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LIZ’S ROSACEA JOURNEY

Before
After

FRED'S ROSACEA JOURNEY

Before
After

REAL EXAMPLES (NO FILTERS)

GEMMA
#Rosacea
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After
FRED
#Rosacea
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After
CRYSTAL
#Rosacea
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After

YOU’RE NOT ALONE

Rosacea can be frustrating, and it often seems to flare at the worst possible time. For many people, it affects more than just their skin, impacting confidence at work, socially, and day to day.

You may feel overwhelmed by conflicting advice: what products to use (or avoid), whether diet changes matter, and what actually helps long term.

And you may be tired of spending money on products and supplements that promise a lot, but don’t deliver the results you were hoping for.

Qr8 MediSkin is a doctor-led, nurse-supported telehealth service for the medical assessment of rosacea and related concerns. Where clinically appropriate, your care may include a personalised prescription option, with clear guidance and ongoing clinical support.

Rosacea care can feel complicated. We aim to make it feel clearer.

Before (from your questionnaire and photos) AND during your consultation, your doctor will:

  • assess whether your skin symptoms are consistent with rosacea (not all pimples and redness are rosacea)
  • review your skin, medical and medication history
  • help you understand the causes of rosacea, talk through treatment options and what may be appropriate for you
  • prescribe topical treatment only when suitable
  • adjust your plan over time based on response and tolerance

You’ll also have access to our dermatology nurses for:

  • guidance on how to use your plan confidently
  • education on managing rosacea day-to-day and long-term maintenance
  • supporting skincare recommendations, including an evidence-based sunscreen guidance, all tailored to rosacea-prone skin
  • follow-up support throughout your treatment cycle

Our online skincare team take the time to understand your skin through a detailed questionnaire, photo review and secure video consultation. If prescription treatment is appropriate, your doctor may prescribe a personalised topical formulation selected from a choice of 20+ evidence-based ingredients.

You’ll also receive supporting  skincare recommendations and unlimited access to our dermatology nurse via email or video, so you feel confident using your plan day-to-day.

What Is Rosacea?

Rosacea (Ro-Say-Sha) is a chronic inflammatory disorder of the facial skin. The most common symptom is redness across the centre of the face – nose, cheeks, chin and forehead. This redness is always present, and intensifies from time to time. Acne-like spots, rough skin, and visible blood vessels (called ‘telangiectasia’) can also make an appearance over time.

Rosacea skin care in Australia is about ensuring that you take steps to calm and soothe your skin throughout the heat, humidity, wind, cold, and all of your day-to-day activities. People with rosacea have a tendency to flush or blush, especially when nervous or anxious, drinking alcohol, eating spicy food or after exposure to the sun. Cold, dry weather can also make rosacea flare up. Dry, itchy and sensitive skin that reacts to skincare products is also common.

Up to 10% of Australians are diagnosed with rosacea, especially women aged over 30 with lighter skin tones, although it can develop at any age, and also occurs in those with deeper skin tones. It also runs in families. Rosacea in men can present as thickened, red and lumpy, bulbous skin, especially on the nose (called ‘rhinophyma’). This is more common in men aged over 50.

Living with rosacea is challenging. Suffering with sore, dry, red, bumpy and sensitive skin can make you feel anxious, embarrassed and depressed, and your self-confidence can take a hit. You can also find face-to-face work and social interactions more difficult.

What Causes Rosacea?

The cause of rosacea isn’t completely understood, but there is growing evidence that it is linked with systemic inflammation and dysfunction of our immune and vascular systems.

Sun exposure is thought to play a part in rosacea flares, and overall progression of the disorder. UV radiation increases free radicals in the skin that stimulate the immune system as well as the release of chemicals that cause dilation of blood vessels.

In some cases, a common skin mite called Demodex folliculorum may be involved. Even though this mite normally hangs out on skin, in those with rosacea the numbers of Demodex are increased.

How are rosacea and acne different?

Rosacea was once called ‘acne rosacea’ because it can cause bumps that look similar to acne. However, rosacea and acne vulgaris are different skin conditions, with different triggers and treatment approaches.

Rosacea can sometimes be mistaken for acne. Some people can experience both rosacea and acne at the same time. That’s why a medical assessment matters.

At Qr8 MediSkin, your care always includes a secure video consultation with a registered doctor, so your symptoms can be properly assessed and your options discussed, rather than relying on photos or a questionnaire alone.

WHAT PRESCRIPTION OPTIONS ARE USED FOR ROSACEA?

Rosacea is a chronic skin condition, which means it often benefits from a long-term plan rather than a quick fix. For some people, prescription topical options may be considered to help manage symptoms such as redness, sensitivity, and inflammatory bumps.

Many people also benefit from a broader approach that supports skin barrier health and helps reduce common triggers. In some cases, in-clinic procedures (such as vascular laser or light-based treatments) may be discussed for persistent redness or visible blood vessels. Your doctor can help you understand what may be appropriate for your skin.

Qr8 MediSkin provides doctor-led online consultations across Australia and New Zealand. Your clinician will assess your symptoms, talk through options, and recommend a personalised plan. Prescription skincare is provided only where clinically appropriate, and your plan can be adjusted over time based on response and tolerance.

You’ll also have access to our dermatology nurse team for skincare guidance, sunscreen support, and help using your routine comfortably day to day.

Your Personalised ROSACEA Plan In Four Simple Steps

01

Detailed
Questionnaire & Photos

Tell us about your health and the challenges you’re having with your skin. Snap 3 photos of your skin following our simple instructions HERE

 

02

Online Consult

Schedule a Secure Video Consultation with one of our Aussie or New Zealand Doctors to assess your skin. Consults available 7 days a week, 7am-9pm.

03

Receive Treatment

If you’re suitable for treatment, your very own custom treatment will be made-to-order just for you, and shipped within a week.

04

Expert Support

Receive your personal skincare routine and recommendations from our experienced nurses, get access to our exclusive Support Hub and evidence-based resources and virtual events, join in live discussions, and receive ongoing personal support via email or video call during each 3-month treatment cycle.

INGREDIENTS THAT CAN BE USED IN OUR ROSACEA PLANS

If prescription treatment is appropriate for you, your doctor may prescribe a personalised topical formulation using one or more evidence-based ingredients, selected for your skin type and goals.

Not every ingredient, or every strength, is right for every person. Your doctor will explain what’s suitable for you and why.

Ingredients that may be included in rosacea plans include:

Aza Acid

Azelaic acid – at prescription-strength concentrations to minimise spots, soothe inflammation, kill bacteria and unclog pores that lead to the acne-type bumps

Niacinamide

Niacinamide – to reduce inflammation and improve skin barrier function

Ivermectin

Ivermectin – has both anti-inflammatory properties and targets Demodex mites, which are known to exacerbate rosacea symptoms

Potassium Azeloyl Diglycinate

Potassium Azeloyl Diglycinate – a new generation, water-soluble derivative of azelaic acid that offers excellent skin benefits.

Studies show that it has anti-inflammatory properties, making it ideal for treating rosacea. It shows significant efficacy in reducing redness, stinging, and burning sensations for those who suffer with rosacea.

Metronidazole

Metronidazole – a topical antimicrobial and anti-inflammatory medication that is used to treat mild-moderate rosacea.

Multiple clinical trials have demonstrated the effectiveness and safety of this drug in treating rosacea and reducing facial redness.

Ectoin

Ectoin – an ingredient shown to produce a long-term moisturising effect, along with reducing inflammation, and protecting from environmental stressors like UV radiation, which make it beneficial to support sensitive, dry skin during treatment.

Oxymetazoline

Oxymetazoline – an evidence-based medication for treating persistent facial redness associated with rosacea.

It works by tightening surface blood vessels both temporarily, and in the long term, to reduce redness.

Additionally, its anti-inflammatory properties help reduce the formation of papules and pustules in rosacea, further enhancing its efficacy in managing rosacea symptoms.

Our doctors aim to avoid routine and long-term oral antibiotic use to manage rosacea.

In some cases, a short course of oral medication may be considered to help manage inflammation, but only after a medical assessment, and only when it’s clinically appropriate for you.

Can I use prescription retinoids if I have rosacea?

Once rosacea symptoms are settled and your skin barrier is stable, some people may be able to introduce additional active ingredients into their routine. During your consultation, your doctor can discuss whether a lower-strength retinoid may be appropriate for sensitive, rosacea-prone skin.

If prescription skincare is clinically appropriate, your plan will be tailored to your skin and adjusted over time. Our Skincare Support Team can also guide you on how to use your routine comfortably and respond to irritation if it occurs.

WHY CAN’T I JUST BUY A
COSMETIC AZELAIC ACID?

Well you absolutely can! But here’s some things to think about first…

Our rosacea treatments use concentrations of azelaic acid (15-20%) that scientific studies show reduce the symptoms of rosacea. Cosmetic azelaic acid products are often only available at lower percentages (10% or sometimes even 5% – make sure you check your existing product!). There is ZERO evidence that these do anything to treat rosacea.

We also combine azelaic acid with other evidence-based ingredients into a single cream (so you don’t have to purchase them separately!). These have been shown in scientific studies to soothe and calm dry, red, burning, stinging skin associated with the impaired skin barrier that comes with rosacea.

Because skincare and lifestyle changes are equally as important as treatment when it comes to rosacea, 1:1 personalized support from our experienced Skincare Support Team is included (with your rosacea treatment product, medical appointment, and delivery) in the one-off, all-inclusive cost of your treatment. We help you choose skincare products with evidence-backed ingredients to calm skin. We can also help you identify and manage your personal rosacea triggers.

The Best Skincare Products for Rosacea

Choosing skincare products is particularly challenging for rosacea sufferers. Because rosacea negatively impacts the skin barrier, it can cause dry, itchy, sensitive skin that burns and stings when using cosmetic skincare products, particularly those that are fragranced and contain active ingredients like exfoliants and vitamin C.

Overloading skin with products, using grainy exfoliants, or cleansing tools (even just overzealous rubbing with a soft face washer!) can cause rosacea flares or encourage redness to persist in the skin.

And finding a sunscreen that doesn’t sting, and protects against UVA-1 and Visible Light as well as normal UVA/B radiation is vital – sunlight plays a huge part in triggering rosacea, and making it worse.

HERE’S SOME SIMPLE DO’S AND DON’TS TO HELP MANAGE ROSACEA (AND CHOOSE THE BEST SKINCARE FOR ROSACEA)

DO DOn’t
Keep your skincare routine simple
Use complicated, multi-step skincare routines, loaded with serums and actives
Choose gentle, fragrance-free products
Choose heavily-fragranced products with long ingredient lists - especially when the fragrances are 'natural' such as essential oils
Use fingers only to cleanse skin
Use cleansing brushes, devices or cloths
Keep cleansing to a minimum
Double cleanse
Use lukewarm water to rinse skin
Use hot water on the face or take hot baths/showers
Focus on moisturising to keep the skin barrier healthy
Think exfoliants are the answer to dry skin (it’s like rubbing steel wool on a wound!)
Use properly formulated sunscreen and sun protection like sunglasses, hats and clothing religiously
Expose skin to UV radiation and Visible Light from the sun on a daily basis

All our patients receive personalised 1:1 advice from our Skincare Support Team about inexpensive skincare products to support their rosacea treatment product. It’s part of our all-inclusive cost – read more in our FAQ.

Do I need to spend a lot of money on skincare to support a rosacea treatment?

Click HERE to read what our founder, Dr Michele Squire, told Mamamia Australia about expensive skincare (hint: expensive skincare often contains long lists of ingredients at tiny concentrations just to justify their high price. The best moisturiser for rosacea is often the least expensive!)

Your Biggest
Questions Answered

Why choose our online rosacea service in Australia & New Zealand?

Accessibility

When rosacea flares, waiting months for an in-person appointment can feel frustrating. Qr8 MediSkin offers online rosacea consultations via secure telehealth across Australia and New Zealand, so you can access clinician-led assessment sooner and discuss appropriate options for your skin.

Convenience

With our online rosacea service, appointments fit around your schedule: no travel, parking, or waiting rooms. Book a virtual consultation at a time that works for you, whether it’s during a break, between meetings, or from home.

Experience

You’ll be supported by a team of registered clinicians and experienced dermatology nurses. We take the time to understand your skin and your triggers, and guide you through a plan designed to support skin comfort and long-term skin health.

Quality

When you choose Qr8 for personalised rosacea skincare, your care is guided by medical assessment and tailored to your needs. Where prescription skincare is clinically appropriate, your doctor may recommend a personalised formulation and adjust your plan over time based on response and tolerance.

What conditions can QR8 treat?

We can assess and support a range of skin and hair concerns, including:

  • Skin ageing concerns and sun-related skin changes (fine lines, uneven tone, enlarged pores)
  • Acne
  • Post-inflammatory hyperpigmentation (PIH)
  • Melasma
  • Texture and congestion concerns
  • Rosacea
  • Perioral dermatitis
  • Hair thinning and hair loss
  • Perimenopausal and menopausal skin concerns (breakouts, uneven tone, sun-related changes, dryness)

Prescription treatment is provided only when clinically appropriate following a medical consultation. If your doctor believes you would be better supported with in-person care, you may be referred to a dermatologist, GP, or another suitable health professional.

How much does it cost?

Each 3-month plan is designed to feel effortless, with transparent pricing, home delivery, and clinical support throughout your care.

A video consultation with one of our registered doctors to assess your suitability is AUD $55.

If prescription treatment is clinically appropriate, the one-off cost of AUD $280 (3 months) includes:

  • 50 g customised treatment cream (sufficient for once-daily use for 3 months), prepared to your doctor’s specifications using carefully selected, evidence-based ingredients
    Many patients can address multiple concerns in one cream. In some cases, two formulations may be recommended. Your doctor will discuss options with you during your consultation.
  • Your personalised Skin Plan, with educational guidance and supporting skincare recommendations
  • Australia Post Express delivery
  • Ongoing clinical support via email or video throughout your treatment cycle
  • A dermatology nurse video consult to answer your questions and refine your routine
  • Access to the Qr8 Support Hub, including patient resources and live discussions
  • Virtual masterclasses
  • Patient-only perks, including occasional offers and gifts

Medicare and private health rebates are not currently available for this service. Depending on your level of cover, you may be able to claim the medication component through your private health fund. We can provide a receipt upon request.

Can I claim on private health insurance?

You may be able to claim the medication component of your treatment through private health Extras, depending on your fund and level of cover. We can provide a pharmacy receipt on request.

Medicare and private health rebates do not currently apply to the consultation or support components of our service.

What about shipping?

Once payment is received, we’ll confirm and process your order within 24 business hours. Your treatment is then compounded and shipped via express delivery.

Please allow 3–5 business days for preparation before dispatch.

Do I have to subscribe?

You stay in control as we’re not a subscription service. Treatment, if prescribed, is only dispensed after a real-time medical review, and you’ll never be charged without your consent.

Every three months, we’ll remind you to book a progress consult. You decide if and when your next treatment is dispensed, and we’ll handle the delivery logistics.

How do I pay?

After your video consult, if treatment is clinically appropriate, your doctor will email your recommended plan and a quote.

If you’d like to proceed, log in via the link and pay within 30 days. Orders are processed within 24 business hours of payment clearing.

We accept Visa, Mastercard, Afterpay, and direct debit.

Meet our Founder

Dr Michele Squire

PhD, BSc (Hons), BBus

Dr Michele Squire, PhD scientist and former healthcare executive and Registered Nurse, recognised the crucial synergy between medicine, science and skincare in treating chronic skin concerns. In 2019, she established Qr8 (pronounced ‘curate’), a ground-breaking venture aimed at offering video telehealth-delivered medical consultations and uncomplicated skincare guidance rooted in scientific evidence. By promoting evidence-based medicine and combining it with the kind of expert support known to significantly improve treatment outcomes for patients, Qr8 empowers patients to make informed decisions about their skin and get results.

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Meet our Clinical Team

Dr Anastasia Boulais

FRNZCUC, MBBS(Syd), BMedSc, DipPath AHPRA Registration Number:MED0001674307

Dr Anastasia understands that everyone’s experience in their own body is unique. Wherever a patient is on their journey towards getting to know and take care of their hair and skin health, she meets them with empathy and support. Outside of work, she enjoys staying active, including going to the gym, hiking, travelling, and spending time in nature.

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Dr Bec Shackle

MMed (InternalMedicine), MBBS, BN AHPRA Registration Number:MED0002669912

Dr Bec loves making a real difference in her patients’ lives. An LGBTQ+ ally with experience in trans-affirming care, she enjoys creating a welcoming and inclusive space for all. Outside of work, she enjoys cooking, gardening, and spending time in nature with her partner and dogs.

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Dr Caroline Do

MBBS AHPRA Registration Number:MED0002235164

Dr Caroline finds the most rewarding part of her practice is the relationships she builds with patients who trust her with their ongoing care. She loves seeing familiar faces return, knowing they value the results they’re achieving together. She believes in creating a shared plan of action that’s honest, realistic, and guided by her patients’ goals while always prioritising medical safety.

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Dr Sheila Manmathan

BSc, MBBS, MRCGP, FRACGP AHPRA Registration Number:MED0001762480

Dr Sheila is compassionate and collaborative, and passionate about empowering patients to understand and feel in control of their health. With a focus on education, collaboration, and open communication, she creates a supportive environment where patients can make informed decisions at every stage of their health journey.

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Dr Danielle ten Brink

MD BMedSci AHPRA Registration Number:MED0002308228

I enjoy truly listening to a patient’s concerns and creating a relaxing environment where they feel heard and valued. My kind & approachable nature allows me to build strong relationships and trust, while my eagerness to help and offer support ensures each patient receives personalized and compassionate care tailored to their needs.

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Dr Sarah Newby

MD AHPRA Registration Number:MED0002066429

Dr Sarah has a warm and empathetic approach to her practice and listens deeply to ensure that she can work with patients to get to the root of the problem and arrive at an effective solution together. She finds being trusted with her patient’s stories and seeing how simple changes can make a world of difference to be the most rewarding part of her practice.

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Dr Yeshika Naidoo

LLB, MBBS, DIPCH, MPH, MCLIN, EPI, FRACGP AHPRA Registration Number:MED0000962959

Dr Yeshika focuses on what the patient is trying to achieve and adapts their treatment according to their individual lifestyles. She loves to see long-term and returning patients who are happy with their results, and she finds this to be the most rewarding part of her practice.

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Dr Jeremy Chou

MChD, FRACGP AHPRA Registration Number:MED0002066673

Dr Jeremy is holistic, thorough, and willing to take the necessary time and care to ensure his patients are empowered to take charge of their health. He specifically enjoys seeing patients enjoy positive results and become empowered to make better decisions for their skin and wellbeing.

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Nurse Kristen Meiklejohn

RN AHPRA Registration Number:NMW0001612708

With over 11 years of dermatology experience, Kristen is a cornerstone of the Qr8 MediSkin Skincare Support Team. Whether you’re navigating new treatments or fine-tuning your daily routine, she’s here to offer expert guidance, tailored recommendations, and genuine care. Think of her as your personal skincare guardian angel – she’s always ready to help you feel confident in your skin!

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Pharmacist Matthew Belgrove

BPharm AHPRA Registration Number:PHA0000982524

I have been a pharmacist for 14 years, owned and worked in a variety of Pharmacies including NCC for the last 10 years. When not working, I enjoy spending time with my wife, 4 kids & dog and also swim, bike and running. I find compounding pharmacy a rewarding profession because of NCC’s ability to customise medicine for any type of patient. I often find ourselves solving challenges which standard medicine couldn’t and the gratitude from Patients is very humbling.

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References

Your Personalised Rosacea
Plan

STARTS HERE

Take the next step toward understanding your skin and your options with doctor-led care, online.