Rosacea Treatment Strategies: Current Theories include a Topical Treatment, Intense Pulse Light & a Hydrafacial
If you suffer from Rosacea then you know your not alone. It is estimated that over 16 million have signs and symptoms of rosacea and a significant portion of that number are those currently undiagnosed.
Rosacea classically presents in individuals over 30 years old with cheek, chin and forehead skin sensitivity. The symptoms and signs progress to the classic redness and pustules or acne in these regions. As the condition develops the area can become intensely red to almost purple in color. The symptoms of redness, flushing and extreme sensitivity.
Individuals of all cultures can get rosecea but those of Celtic background, fair skinned people with red tones in their skin seem to be the most affected. Rosecea was once referred to as the Celtic Curse.
Rosacea Lifestyle Disruption
Studies confirm, what individual with rosacea already know, that rosacea adversely effects their social interactions.
- Rosacea negatively effects self-confidence and self-esteem.
- 76% will avoid public interactions and social engagements
- Economically, In severe forms, 88 % say rosacea disrupts professional interactions and 50% will miss work during rosacea flare ups.
(National Rosacea Society Study)
Five Rosacea Subtypes
There are 5 types of rosacea one does not have the red inflammation but primarily has nodules.
Primarily flushing and persistant redness
Persistant central facial redness with acne
Thickened skin involving nose chin cheeks and earls
Characterized by chronic irritation of your eye feeling like you have something in it. There is can also be stinging dry eyes and sensitivity to light with red inflamed appearing tissues of the eyeball.
is absent the redness but with nodular skin which are hard brown or yellow or red. Fairly uniform size.
Underneath the Microscope
Under the microscope rosacea shows intense inflammation with dilated blood vessels and swollen pores filled with thick oil. The cause of rosacea is unknown, but several studies show a difference in microbial flora (the population of types of organism). Normal skin has certain types of bacteria and a certain number of microscopic skin mites (Demodex) It has been suspected that these skin mites play a role in rosacea because the number of skin mites is 4 times higher in rosacea patients than in normal skin. How these mites interact is still under study. Theories are primarily that your immune system doesn’t like the mites, the bacteria inside the mites is the target of the immune system and the mites can cause a mechanical plugging of the pore and sebaceous glands leading to acne formation. Some evidence for each of these theories exist. Study on Microflora and Rosacea (An interesting finding is that a bacterial overgrowth in your small intestine is seen in rosacea patients and could be a causative factor. (Study) Rosacea is a very complex disorder)
Study relating skin mite bacteria to intense rosacea inflammation.
Rosacea Treatment Strategies
With this in mind, therapies usually involve:
- Cleansing to clean out the blocked pores
- Keeping the skin moisturized
- The application of anti-inflammatory chemical
- Controlling bacteria with oral or topical antibiotics
Good skin products for the first 4 can be found in medical grade cosmeceuticals such a Skinceutical, Skin Medica and Obagi.
Important Additions to Rosacea Treatment
In our office three important additional treatments are utilized. The treatments are aimed at deeply cleaning the pores of bacteria and mites and reducing the number of dilated blood vessels.
- Hydrafacial: A medical grade treatment to deeply clean the pores of persistent bacterial and mite debris, hydrate desiccated skin and infuse anti-inflammatory medications
Intense Pulse Light or IPL Therapy
- Intense Pulse Light Therapy: to reduce the appearance of redness and kill deep set skin mites
Cynosure’s MPX Vascular Laser
- MPX Vascular laser therapy: to reduce the number of large dilated vessels
All in all the cause of rosacea an unknown entity but can respond in most patient with medical management. The addition of Hydrafacials, IPL and Vascular laser therapies greatly reduce the emotional anxieties related to the is condition.