After we have made a clinical diagnosis of rosacea and determined its severity, a local treatment, a cream, is applied to mild rosacea. If this is not sufficient, a parallel therapy with antibiotics will be administered. In very severe cases we use isotretinoin (e.g. known under the trade name Roacutane®️). For selected clinical conditions, we recommend accompanying rosacea therapy with peelings, high-energy blue light or Intense pulsed light (IPL).