Posted: Apr 30, 2012 4:15 PM by Sarah Rosario
Updated: Apr 30, 2012 4:15 PM
Source: Dr. Ann Zedlitz
BATON ROUGE: Rosacea is a common skin condition that causes redness and swelling to the cheeks, neck and chest. The redness is due to blood vessels that you see. It can even affect the eyes. About 50% of patients with rosacea have eye involvement.
It starts slowly with a tendency to blush more often and longer, then it becomes more persistent. Men may see redness on their nose after drinking a glass of wine. Rosacea skin is very sensitive to many ingredients in cleansers, anti aging products and even certain sunscreens (chemical ones). Avoid products with witch hazel, menthol, alcohol and fragrance. The fewer products, the better.
Dr. Z says CeraVe and Cetaphil are good gentle cleaners over the counter.
There are four different types of rosacea. 1. Facial Redness 2. Acne like rosacea 3. Rhinophymatous (enlarged nose) 4. Ocular (eyes are irritated and bloodshot)
Dr. Z says you can have more than one type and some overlap. You can start with type 1 and progress to type 2.
Treating rosacea is harder to treat the longer you wait.
"It also requires more treatments, so it costs more the longer you wait," said Dr. Z.
Oral antibiotics that help with inflammation such as doxycycline can help. (no treatment cures rosacea but it can help to control it)
Topical products such as azeleic acid (aka Finacea) or metronidazole (aka Metrogel) can be used to control it.
Light treatments that destroy the blood vessels work well. These are known as IPL/BBL. IPL stands for intense pulse light.
"You usually need 3-5 treatments initially, then 1 treatment every 6 months. You will continue to make more blood vessels, but slower if you use the correct sunscreen (physical blockers like titanium and zinc oxide) and avoid triggers," said Dr. Z.
Certain lasers, such as V beam or KTP, can be used to treat the larger blood vessels. Surgical procedures can help to remove excess skin in patient the has an enlarged nose.
"I use a combination of treatments for this depending on the severity of the case. If you have a family history of this and your dad's nose is big- don't wait- start your treatment early and keep it under control."
According to a National Rosacea Society survey, some of the most common rosacea triggers include sun exposure, emotional stress, hot or cold weather, wind, alcohol, spicy foods, heavy exercise, hot baths, heated beverages (coffee or tea) and certain skin-care products.
Patients with rosacea usually can't use tretinoin products- at least not until it gets under control with a light treatment.
· Fewer products - no fragrance
· Physical sunscreen- titanium or zinc oxide
· Avoid your triggers
· Treat early and do maintenance treatments every 6 mos