Rosacea Awareness Month — Amelio Clinic, Brussels
Rosacea is a chronic skin condition affecting millions worldwide, yet it remains widely misunderstood. April is Rosacea Awareness Month — the perfect moment to shed some light on it.
What Causes Rosacea?
Rosacea results from a combination of genetic predisposition, an overreactive immune response, and an abnormally sensitive vascular system in the skin. Repeated episodes of flushing trigger chronic inflammation, which over time stimulates the growth of new blood vessels through a process called angiogenesis. This progressive vascular proliferation — driven by factors such as VEGF (Vascular Endothelial Growth Factor) — is what leads to the worsening redness and visible capillaries seen as the disease evolves. A disrupted skin barrier and the presence of the skin mite Demodex folliculorum, found in higher densities on rosacea-prone skin, further amplify the inflammatory cycle. It is not a matter of poor hygiene — it is largely written into your skin’s biology, which is also why early treatment matters.
Recognising the Symptoms
The most common signs include persistent facial redness across the cheeks, nose, chin and forehead; visible broken capillaries (telangiectasia); easy flushing; and a burning or stinging sensation with skincare products. When inflammation is more prominent, red papules and pustules — resembling acne but without blackheads — may appear. In advanced cases, skin thickening around the nose (rhinophyma) can develop, more often in men. Rosacea can also affect the eyes — a presentation known as ocular rosacea — causing redness, dryness, irritation and a gritty sensation; this is often underdiagnosed and warrants specific management.
Common Triggers
Sun exposure, heat, spicy foods, alcohol, stress, intense exercise, cold wind, and certain skincare ingredients (fragrance, alcohol, harsh exfoliants) are the most frequent culprits. Identifying your personal triggers is key to keeping flares under control.
Skincare Essentials
A gentle, consistent routine makes a real difference: a mild fragrance-free cleanser, a soothing moisturiser with niacinamide or ceramides to strengthen the skin barrier, and — non-negotiable — SPF 50+ sunscreen every morning. Prescription topical treatments such as azelaic acid, ivermectin (Soolantra) or metronidazole can reduce inflammation and papules when recommended by your dermatologist.
Treatments: From Topicals to Laser
When the inflammatory component is significant, systemic treatments may be indicated. Oral lymecycline or low-dose doxycycline, used at anti-inflammatory rather than antibiotic doses, are well-established options that effectively reduce papules and pustules while minimising antibiotic resistance. In more resistant cases, isotretinoin at low doses can also be considered.
For the vascular component — persistent redness and visible capillaries — laser treatment is the gold standard. At Amelio Clinic, Dr. Cathy Dierckxsens, dermatologist specialised in laser and aesthetic dermatology, uses the DermaV laser to precisely target dilated blood vessels. The laser energy is selectively absorbed by haemoglobin, causing the vessels to collapse and be naturally reabsorbed — without damaging surrounding skin. Results are visible and lasting, with only limited downtime. A course of 2–3 sessions spaced several weeks apart is recommended for optimal outcomes.
Rosacea is manageable. With the right diagnosis and a personalised approach combining skincare, medical treatment and laser, most patients achieve significant and lasting improvement. Book your consultation at Amelio Clinic — we are here to guide you towards clearer, calmer skin.
📍 Amelio Clinic — Brussels