sensitive red sore flushed
treatment options for rosacea
“It’s time to find and reveal your beautiful skin”
Are you suffering from skin that flushes easily (especially when touched), has obvious red spider vein blood vessels (telangiectasia) and has a smattering of black and whitehead-free pimples appearing on your cheeks and nose, or is your face red without makeup?
Chances are you are suffering from Rosacea
ROSACEA (rose-AY-sha) is a common skin disease
For most people a flushed face is a standard reaction to emotions ranging from excitement, to embarrassment, to anger. Yet for many, facial redness is a manifestation of rosacea: an often unrecognised and misunderstood skin disorder.
To put it in the most basic terms, Rosacea is an inflammation that comes back again and again. Essentially, someone who has this chronic disease will relapse from time to time while going through weeks, months or even years without a single symptom. There is no cure at this time, but our web page sets out to focus on the ways in which each form of Rosacea can be treated and controlled.
Rosacea is a disorder that mainly affects skin on the face. It causes redness on the nose, chin, cheeks, and forehead. Over time, the redness can become more intense, taking on a ruddy appearance. Blood vessels may become visible.
In some cases, Rosacea appears on the chest, back, or neck. It can affect the eyes, causing them to feel irritated and to appear bloodshot or watery. People with Rosacea can also develop red solid bumps and pus-filled pimples. The disorder can cause the nose to take on a bulbous, swollen appearance called rhinophyma.
“Self-esteem, embarrassment and frustration”
Even though Rosacea is not a life-threatening condition, its effect on appearance can often leave you feeling embarrassed, frustrated, anxious, and lacking in self-confidence.
Patients who are well informed about Rosacea tend to cope better because they are prepared to deal with complications or recurrences.
Emotional health is generally restored when symptoms are successfully addressed. This is more likely to happen if individuals comply with long-term medical therapy and take measures to minimise the factors that aggravate the condition.
It is important for individuals to talk to a doctor if they experience intense feelings of distress, embarrassment, or frustration.
Rosacea does not cause scarring. It is a chronic disorder, rather than a short-term condition, and is often characterised by relapses and remissions. It can be caused by inherent defects in the body’s immune system. Treatment is generally directed toward symptomatic control and disease prevention.
At Nascent Skin and Beauty we offer several modalities that can be effective at reducing and controlling Rosacea and its associated flare ups. We can reduce skin redness and reveal your beautiful fair skin by using the latest IPL Photorejuvenation treatments, medical grade LED Phototherapy and Advanced Cosmeceutical Corrective Facials, as well as providing you with effective post-treatment care.
Types of Rosacea
There are four (4) types of Rosacea. Each type has its own set of symptoms. It is possible to have more than one type at a time.
- Erythematotelangiectatic Rosacea (ETR)
- Papulopustular Rosacea
- Phymatous Rosacea
- Ocular Rosacea
Rosacea trademarks are small, red, pus-filled bumps on the skin that are present during flare-ups. Typically, Rosacea affects only skin on your nose, cheeks and forehead.
Erythematotelangiectatic Rosacea (ETR)
Sub Type 1
FACIAL REDNESS – Flushing, Broken Capillaries, Visible Blood Vessels
- Flushing & redness in the centre of the face
- Visible broken blood vessels (spider veins)
- Swollen skin
- Skin may become extremely sensitive
- Skin may sting and burn
- Dry skin, roughness or scaling
- A tendency to flush or blush more easily than most people
Erythematotelangiectatic Rosacea (ETR) is the most basic type of Rosacea. It’s characterised by flushing and persistent redness, often in a butterfly pattern on a person’s nose, cheeks, forehead, and chin. Blood vessels under the skin may also be visible, and often are referred to as broken capillaries or spider veins. The affected skin may feel warmer than the surrounding skin, and often reacts strongly to stimuli.
Sub Type 2
BUMPS & PIMPLES – Acne Like Breakouts, Pustules, Lumps, Whiteheads, Soreness
- Acne like breakouts where the skin is very red
- Acne breakouts tend to come and go
- Oily skin
- Skin may become extremely sensitive
- Skin may sting and burn
- Visible broken blood vessels (spider veins)
- Raised patches of skin called plaques
Papulopustular Rosacea is often defined with bumps and pimple-like eruptions in addition to redness, with some of the bumps becoming infected with acne-causing bacteria. Often incorrectly referred to as “Acne Rosacea” because of the pimple-like symptoms.
Sub Type 3
ENLARGEMENT OF THE NOSE – Thickening Skin, Broken Veins, Rough Gnarled Bulbous Texture
- Thickening skin
- Skin that looks bumpy and red
- Thickening nose and nostrils
- It can also affect the cheeks, ears, and chin
Most common in men, this type of Rosacea involves a thickening of the skin and hyper-growth of facial blood vessels, a condition called rhinophyma (rie-no-FIE-mah), which can result in a bulbous nose from the excess growth of tissue in this area. Often, the thickening of the skin and tissue on the nose is referred to as “alcoholics’ nose” because it can look very similar to the enlargement, swelling, and broken blood vessels associated with excessive drinking, but in these circumstances it is not.
Sub Type 4
EYE IRRITATION – Redness, Swelling, Lumps, Cysts, In and Around the Eyes
- Watery or bloodshot appearance of eyes
- Gritty, feels like sand in your eyes
- Eyes burn or sting
- Eyes are very dry and may itch
- Eyes are sensitive to light
- Blurry vision
- Visible broken blood vessels and/or cysts on eyelids
Ocular Rosacea symptoms are centred on the eye area. It has the potential to create vision loss. Ocular Rosacea often exists with another type of Rosacea, so you’re battling skin symptoms plus itchy, irritated eyes.
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Rosacea is defined by persistent erythema (surface redness) of the central portion of the face lasting for at least 3 months. Supporting criteria include flushing, papules, pustules, and telangiectasias on the convex surfaces. Secondary characteristics are burning and stinging, edema, plaques, a dry appearance, ocular manifestations, and phymatous changes. The prevalence of these findings designates the subclassification of the presentation and, additionally, the therapeutic options.Options include:-
TRIGGER REDUCTION – identifying the cause of redness and avoiding or controlling that trigger – for flushing triggers are often exposure to extreme temperatures and/or wind; exposure to sunlight; drinking alcohol; eating spicy foods; increased stress levels; exercising; taking certain medications; or having hot flushes associated with menopause.
PROFESSIONAL SKIN TREATMENTS – seeking skin care treatments from a trained specialist that can deliver Intense Pulsed Light (IPL) Photorejuvenation; medical grade controlled LED Phototherapy (Blue Light to reduce toxins and bacteria; Red Light to soothe and heal) or Corrective Facial Treatments using cosmeceutical products and applications designed to address Rosacea.
When it comes to Rosacea it’s probably best if we start with WHAT NOT to put on your skin.
Skin care products to avoid include astringents, toners, menthols, camphor and sodium lauryl sulfate products. Heavy foundations and cosmetics that are hard to remove such as oil-based facial creams are not recommended.
So, what should you be using?
- Gentle Cleanser which restores epidermal health even if your skin feels oily and you have pimples
- Antioxidants to combat free radicals (inflammation)
- Serums containing growth factors, peptides and stem cells for repair and hydration
- Physical Broad Spectrum Sunscreen containing zinc and/or titanium oxide – every day (chemical based sunscreens are NOT recommended)
- Vitamin A – in a topical format, irritant free and able to penetrate to the deeper layers. This treats the vascular component by thickening the dermis, making blood vessels less visible, and it stimulates the production of new healthy and stronger dermal blood vessels resulting in decreased inflammation. It also reduces excess oil production which means fewer pimples
One of the earliest changes that occur in people afflicted by rosacea is an increased sensitivity to the elements and topical products both in daily routine and in skin care. Topical skin care treatments such as soap-free cleansers, gentle emollients and light foundations are recommended. The use of mineral based make-up and ensuring that your cosmetics and sunscreens contain silicones. Certain products that incorporate polymer technology help to absorb excess surface skin oils without causing skin dryness. Anti-oxidants and vitamin E fight free radical damage, promoting skin rejuvenation.
SUN PROTECTION -Because exposure to sunlight is a very common trigger for Rosacea symptoms, using sun protection is a must. Not only does the warmth of the sunlight cause flushing flares, but the exposure to ultraviolet radiation can cause changes beneath the skin that worsen Rosacea. The best option for anyone with Rosacea is to use a broad spectrum sunblock of at least SPF 30 or higher. Additionally, it is a good idea to use sun protective clothing and to avoid midday sun. The best sunblock to use when you have Rosacea will be one that creates a silicone barrier, not those that are alcohol based, because the alcohol can further irritate the skin.
COSMETIC CAMOUFLAGE – when Rosacea symptoms appear, one option is to cover the problem with cosmetics. Red patches and flushing can often be covered well enough that others will not notice. For women, it is best to start with a green-tinted concealer and finish with a proper flesh-coloured foundation. For men, it is best to use a green-tinted facial powder to reduce the redness. When choosing makeup, it is best to look for products that do not contain oil and are noncomedogenic (won’t block skin pores). Avoid products that contain alcohol, peppermint, menthol, clove oil, eucalyptus oil, salicylic acid, and hazel oil. All of these can irritate the skin and make symptoms much worse. We have a range of Colorescience Mineral Makeups with SPF that can assist in this arena – speak with our Skin Specialist who can arrange for sample product application in our clinic to identify which works best for your condition.
Rosacea treatments can be effectively performed by our Skin Specialist using a TGA approved medical grade IPL system providing Photorejuvenation treatments, our Medical Grade LED Phototherapy and/or Advanced Cosmeceutical Corrective Facial treatments to rid you of the embarrassing blush and constant redness typical of most Rosacea outbreaks. There are also several professional cosmeceutical products containing ingredients that can calm the redness and reduce the associated soreness significantly as opposed to trying to hide it with layers of make-up.
Rosacea occurs predominantly in fair skinned adults, 30 to 50 years of age and persists, becoming chronic with age. It occurs more frequently in females, but when it occurs in males it is usually more severe. One in ten patients with Rosacea has a family history of the condition.
There are various forms of Rosacea depending on which skin appearance predominates – (including Rosacea affecting the nose and eyes) but as mentioned above, the most common types mainly cause flushing and telangiectasia or papules and pustules or a combination of both. Flushing may be provoked by many factors including heat, alcohol, sun, hot and spicy food and drinks, wind and excessive motion.
Most people with the disease may not even know they have Rosacea or that it is a diagnosable and treatable (though not curable) condition.
Many people who have Rosacea may just assume they blush or flush easily or are just very sun sensitive. Those that suffer outbreaks of pustules and papules often believe they are suffering from acne, even later in life, and never consider it might be Rosacea.