What is Rosacea?

Rosacea is a vascular disorder aggravated by flushing of the skin with blood. It is a common skin condition that occurs in adults. It usually occurs after the age of 40, but it can begin as early as age 20. It is common in women than in men and in Fitzpatrick skin type 1, 11, and 111.Rosacea is characterized by chronic diffuse redness. In early and mild cases, the client may only notice bouts of redness that may be triggered by heat or alcohol ingestion. In more severe cases, the client may develop large sore, acne like papules and pustules. In very severe cases, cysts can develop, and the client may undergo therapy with isotretinoin, know as Accutane.

The exact cause of rosacea is unknown. It is believed to be heredity. One theory is that inflammation is caused by the presence of small mites called demodex, in the skin. Some experts theorize that rosacea may be related to a bacterium know to be associated with stomach ulcers. Others think it may be related to the presence of yeast or fungus in the skin. Rosacea may also be related to a biochemical in the skin called vascular growth factor (VGF). VGF is responsible for the development of new blood vessels, may be out of control in patient with rosacea.

Prevention and Control

We do not know what cause rosacea. Or what causes it to flare up or what causes a sudden worsening or redness. Flares of rosacea are caused by anything that causes vascular dilation of the blood vessels in the face. Client should avoid sun at all cost. Spicy food and alcohol, wine epically red as the may cause it to flare. Tobacco and caffeine may also cause vasodilatation or sudden dilation of blood vessels.

Controlling redness and flares may help to minimize the disease. It is believed that chronic, continual redness may lead to a release of VGF, which may cause the condition to worsen and progress.

Rosacea is a skin condition where both dermatological and esthetician treatment can be helpful. The right medication and the right skin care products works well together.

Medication and Skin Care

Client with rosacea should be referred to a dermatologist for diagnosis and management. Medical treatment of rosacea is mainly topical treatment with a prescription. Anti-yeast medication called metronidazole, commercially known as metro Gel or metro cream . This substance helps to control inflammation to minimize redness and flaring. Patient must be consistent with treatment for good results.

There are two types of rosacea: dry or oily rosacea. Client with oily rosacea tend to have bouts of pimples and oiliness. Rinse able foaming cleansers are appropriate for oil rosacea providing the cleanser is not harsh or over drying. Hydrators and moisturizer should be fragrance free. And properly tested to make sure they are non-comedogenic. Non-stimulating, alcohol free toner and lightweight broad-spectrum sunscreen are important for these clients.

Dry rosacea is parchmentlike, dehydrated surface skin. It may easily flake and is quickly reddene. Hydrate dry rosacea but avoid anything stimulating. Antioxidant serum, fragrance free hydrators and sunscreen are helpful.

Any product that is stripping can trigger redness and a possible flare.

Avoid AHA product during a flare, avoid excessive steam and extraction. Cool mist treatment is acceptable.

October 21, 2011


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