Rosacea Decoded · Functional Skin Consultation

Decode what's really driving your rosacea and reactive skin.

A comprehensive functional skin consultation built around rosacea and stubborn, reactive skin. Rosacea is rarely one thing: we map the real drivers behind your flares, from Demodex to gut health, hormones, and a damaged skin barrier. Thorough intake, targeted lab testing, and a personalized plan refined with follow-ups.

  • Detailed intake: photos, history, medications, current routine
  • Strategic lab testing based on your specific presentation
  • Personalized treatment plan once labs return
  • Optional 2-4 week follow-ups to refine your protocol (billed separately)
★★★★★ 4.9 from clients who completed the full process
Book Your Consultation

Three ways to work with me directly.

Private video call 30 · 45 min + full plan Worldwide Invite after payment
Choose the level that fits your case
  • Focused call: one specific concern, fast answers
  • Extended call: a full history & deeper review
  • Full consultation + treatment plan: diagnosis & step-by-step protocol
  • Every option is a real conversation with me, not a form
Consultations from
$95
Three options
$95, $105 & $295
Secure checkout powered by Shopify · Calendar invite emailed after payment · Lab tests & follow-ups billed separately
Functional Skin
Specialist
Root-Cause
Lab Testing
Optional 2-4 Week
Follow-Ups Available
Worldwide Virtual
Consultations
Who This Is For

Built for rosacea that won't quit, and the skin conditions that travel with it.

This consultation is for people who have tried multiple products, practitioners, and approaches for their rosacea or reactive skin and still haven't found answers. Often because the real driver, whether Demodex, gut, hormones, or barrier damage, was never identified.

Rosacea
Redness, flushing & bumps
Demodex
A common rosacea driver
Blepharitis
Eyelid margin & lashes
Folliculitis
Scalp & body
Adult Acne
Won't respond to standard care
Keratosis Pilaris
Persistent body texture
Unexplained Itching
Especially at night
Unclear Diagnosis
When others can't tell you what it is

Not sure if your condition fits? Book a consultation and we'll determine that together during your intake.

The Process

A complete functional approach.

Not a 15-minute appointment. This is a methodical, multi-phase process, designed to actually understand what's driving your rosacea before recommending any treatment.

i
Phase 01 · Intake Before our call
Thorough patient intake

Before we ever speak, you complete a detailed intake. The depth here is what makes the rest of the process possible: most practitioners never look this carefully.

  • Detailed symptom history & timeline
  • Clear photos of affected areas
  • Current skincare routine & product list
  • Supplements, medications, and recent changes
  • Full medical history relevant to skin and inflammation
ii
Phase 02 · Assessment Our 60-min call
Determining likely drivers

We meet on a 60-minute video call to review your intake together. We discuss what your symptoms suggest, what the most likely drivers are (Demodex, gut, hormones, barrier dysfunction, etc.), and what we need to confirm with testing.

  • Review of all intake information
  • Discussion of likely contributing factors
  • Your questions answered in depth
  • Clear next steps documented
iii
Phase 03 · Testing Targeted, not shotgun
Strategic testing strategy

We create a focused testing plan based on what your specific presentation actually warrants, not generic panels run on everyone. This may include Demodex density testing, blood work, hormone panels, gut testing, or nutrient assessments depending on what's relevant.

  • Tests ordered based on your specific case
  • Direct lab access (no doctor referral needed in most cases)
  • Clear explanation of what we're looking for & why
  • Lab tests billed separately from consultation fee
iv
Phase 04 · Baseline While waiting for labs
Start your baseline routine

We don't wait passively for lab results: we use the testing window to make foundational changes that almost always help. Removing skincare irritants, calming the skin barrier, and starting the right topicals so you're already making progress when the full plan is ready.

  • Remove irritants from your skincare & environment
  • Start the correct foundational topicals
  • Simplify your routine to a calm baseline
  • Begin gentle lifestyle & environmental adjustments
v
Phase 05 · Treatment Plan Once labs return
Personalized treatment plan

Once lab results are in, we identify your main driver and build your treatment plan around it. This isn't a template: it's a plan specifically built for your symptoms, your test results, your sensitivities, and your lifestyle.

  • Identification of the primary driver(s)
  • Specific Ovanté protocol matched to your case
  • Supplement & dietary recommendations as relevant
  • Clear timeline & expected progression
  • Written plan delivered for reference
vi
Phase 06 · Follow-Ups Every 2-4 weeks · billed separately
Ongoing support & refinement

Real treatment isn't set-and-forget. Optional follow-up sessions every 2-4 weeks let us review symptom progression, adjust the plan, troubleshoot any reactions, and refine your protocol as you respond. Follow-ups are billed separately and scheduled as you need them, not bundled into your initial consultation.

  • Optional check-in calls every 2-4 weeks (billed separately)
  • Symptom progress review with updated photos
  • Protocol adjustments based on your response
  • Messaging access between calls for urgent questions
What You Receive

A complete treatment partnership.

Your consultation includes everything you need from initial intake through ongoing treatment refinement.

Detailed intake review

A thorough written review of your history, photos, current routine, and existing medications, completed before our first call so we use the time well.

60-minute initial call

A focused video consultation to discuss your presentation, likely drivers, and the testing strategy that fits your specific case.

Personalized testing strategy

Targeted lab recommendations based on your symptoms, not generic panels. Direct lab access for most tests, no doctor referral needed.

Baseline routine

A calming baseline protocol implemented while waiting for labs, removing irritants and starting foundational support so you're not standing still.

Custom treatment plan

A written, individualized treatment plan delivered once labs return, built specifically for your case, your sensitivities, and your goals.

Optional follow-ups

Optional follow-up calls every 2-4 weeks throughout active treatment, plus messaging access between sessions for urgent questions. Follow-ups are billed separately from your initial consultation.

Consultation Options

Three ways to work with me directly.

Start with a focused call to get answers on one specific concern, or go all-in with a complete diagnosis and a step-by-step protocol built around your results. Every option is a private video call with me. Pick the level that fits your case and check out securely below.

1
Choose your consultation
Pick the level that fits your case
2
Pay through secure checkout
Fast, encrypted checkout via Shopify
3
Get your calendar invite
I email your invite once payment clears
Focused Consultation
$95
30 minutes · Private video call
Best for one specific question: a flare, a reaction to a product, or a second opinion on where to go next.
  • 30-minute one-on-one video call
  • Review of your main concern & current routine
  • Clear, prioritized next steps you can act on today
  • Product & ingredient direction for your case
  • Diagnosis & full written protocol not included
Book the 30-Minute Call · $95
Extended Consultation
$105
45 minutes · Private video call
Best for a fuller picture: more time to walk through your history, timeline, and everything you've already tried.
  • 45-minute one-on-one video call
  • Deeper history, timeline & symptom review
  • Photo & routine assessment on the call
  • Recommended testing directions & priorities
  • Verbal roadmap of what to change first
Book the 45-Minute Call · $105
Most Complete
Full Consultation + Treatment Plan
$295
Diagnosis & step-by-step written protocol
Everything, tailored to you. A full functional assessment and a complete, written plan built around the drivers we identify in your Skin Decode.
  • In-depth consultation & working diagnosis
  • Step-by-step protocol: diet, supplements & skincare
  • Exact ingredients, products & dosages
  • Your personal trigger map: what to remove & avoid
  • Targeted testing strategy for your presentation
  • Written plan delivered after your session
Book the Full Plan · $295

Secure checkout powered by Shopify. Reserve your consultation below through secure checkout. As soon as your payment clears, I'll email you a calendar invite for your session. Lab tests and optional 2-4 week follow-up sessions are billed separately. Not sure which fits? Start with a Focused Consultation and we'll map out the rest together.

Marina Ivakhnenko, Functional Skin Practitioner
Marina Ivakhnenko
Functional Skin Practitioner
Functional Skin Specialist Co-author, The Demodex Solution Founding Member of Ovanté · Est. 1992
Your Practitioner

A functional approach to skin you've tried everything for.

I'm Marina, a functional skin practitioner specializing in rosacea and the reactive, inflammatory skin and scalp conditions that travel with it. Demodex is one of the drivers I look at most closely: I co-authored The Demodex Solution and work alongside dermatologists, ophthalmologists, functional medicine doctors, and naturopaths on the cases conventional treatment alone hasn't solved.

"The patients who come to me have usually tried everything. The reason it didn't work isn't always the products: it's that nobody asked the right questions or ran the right tests."

My approach is rooted in the functional medicine principle that chronic skin conditions almost always have multiple drivers, and that the only way to actually resolve them is to identify those drivers through targeted testing, then build a treatment plan that addresses each one. Not just the visible symptom.

I work with clients worldwide via virtual consultation. Most see meaningful improvement during the 8-12 weeks of active treatment. Many describe it as the first time someone really listened to what was going on.

Frequently Asked

Questions about the consultation process.

Are tests always required?
Not always, but often. Tests are determined after reviewing your symptoms, photos, and medical history during our initial call. For some cases, the picture is already clear from the intake and we can move directly to treatment. For others, targeted testing makes the difference between a plan that works and one that misses the underlying driver.
What kinds of tests might be ordered?
It depends entirely on your case. Common ones include Demodex density testing, comprehensive blood panels, hormone panels (especially for adult acne and rosacea), gut health markers, MTHFR/methylation testing, thyroid panels, nutrient testing (iron, B12, vitamin D, zinc), and food sensitivity testing. We only order what's actually relevant to your specific presentation.
Do I need a doctor's referral for the labs?
For most tests we order, no referral is needed: we use direct-access labs available to consumers. For certain specialty tests, you may need to coordinate with your primary care doctor or a functional medicine physician we can refer you to.
How much do the lab tests cost?
Lab costs vary by what you actually need, typically ranging from $150 to $600 for a thorough initial workup. We always discuss costs before ordering anything. Labs are billed separately from the consultation fee, paid directly to the lab.
What if I don't live in the United States?
We work with clients in 42 countries. International lab access varies: for some tests we can recommend the equivalent panels available in your country. The consultation itself, the treatment plan, and follow-ups all work the same regardless of location.
How long does the full treatment usually take?
Most active treatment runs 8-12 weeks because that's how long it takes to calm the inflammation and let the underlying drivers actually shift. Where Demodex is involved, it also spans several of their life cycles. Some cases resolve faster, some need longer. The follow-up cadence (every 2-4 weeks) means we're calibrating throughout, not setting a single plan and hoping.
Is this a replacement for medical care?
No. A functional skin consultation complements, not replaces, care from licensed dermatologists, ophthalmologists, and physicians. For prescription medications, surgical interventions, or acute medical issues, you should continue working with your medical team. Many of our clients work with us alongside their dermatologist or ophthalmologist.
What if I want to stop after the first call?
Completely fine. You're never locked into anything beyond the initial consultation. After our first call, if you don't feel this approach is the right fit, you don't proceed. No questions asked.
Ready To Start

Stop guessing at your rosacea. Start decoding it.

A comprehensive functional skin consultation, built to find the real drivers behind your rosacea and reactive skin, for the complex cases that didn't resolve with standard care.