So firstly, I think we have to encourage individuals to avoid the factors that go into flush, particularly sun exposure. I think sunshine needs to be explained as a factor that may aggravate rosacea over the years. Reducing inflammation by topical anti-inflammatory antibiotics, such as Metronidazole; we use azelaic acid for its anti-inflammatory effects. Topical Dapsone has been used more recently, and then the anti-inflammatory antibiotics such as the tetracycline. A new development recently is a low dose antibiotic, doxycycline, which acts as an anti-inflammatory, but maybe, it does not have this anti-bacterial effect, so this tries to bypass this resistance problem. The vascular rosacea — lasers and intense pulsed light — is one way of closing down these blood vessels, to reduce the flushing, and to reduce the background redness.