Not so long ago, one of us was consulted by a middle-aged woman with rosacea. For many years, she had had periodic flares of red papules and pustules on her nose and the adjoining areas. The confluent telangiectasia on her cheeks gave a permanent appearance of well-applied rouge. She had seen several dermatologists and had received a wide variety of medications, all of which seemed appropriate except to her as would be subsequently revealed. She wanted a new approach, but there were limitations placed upon her request: no pills or capsules; nothing odiferous; no agent that might bleach clothing; and nothing that would interfere with her night creams, eye restorer, or wrinkle control. All of these had been recommended by the cosmetic consultant – that is, the person behind the cosmetic counter who wears a white coat.  (Figure 1)
Parish, Lawrence and Witkowski, Joseph A, "The most important medical source: Aunt Mabel knows best." (2010). Department of Dermatology and Cutaneous Biology Faculty Papers. Paper 24.