of strong anti-acne products, which Mrs Golisano said was the opposite of what they should be doing. Sensitive rosacea-troubled skin needed calm and soothing products, not harsh treatments.

She said more advanced rosacea could be treated with other lasers, like Fraxel, but no matter how well the treatment worked, it was important to understand individual triggers.

For many, especially mild cases, it may be a case of eliminating certain foods or avoiding environmental factors like hot baths.

Natural skincare specialist Marian Rubock said that rosacea was a result of a combination of hormonal imbalance and low skin vitality and function.

As a natural therapist, she looked at treatments from a holistic point of view. She did a general health assessment, looked at iron level and digestive function, then assessed hormonal health, prepared a basic cortisol test and looked at the health of the skin through three kinds of light - normal, polarised and ultraviolet.

"What all that does is give me a really good marriage of what's going on inside and how that's impacting on the exterior," she said.

"Because a lot of rosacea is linked to cortisol imbalance, that impacts the body's ability to take up proper nutrition. You need to reset the nutritional levels by eating whole foods as well as getting nutritional support."

She supplemented this with skin creams which she imported from the US.

"The new immune cream I have has been fantastic in turning it around in a very short amount of time - as little as three weeks for very complex rosacea cases, which is something I've never seen before."

What is rosacea?
The most common feature of rosacea is flushed skin but can also appear as acne-like inflamed bumps, dilated blood vessels and swollen lumps - often on the nose, according to the Australasian College of Dermatologists.

It most commonly affects those who are fair, and the usual age of onset is during their 30s and 40s.

Things to avoid:
·very spicy food
·hot drinks
·alcohol
·sitting close to an open fire
·wind and excessive exposure to sunlight
·hot baths, hot tubs and saunas
·some medications
SOURCE: Australasian College of Dermatologists