Rosacea, facial redness
Rosacea or facial redness belongs to a group of diseases of sebaceous or sebaceous gland diseases of the face. Rosacea can appear in people with any type of skin, but it is more common in people with lighter complexion and somewhat more pronounced work of sebaceous glands. It is most common between the ages of 30 and 40. As this illness lasts for years, and sometimes for life, we can call it facial skin condition.
Symptoms of the rosacea
Rosacea is a condition that is characterized by bursts of redness, appearance of enlarged capillaries, small rash and pustules, especially pronounced during the transition from hot to cold or when consuming alcohol or very spicy food. After a few years of the disease being present, permanently enlarged capillaries appear and in men there is an enlargement of sebaceous glands and thickening of the subcutaneous tissue, especially in the nasal region.
There are factors that worsen the condition, and adequate care significantly helps the therapy effect.
The cause of disease is unclear but it is presumed that Rosacea is activated by factors such as solar radiation, stress and hormonal changes.
Care for patients with rosacea
Patients with rosacea should avoid cleaning substances that are aggressive and dry up the skin. They should use soap free soaps, adapted to sensitive skin. Water should be cold or tepid when washing the face, because hot water worsens the redness. Products with artificial smells, menthol, eucalyptus oil, also worsen the redness. In women the makeup should be without scent and with a protection factor of at least 15 spf.
Foods that activate the bursts of redness are not the same in every patient. Some will notice that warm drinks worsen the appearance of the face, in some that is coffee, alcohol – especially red wine, various spices. Usually those are small quantities of coffee, spices or alcohol. Adding minerals and vitamins has no significant effect. Most studies have been conducted about the effect of zinc. In some studies a significant improvement has been found when 220mg of zinc have been consumed 2x a day during 3 months, while in a 2006 study this difference was negligible.
Stress and rosacea
Stress is a known trigger for inflammations and it has effect in many areas of our body, including the facial skin. Stress has a very negative effect on all inflammatory processes on and in the body.
Physical activity largely brings stress relief but persons that are treated for rosacea should choose premises that are well-ventilated and with adequate temperature. Exercises in shorter intervals are useful because they prevent overheating.
Treatment of rosacea
Treatment of this disease is complex and individual. Rosacea is difficult to treat but is very successfully kept under control. Therapy can lead to unnoticeable redness on facial skin. Therapy can be local with substances such as azelaic acid, tretinoin, metronidazole, ichthyol. Thearapy is also successful with antibiotics or isotretinoin. Treatments with IPL devices can lead to regression of changes in the skin but only in a combination with adequate pharmacology therapy maintenance.
In our practice to treat redness on your face with great success combining special creams and the latest treatment VBeam CANDELA laser.
Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade – Serbia