Rosacea

Rosacea generally occurs in people aged 30 to 60 and is a chronic red ‘rash’. Rosacea can be recurrent, temporary, or chronic.  People with blue eyes, fair skin, or red hair suffer rosacea most commonly.

What causes rosacea?

No-one knows for sure but possible causes include your genes, blood vessel and inflammation related factors, the environment you are exposed to, particularly chronic sun exposure, steroid creams and certain face products.  Abnormal reactions of skin’s immune system also plays a role.  The stomach bug Helicobacter pylori may also possibly be linked.  Spicy, hot food or drink can also exacerbate rosacea.

What does rosacea look and feel like?

Possible features of rosacea include:

  • Redness and/or telangiectasia (prominent blood vessels).
  • Flaky, scaly, dry skin.
  • Eyes can feel sore, tried or gritty and/or look red. Red bumps and/or styes can also be present.
  • Chronic face or eyelid swelling.
  • Frequent blushingflushing
  • Red spots on the face (which may or may not be full of pus) rarely, the arms and body can be involved
  • Sensitive skin (i.e. skin that burns and stings), generally due to some facial creams (including sunscreen), and make-up.
  • Larger than normal, thickened and mis-shaped nose with prominent pores
  • Use make-up and skin-care products (including sunscreen) that are water, not oil, based.

Do I definitely have Rosacea?

Your symptoms may be due to other skin conditions and thus it is important to consult with a medical professional who will be able to diagnose your skin condition and explain the range of treatment options available.  Please feel free to contact Dr Tracy Chandler from The Chandler Clinic for a consultation.

Treatment for rosacea

General

  • Reduce exposure to triggers, e.g. spicy foods, alcohol, heat, sun.
  • Don’t use topical steroids (although they can help short-term it can make rosacea worse long-term.
  • Prescription creams, e.g. Antibiotic creams, Azelaic acid cream, Brimonidine gel, tacrolimus (or pimecrolimus) cream andIvermectin
  • Natural, medical quality skin-care such as OSMOSIS (available after consultation with Dr Tracy Chandler at The Chandler Clinic).
  • Certain antibiotics (usually for 6-12 weeks) help improve rosacea. As this is not a cure, more antibiotic courses may be needed. Some rosacea is resistant to the antibiotics usually prescribed for rosacea and so trials of other antibiotics may be needed.Risks are possible with l
  • Isotretinoin is generally reserved for when oral antibiotics are not working.  It is usually prescribed long-term (potentially years) at a low dose for rosacea, sometimes for years.  Isotretinoin has potentially very serious side effects and requires monitoring blood tests.
  • Nutraceuticals (a food or food product that provides health and medical benefits) may help for flushing, redness.
  • Some prescription medications can help with the flushing from rosacea.  Again, potentially, they can cause significant side effects.
  • Anti-inflammatory agents, e.g. ibuprofen can help improve the redness and discomfort. Serious side effects are possible.

Topical

There are a range of different creams available:

Oral

Light Based Therapies

Intense pulsed light treatment (IPL) or Vascular Lasers can help reduce the prominent blood vessels, associated with rosacea.  Other options for these vessels include heating them with cautery or diathermy orinjections (sclerotherapy).

Surgery

Enlarged noses (a possible side effect of untreated rosacea) can be treated with surgery (scalpel or laser).

“It came as a huge disappointment to me at age of about 50 when almost overnight I developed a condition known medically as Rosacea. "The results have delighted me, a significant improvement is obvious, gone are the days of anxious scanning my appearance in the mirror for the worst.”
- M. A (Full name and address supplied)

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ABOVE: BEFORE & AFTER Rosacea treatment - Results may vary

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