Rosacea

Rosacea is a common, chronic skin disorder. It usually affects the central face and is episodic and variable in condition. Classically, Rosacea presents as acne-like papules and pustules (bumps), red or pink patches and broken capillaries.

 

The first symptom which is usually noticed is blushing or facial flushing. This becomes more frequent and eventually will lead to persistent facial redness which may fluctuate in intensity.

Telangiectasia occurs due to the dilation of small blood vessels and the continual blushing may promote inflammation which causes red bumps to appear. This may resemble acne.

Rosacea commonly affects the cheeks, chin and nose and is commonly found in people with blue eyes, fair skin or who are of Celtic or English ancestry. It typically presents between the ages of 30-50.

Causes:

The exact cause is unknown. Factors that may contribute include: genetics, environmental, vascular or inflammatory factors.

Factors that may aggravate or trigger rosacea include:                                 

  • Hot food or beverages

  • Spicy foods

  • Alcohol

  • Temperature extremes

  • Stress

  • Sunlight

  • Strenuous exercise

  • Oral or topical corticosteroids

  • Drugs that dilate blood vessels i.e. blood pressure medication

  • Inappropriate use of skin care products.

Types:

  • Erythematotelangiectatic rosacea

  • Papulopustular rosacea

  • Swollen rosacea

  •  Ocular rosacea

Diagnosis:

Rosacea is diagnosed based on the history and clinical signs and symptoms. In unusual cases, a skin biopsy or blood test may be required to rule out other causes.

Management:

The management of rosacea can be through a variety of approaches. Appointments are available with our Aesthetic Doctor to discuss your hx, previous treatments and to tailor a plan to suit your skins needs. 

General measures:

  • Avoid triggers

  • Use appropriate skin care products that are gentle on the skin

  • Avoid applying a topical steroid to the rosacea

  • Protect the skin from the sun

Topical Treatments:

  • Topical products may be used in isolation or in combination with oral treatment.

Oral Treatments:

  • Oral antibiotics

  • Other oral treatments may include isotretinoin or alpha 2 agonists or beta blockers.

Procedural Treatments:

  • Vascular laser

  • Medical Grade peels and Medi Facials

  • LED light therapy

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