Full Medical History
Current and Past Treatment History
Clinical Examination
Outcome of initial assessment
If not Rosacea ? Then refer on for treatment for other condition.
If Acne Rosacea?
Assess type, severity and suitability for treatment.
Treatment approaches*
Redness alone
IPL using the TRIPL-C protocol*
Redness and sensitivity - (high flush acceleration/ velocity)
IPL using the TRIPL-C Protocol* alternating with treatment using the YAG-G Protocol*
IPL Treatment Resistant Redness
Pulse Dye Laser Treatment using the PDL Protocol*
Steroid / previous treatment damaged, thin & fragile skin
Consider advising against further treatment with IPL / Laser.
Consider Cooltouch III photorejuvenation before adopting above approaches.
Papules and Pustules
These tend to respond best to IPL provided that the patient is able to tolerate IPL. In some instances of moderate to severe rosacea (with numerous inflammatory papules and pustules), IPL with a single 560/590nm pass may be indicated moving to double then triple passes on subsequent treatments.
Key to Protocol Acronyms
TRIPL-C = Three Range Intense Pulsed Light with Clarithromycin Angiogenesis Inhibition
Yag-G = NdYag using Gemini Laser
PDL = Pulse Dye Laser
Important Note:-
This protocol is not intended to replace clinical judgement* and the author accepts no responsibility for any damage caused by other practitioners adopting these treatment protocols in place of their own clinical judgement. Physicians must assess each patient's suitability based on their medical history, skin type, severity of rosacea and co-morbidity. This expert medical protocol remains the copyright of the author and The Burghley Park Clinic and permission must be obtained from the author before reproduction of this material in full or in part in written, electronic or other form.
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