Rosacea

Acne Rosacea and /or Rosacea – This is quite a common condition in Ireland. It has different levels from 1 to 5 . Five being the worse. A lot of people are unaware they have it . They often refer to them selves as having a “high colour”

Rosacea – means broken blood vessel; clients can have only a few small vessels broken or a lot. They can be slightly red to very red.

Their colour will look more red then someone who has not go it. Sometimes a magnifying glass is required to see the vessels, so it may look like the cheek is just red with the naked eye when in fact it has broken blood vessels.

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A person may complain of a “stinging” sensation or cheeks becoming “very hot “. They may get spots small pimples with this condition. Rosacea skin can be very dry and feel tight and sensitive.

People with Rosacea may notice that there are certain triggers; for example spicy foods, extreme temperatures, alcohol especially red wine and cheese.

Home care creams play a very important role in hydrating the skin (vitamin c). The correct cleanser, a high SPF factor to protect the skin, a hydrating mask, and Hyaluronic acid are all good for hydrating the skin. The incorrect products can make the condition worse.

IPL or laser will help make the red veins disappear. This can start with 3 – 4 session together and then maintenance treatment throughout the persons life.

Topical creams can be given for spots, and the person may be required to take some antibiotics orally which will require a visit to a GP or dermatologist.

Hydrating peels with retinol ( vitamin a ) and lactic acid, can also improve the over all texture of the skin. Dead skin on the face can be removed gently with the correct type of peel in order for the home care products to soak into the dermis.

The skin acts as a barrier to keep things out; creams cannot be absorbed through the skin if they are the wrong type of creams, especially if there is a layer if dead skin cells sitting on top of the skin. A peel will take off the dead cells and you need to learn what creams work for you.

What is Rosacea?

Rosacea is a cutaneous vascular skin disorder characterized by papules and pustules which occurs on the face and is often associated with facial redness and flushing. There may also be uncomfortable inflammation of the eyes and eyelids. It affects both sexes equally usually from the 4th decade onwards. Rosacea is more common in fair-skinned individuals. It is a chronic condition, for which there is no cure, but it can be managed very effectively with appropriate treatment.

What causes Rosacea?

This is not fully understood. There are however a variety of trigger factors that make Rosacea worse but may not trigger it in the first place; these include diet, for example, hot spicy foods, hot drinks and alcohol. Fluctuations in temperature aggravate the disorder, so a climate where there are extremes of hot or cold makes condition worse. Topical steroids used on the face will aggravate Rosacea, as will sunlight.

How will Rosacea be diagnosed?

The rash of Rosacea has a typical appearance and can be easily diagnosed by a suitable health care professional with experience in treating Rosacea; there are no diagnostic laboratory tests. It usually starts with a tendency to flush or blush easily. After a while the central areas of the face become a permanent deeper shade of red, with some dilated blood vessels studded with small red bumps and pus filled spots which come and go in crops. The affected skin of the face is usually very sensitive, and the affected areas may feel hot or sting.

Some patients with Rosacea have eye symptoms (which includes red, itchy, sore eyes and eyelids, a gritty feeling and sensitivity to light). Be sure to consult your doctor if you have problems with your eyes.

How can Rosacea be treated?

Skin care: Daily factor 50 sunscreen and topical vitamin C serum 15-20% should be used daily on the face in patients with rosacea. Also a very gentle daily facial cleanser and moisturiser are recommended. Avoid facial scrubs or home exfoliation as these will aggravate the skin.

IPL laser: This is very useful to reduce the appearance of redness. There is a 20-30% improvement with each treatment session. Usually 6 treatment sessions are recommended and a maintenance session once or twice yearly after that. It is important to follow a good skin care regime to maintain results.

Antibiotics: After a diagnosis of Rosacea has been made a course of oral and/or topical antibiotics may be prescribed. Usually the course is for

3 to 6 months but sometimes a patient may require longer term antibiotics.

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