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A Detailed Experience Treating Rosacea in Australia
- By Mark
Rosacea is a common yet often misunderstood skin condition. As someone who recently experienced and treated papulopustular rosacea (PPR) in Australia, I want to share my journey to help others who may be dealing with similar challenges.
Understanding My Skin and Symptoms
I have sensitive skin with a thin stratum corneum, which makes it intolerant to many products. My skin is pale and prone to redness, so flare-ups aren’t unusual. However, in the past month, I experienced three episodes of widespread rashes on both cheeks. Initially, I thought they were inverse light eruptions and managed them with La Roche-Posay B5.
The turning point came during a video call with my family, who noticed redness on my nose as well. After some research, I suspected rosacea, specifically papulopustular rosacea (PPR), one of four subtypes:
- Erythematotelangiectatic rosacea (redness and visible blood vessels)
- Papulopustular rosacea (bumps and pustules)
- Phymatous rosacea (thickened skin)
- Ocular rosacea (eye involvement)
Based on my symptoms—redness, heat, and obvious, non-itchy bumps—I identified PPR as the likely culprit. Popular treatments I discovered included azelaic acid and ivermectin. I purchased a tube of Finacea (azelaic acid) from a local pharmacy but decided to consult a GP before using it.
Visiting the Dermatology Clinic
After researching local options, I booked an appointment with a nearby dermatology clinic, SKin Lab. They seemed experienced in treating rosacea, even offering laser therapy. I wanted the doctor to see my skin in its natural state, so I avoided all lotions and sunscreen that day, relying on a sun umbrella for protection.
The GP, a trustworthy and empathetic professional, examined my skin using a flashlight and advanced imaging equipment. She confirmed my self-diagnosis of PPR. Her prescribed treatment plan was as follows:
- Samples of Avène products: a gentle cleansing lotion and soothing cream.
- Oral antibiotic (AkamIn): two capsules daily with meals.
- Soolantra 1% cream: applied nightly after cleansing, followed by Avène soothing cream. The GP emphasized the importance of sunscreen, as Soolantra is sensitive to UV light.
For sunscreen, she recommended La Roche-Posay Anthelios Invisible Fluid for its lightweight, non-greasy formula.
When I asked about the difference between Soolantra and azelaic acid, the GP explained that Soolantra is more effective for severe cases like mine. While azelaic acid may take a month to show results, Soolantra often works within days.
Starting the Treatment
Before starting, I was nervous about potential side effects due to my sensitive skin. However, the GP reassured me that no patients had reported adverse reactions.
At the pharmacy, I learned that the prescription was for the active ingredient (ivermectin), so multiple brands were available. For first-time users, pharmacists often recommend a more affordable option.
I followed the prescribed routine that night with a mix of hope and apprehension. To my surprise, my skin felt significantly better by the next morning. The redness and heat, which had persisted for three days, disappeared overnight. The cream felt gentle and moisturizing, and the bumps began to subside.
After four nights, the results were remarkable—nearly all the bumps had vanished. While my skin felt much improved, I plan to continue the treatment for stabilization and will return to the GP for a follow-up in a month.
Cost Breakdown
- GP consultation: $145 (Medicare rebate: $41)
- Soolantra cream: $65
- Oral antibiotics: $14
- Avène soothing cream (40ml): $41
- La Roche-Posay sunscreen (50ml): $38
Understanding Rosacea Triggers
The GP explained that rosacea is most common in people aged 30–40+, with women being more susceptible than men. Fair-skinned individuals are also at higher risk.
Steps I’m Taking to Prevent Future Flare-ups:
- Demodex mite management: Regularly sun-dry pillows to reduce mites, which are linked to rosacea in some patients.
- Anti-inflammatory diet: Research and adopt anti-inflammatory eating habits.
- Sugar reduction: High sugar intake (hello, ice cream addiction!) likely worsened inflammation. A friend shared their experience of resolving skin issues with a three-month low-carb diet, highlighting the importance of cutting sugar.
Final Thoughts
Rosacea is a complex condition that requires tailored treatment. Don’t blindly try over-the-counter products or remedies without consulting a doctor. Each subtype—and each person’s skin—responds differently to treatment.
For me, following the GP’s advice and using Soolantra has been life-changing. My skin is calmer, clearer, and more comfortable, and I’m optimistic about the road ahead.
If you suspect you have rosacea, I encourage you to seek professional guidance and take a thoughtful approach to treatment. Your skin will thank you!
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