Rosacea is not a disease but a progressive vascular disorder occurring in men and women. It can often appear in the thirties and is characterised by facial erythema (redness) with inflamed papules and pustules (although not always). When Rosacea is present the skin can appear tenses and shiny and on closer inspection often reveals telangiectasia (thread veins). This is where thread vein removal using diathermy can help with the appearance of Rosacea, however it must be very carefully worked on. Rosacea is normally found on the face although it can also spread to bald scalps and on rare occasions to the upper arms. Rosacea is normally aggravated by outside temperature

Dermatosis Papulosa Nigra is not one of the most common blemishes I treat but one that I see probably 4-5 times a month and the results with treatment can be fantastic. Most clients do not know they have this and it certainly is a bit of a mouthful to say so as a practitioner it’s called DPN for short. It is in the same family as Seborrheic Keratosis. This is a gentleman I saw recently who presented with this blemish and as you can see he has multiple blemishes on his cheek: We are due to start treatment in a few weeks as he has been skin tested and this

Filiform Warts or Skin Tags that is the question. I can’t tell you how many times I have seen clients who come in with what they consider to be a skin tag or have been told by the doctor is one where indeed it is a filiform wart. Sometimes they look very similar, so this can be an easy mistake. However look a little closer at the texture first and then the head as I like to call it and you will see individual prongs forming the top of the wart, in addition, it feels firmer and sometimes a little rough. I see them mostly on the face or the