Inside Out Medicine — we treat skin from the inside out Health in Türkiye
Other Skin Conditions

Acne & Rosacea

Acne and rosacea both show up as spots, redness and sensitivity on the face; though they look similar, their causes and treatments are quite different from one another.

Cortisone-free protocol Same-day callback Consultation in five languages

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Cortisone-free protocol Same-day callback Consultation in five languages Written treatment plan
Signs and symptoms

Do you recognise these signs?

If one or more of these applies to you, we recommend a dermatological assessment.

  • In acne, blackheads and whiteheads with inflamed papules, pustules and nodules
  • In rosacea, persistent central-face redness, visible vessels and flushing spells
  • Papulopustular rosacea showing acne-like bumps on a background of redness
  • Oiliness on forehead, chin and cheeks, enlarged pores and residual scarring
Assess my condition

Causes and triggers

  • In acne, hormonal drive, excess sebum, blocked pores and bacterial inflammation
  • In rosacea, over-reactive vessels, barrier disruption and a role for skin mites
  • Heat, spicy food, alcohol, sun and stress triggering rosacea flushing
  • Insulin resistance and gut imbalance contributing to the severity of acne
Cortisone-free protocol

How we treat it

01

Telling the two apart and tailoring a plan to skin type and any scarring

02

Cortisone-free topical retinoids, azelaic acid and antibiotics to calm inflammation

03

For rosacea, trigger control, barrier repair and light devices for redness

04

Hormonal and metabolic assessment with systemic therapy for stubborn acne

The Inside Out Approach

Why Clinovia?

Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.

01

The Gut–Skin Relationship

We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.

02

Cortisone-Free Protocol

First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.

03

Systemic Repair

Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.

04

Measurable Follow-up

PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.

Acne usually starts with blackheads and blocked pores and occurs at any age. Rosacea makes no blackheads; instead it brings persistent central-face redness, flushing spells and visible small vessels. We confirm the distinction with examination and dermoscopy, then plan treatment accordingly.

Our first choice is cortisone-free topicals, which do not thin the skin. Options such as retinoids and azelaic acid are introduced gradually alongside ceramide moisturisers and sun protection to support the barrier. This keeps irritation to a minimum while aiming for lasting improvement.

Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.

Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.

Appointment

Let's build the right plan for your skin today

Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.

  • Same-day callback
  • Consultation in five languages
  • Written treatment plan
  • Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
  • Mon–Sat: 09:00 – 19:00

Request a same-day callback

Leave your details and our coordinator will call you to arrange the right doctor and time.

This form does not replace a medical diagnosis.

Request received. We will call you shortly.
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Cortisone-free protocol Cortisone-free treatment protocolsGut–skin axis approach12 years of psoriasis & eczema expertiseNB-UVB phototherapy unitConsultation in five languagesSame-day appointment callback