Rosacea is a chronic inflammatory skin condition that predominantly affects the face. It is characterised by episodes of facial redness, visible blood vessels, and in some cases, acne-like bumps. Rosacea is a common condition, often seen in individuals with fair skin, and typically manifests between the ages of 30 and 50. It can significantly impact the quality of life, leading to psychological distress due to its visible nature.
Book A consultationThe exact cause of rosacea remains unclear, but it is believed to be a multifactorial condition. Several potential contributing factors have been identified:
There is evidence to suggest that rosacea can run in families, indicating a genetic component.
Abnormalities in facial blood vessels may lead to the flushing and persistent redness associated with rosacea.
An overactive immune response may play a role, with certain bacteria or skin mites triggering inflammation.
Factors such as sun exposure, extreme temperatures, wind, and humidity can exacerbate symptoms.
Certain foods (spicy foods, hot drinks), alcohol, stress, and vigorous exercise can trigger or worsen rosacea flare-ups.
The presence of the Demodex mite and the bacterium Bacillus oleronius have been implicated in rosacea, though their exact role remains under investigation.
Rosacea can progress through various stages, each with distinct characteristics:
Treatment for rosacea is tailored to the individual, depending on the severity and type of symptoms. A combination of lifestyle changes, topical and oral medications, and advanced dermatological procedures can help manage the condition.
Identifying and avoiding triggers is crucial. This might include using sunscreen, avoiding hot beverages, and managing stress.
Commonly prescribed topical treatments include metronidazole, azelaic acid, and ivermectin, which help reduce inflammation and bacterial load on the skin.
For more severe cases, oral antibiotics such as doxycycline and minocycline can be effective. In some instances, low-dose isotretinoin may be prescribed.
Gentle skincare products that avoid irritation are recommended. This includes using non-abrasive cleansers, moisturisers, and sun protection.
These treatments target the vascular component of rosacea, reducing redness and visible blood vessels.
Several laser treatments are available to manage the redness and visible blood vessels associated with rosacea:
The number of laser sessions required can vary based on the severity of the rosacea, the specific type of laser used, and individual response to treatment. Typically, patients may need between 3 to 6 sessions spaced 4 to 6 weeks apart to achieve optimal results. Maintenance sessions may be required to manage recurring symptoms.
In addition to topical and oral antibiotics, other medications may be prescribed to manage rosacea:
Rosacea is a complex and chronic skin condition requiring a multifaceted approach for effective management. While the exact cause remains unknown, understanding the triggers and stages of rosacea is crucial for developing a personalised treatment plan. Advances in laser and light-based therapies offer promising options for reducing redness and improving skin appearance, complementing traditional topical and oral medications. Book your consultation with our doctors at CLNQ to find out more about treatment options for your facial redness.
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