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Rosacea

Persistent facial redness and sensitivity are common features of rosacea. At our clinic, rosacea is assessed medically, led by Medical Director Dr Joney De Souza and supported by our expert medical team.

What Is Rosacea?

Rosacea is a chronic inflammatory skin condition that most commonly affects the central face, including the cheeks, nose, chin and forehead. It may present as redness, flushing, visible blood vessels or increased skin sensitivity. The condition often follows a relapsing pattern, with periods of flare and relative calm. Rosacea is not contagious, but it can have a significant impact on skin comfort and confidence.

IPL can help manage rosacea by targeting visible redness and broken capillaries in the skin. Rosacea often presents with flushing and persistent redness due to dilated blood vessels. Therefore, by delivering controlled pulses of light energy, IPL heats and reduces these superficial vessels without damaging surrounding tissue. As a result, redness becomes less noticeable, skin tone appears more even, and flare-ups may reduce when treatment is combined with appropriate skincare.

See our IPL treatments

Why Does Rosacea Develop?

The exact cause of rosacea is not fully understood. It is thought to involve a combination of vascular instability, inflammation and altered skin barrier function.

Contributing factors may include:

  • Increased reactivity of facial blood vessels

  • Impaired skin barrier leading to sensitivity

  • Genetic predisposition

  • Environmental or lifestyle triggers

Triggers vary widely and may include heat, alcohol, stress, spicy foods or certain skincare products. HydraFacial can help support rosacea-prone skin by gently cleansing, hydrating, and soothing the skin without causing irritation. Rosacea often worsens when the skin barrier becomes compromised or dehydrated. Therefore, HydraFacial uses controlled exfoliation and calming serums to remove impurities while replenishing moisture. As a result, redness can appear less pronounced, the skin feels more comfortable, and overall skin balance improves when treatments are appropriately tailored.

Learn about Hydrafacial
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How We Assess Rosacea?

Assessment focuses on understanding the type and pattern of rosacea present, as well as identifying individual triggers and skin sensitivities. Our medical team evaluates skin tone, vascular changes, inflammation and barrier health.

This allows us to explain why symptoms occur and how different management strategies may help stabilise the skin.

Ask us about rosacea
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Treatments We Use for Rosacea

Rosacea is managed rather than cured, and the most effective plans pair an energy-based treatment for visible redness with skincare that rebuilds the skin barrier. At Dr Joney De Souza Skin and Laser Clinic in Marylebone, your consultation matches you to the right combination. Here is how the main options compare.

MaxG IPL Photorejuvenation
From £350
Pulses of light target visible redness and broken capillaries, evening out skin tone with no downtime.
HydraFacial
From £150
A gentle cleanse and deep hydration that calms reactive skin and supports a compromised barrier.
ZO Skin Health skincare
At consultation
Medical-grade skincare to reduce inflammation, rebuild the barrier and limit day-to-day flare-ups.

Book a consultation and our medical team will assess your rosacea type and triggers, then recommend the gentlest effective plan for your skin.

Frequently Asked Questions

What is one of the most commonly discussed treatments for rosacea?

Medical-grade skincare is most commonly discussed, as supporting the skin barrier and reducing irritation is central to managing rosacea long term.

How can rosacea be improved?

Improvement focuses on reducing flare-ups and strengthening the skin over time. Management may involve medical-grade skincare, HydraFacial for gentle skin support, targeted laser or IPL treatments for redness, and guidance around lifestyle triggers. Treatment is tailored individually, with a focus on control rather than cure.

Is rosacea the same as sensitive skin?

No. While rosacea involves sensitivity, it is a distinct inflammatory condition with vascular and barrier components.

Does rosacea worsen with age?

It can become more persistent over time, particularly if triggers are not managed, although patterns vary between individuals.

Can rosacea be cured?

There is no cure for rosacea, but symptoms can often be managed effectively with the right approach.

Are laser treatments safe for rosacea?

In selected cases, vascular laser treatments may be considered. Suitability depends on skin type, rosacea subtype and stability.

Does everyone with rosacea need treatment?

No. Some people manage rosacea with skincare and trigger avoidance alone, depending on severity.

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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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