Rosacea Treatment

Rosacea can be overwhelming and affect confidence – speak to the staff at Lightsculpt about reducing rosacea…

What is Rosacea?

Rosacea causes redness and sometimes small red bumps on the face, typically the cheeks, nose, or forehead and uncommonly the neck, chest, ears, and scalp. Rosacea redness triggered by flushing and blushing is often caused by small blood vessels in the face dilating and as a result becoming more visible through the skin. If there are continued episodes of flushing and blushing it can cause the skin to become inflamed and produce small red bumps.

Rosacea is a progressive condition that is not contagious or infectious, yet it has no known cure. The condition fluctuates between periods of good and bad symptoms; however it is easily controlled and manageable.

Commonly most people affected by Rosacea are Caucasian, fair skinned and aged between 30-50 years old. The condition is not limited to gender and certain people can be more susceptible. Menopausal women and people with a positive family history have a higher chance of developing the condition.
Most people are not aware they have rosacea because their symptoms are minimal. The condition is reasonably easy to diagnose by a dermatologist but can sometimes be confused with acne, rosy cheeks or sunburn.

 

There are four subtypes of Rosacea that patients can have, separately or multiple ones at a time:

  1. Erythematotelangiectatic rosacea: Permanent redness with a tendency to flush easily and commonly have small enlarged blood vessels noticeable near the surface of the skin. Sometimes intense burning, stinging, or itching sensations can occur. People with this subtype often have sensitive, very dry or flaky skin. In addition to the face, symptoms can also appear on the ears neck, chest, upper back, and scalp.
  2. Papulopustular rosacea: Some permanent redness with pus filled red bumps. The symptoms are varied and can be long term or short term.  Due to this it can often be confused with acne.
  3. Phymatous rosacea: Is most frequently associated with rhinophyma, an enlargement of the nose; although small blood vessels noticeable near the surface of the skin can still occur. Symptoms include thickening skin, irregular skin surface and enlarged skin nodules. Areas affected can be the chin, forehead, cheeks, eyelids and ears.
  4. Ocular rosacea: Half of people with the other subtypes often have symptoms of ocular rosacea. This subtype can cause Red, dry, irritated, watery and gritty eyes and eyelids. The eyes can become more susceptible to infection and develop cysts in the eyelids. There can be the feeling of foreign bodies in the eye, causing itching, burning, stinging and sensitivity to light.  As a result of these symptoms blurry vision and loss of vision can occur.

 

Is rosacea like acne?

Rosacea and acne can exist together, sometimes called “adult acne” as it occurs most often in adults. To the trained eye the two appear very different because rosacea does not cause blackheads or whiteheads, only small bumps that contain puss but not squeezable.

 

What are the symptoms of Rosacea?

  • Redness on the cheeks, nose, chin or forehead.
  • Small visible blood vessels on the face.
  • Bumps on the face, sometimes containing pus.
  • Watery or irritated eyes.
  • Burning and stinging sensations.
  • Permanent redness.
  • In the most severe cases, skin can thicken and enlarge, usually on and around the nose.

 

Is there anything I can do prevent or reduce Rosacea?

The exact cause of rosacea is unknown; however there are several triggers that may make the condition worse. Identifying and avoiding the triggers can be a way of controlling the symptoms in conjunction with other treatments.

Triggers include:

  • Exposure to sunlight
  • Stress
  • Anxiety
  • Severe sunburn
  • Exercise
  • Cold weather and wind
  • Heat
  • Moving from cold to hot environments
  • The menopause
  • Certain medications, such as vasodilator drugs
  • Hot drinks
  • Alcohol and caffeine
  • If the patient has intolerance to foods high in histamine it can cause secondary rosacea.
  • High dosages of isotretinoin, benzoyl peroxide, and tretinoin.
  • Steroids
  • Hot baths
  • Humidity1
  • Certain skin-care products
  • Medical conditions
  • Certain fruits
  • Certain vegetables
  • Dairy products
  • Intestinal flora
  • Demodex mites- steroid use can increase the number of mites.

 

saggin-skinWhat treatments are available for Rosacea?

Treating rosacea varies depending on severity and subtypes; although it does not cure the condition it will reduce the symptoms. Once the patient has been diagnosed as to what subtype they have, they are then able to have appropriate treatment.

Two more popular options for treatment are topical and oral antibiotic agents. Whilst taking the medication can reduce the symptoms, when the medication is ceased the symptoms could return. This form of treatment is not an option for everybody as some people do not respond or experience side effects.

DVL (Dermatological vascular laser) or IPL (Intense pulsed light) machines are one of the other treatments for rosacea. The light penetrates the skin and is absorbed, heating up the capillary walls. This  typically results in the walls being permanently damaged and naturally absorbed by the body.

The redness may be eliminated altogether for most people, with the correct amount of treatments; some people may require a small amount of periodic treatments to maintain the results. Results of treatment may vary per individual as everybody is different and may respond differently to treatments mentioned.

 

Is DVL or IPL painful?

The laser/light treatments are not considered painful; however everybody has a different pain threshold. The feeling from light treatments is considered to be similar to a warm sting like sensation and for up to an hour to two after it has the sensation of sunburn.

Numbing cream can be applied beforehand if the patient feels they have a low pain threshold. Once the treatment has finished a cooling cream will be applied to the skin to reduce any irritation and inflammation.

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