Diet and rosacea: the role of dietary change in the management of rosacea

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Ocular Rosacea Treatment, Triggers, Diet, Causes, Definition, and Cure

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Ocular Rosacea Natural Treatment and Cure

Ocular rosacea can be managed by keeping to a strict eye care routine. This routine should be kept up even when the condition seems to clear up. This aids in the prevention of flare-ups. The tips below can also be used to help manage the condition:

• Reduce Inflammation by eating an organic, plant-based alkalizing diet.  We recommend eating a green smoothie every morning for breakfast to start. Click here to check out our green smoothie recipes.  This is the single most important thing when battling rosacea. 
• Wash face and eyelid area with an all natural, tea tree oil based face wash and eyelid cleanser, or use the Heyedrate tea tree soap bar. This will help with soothing the redness and itching as opposed to chemically ridden soaps. Tea tree oil is also great for demodex eyelid mites, which are common in those with ocular rosacea and rosacea in general.
• Ensure eyelids are cleaned twice in a day: a cotton round/ball should be sprayed with a hypochlorous acid eyelid cleanser, such as Heyedrate Lid and Lash Cleanser, and then moved across the eyelid to eradicate oil and debris from the area. Also, spray this hypochlorous acid eyelid cleanser on areas of rosacea on the skin to help alleviate symptoms.
• A warm compress should be applied: blocked glands can be loosened by applying a warm compress eye mask, such as that from Heyedrate, that has been microwaved for 20 seconds. Allow it to sit on closed eyes for 10 to 20 minutes, reheating as needed. However, if your skin is sensitive to this, forego the warm compress altogether.
• Makeup should be avoided: the moment a flare-up happens, makeup should be avoided, as well as any facial products which consist of skin irritants like fragrances. The majority of people discover that the moment the flare-ups subside, they are able to begin using their regular makeup. Also use an all natural makeup remover, not the typical ones in stores that are filled with chemicals.
• Stick to glasses instead of contact lenses: the moment the eyes get irritated, contact lenses should be avoided. Once the episode subsides you can return to wearing contact lenses. Also consider switching to daily disposable contact lenses, which you throw away every day.
• Sun exposure should be limited: sunglasses, sunscreen and a hat should be used to limit exposure to sunlight. UV rays are a common rosacea trigger. It is also imperative to stay away from sun tanning beds.
• Consume omega-3 fatty acids: various studies have shown that flaxseed oil and fish oil consumption could help lower rosacea flare-ups. Certain grocery stores and health food outlets sell whole flaxseed, omega-3 supplement capsules or flaxseed oil. Check out the Heyedrate Omega-3 for Eye Health to get in your omegas!
• Make use of artificial tears: artificial tears can help alleviate the dryness in one’s eyes. Nevertheless, it is better to first consult an optometrist about the kind of eye drops to be used and the frequency of their use. These won’t necessary help with the treatment of your ocular rosacea, but may provide symptom relief for a few minutes to hours.

Best Eye Drops for Ocular Rosacea

It’s ideal to note that eye drops do not aid in treating the condition directly, but instead, they will help in symptom relief. Enhancing the hygiene of your eyelids will aid in relief and treatment of ocular rosacea more than eye drops will.

We recommend to our patients that they use a hypochlorous acid eyelid cleanser, which they spray on the eyelids twice daily (but it can be used up to four times daily). This hypochlorous acid cleanser can also be applied to any other areas of rosacea for relief of itchy and red skin.

We prescribe Heyedrate Lid & Lash Cleanser to most patients in our clinic.

What is Ocular Rosacea?

You’ve probably heard the term ‘rosacea’ at least once or twice in your life. Rosacea is a condition affecting the skin on the face, however, most people don’t know the term can also apply to a condition which targets the eyes. Burning, itching, and redness could sometimes be symptoms of ocular rosacea.

This condition is a type of inflammation which typically corresponds with chronic skin rosacea. In certain instances itchy, red eyes are the initial sign that an individual has ocular rosacea.

While there isn’t a cure available for rosacea, great eye care and eyelid hygiene practices could help manage it and reduce the symptoms.

What Causes Ocular Rosacea?

Ocular rosacea is typically caused by environmental and genetic factors. The majority of the causes below could also exacerbate ocular rosacea.

Ocular Rosacea Triggers

• Spicy foods
• Hot caffeinated drinks
• Extremely cold or hot temperatures
• Anger and stress
• UV sunlight
• Vigorous exercise
• Saunas or hot baths
• Corticosteroids
• Poor eating habits (processed foods, low vegetable intake)
• Poor hygiene

Ocular Rosacea Symptoms and Signs

A glaring redness around the eyes is the initial symptom associated with ocular rosacea. People with ocular rosacea might notice a dilation of blood vessels in their eyes and on the surface of their eyelids, causing them to become extremely visible. This condition could also make the eyes itchy and dry.

Burning and stinging of the eyes are common. While discomfort, dry eyes, and cosmetic complaints are some of ocular rosacea’s most widespread symptoms, the condition sometimes affects vision due to dry eyes.  Sufferers might have blurred vision or increased sensitivity to light. Ocular rosacea is also capable of causing the eyelids to swell, and it can lead to meibomian gland dysfunction due to insufficient oil glands.

Other symptoms of ocular rosacea include grittiness or foreign body sensation in the eyes, tearing, and stinging eyes.

How is Ocular Rosacea Diagnosed?

It is not necessarily a given that facial rosacea sufferers are going to develop ocular rosacea. While these conditions have similarities, how severe they get is independent of each other. Nevertheless, should any of the symptoms associated with ocular rosacea manifest, especially swollen eyelids, blurred vision, redness or sore eyes, it is imperative to schedule an appointment with an optometrist or ophthalmologist. 

An eye doctor is able to have a look at your eyes and offer a diagnosis. Rosacea is the perfect example of a condition where co-management is necessary between eye doctors and dermatologists. 

Ocular Rosacea Diet

• Water: You should consume plenty of filtered water per day. This amount should be measured as it is specific to every individual, but usually half your bodyweight in ounces of water (75 ounces for someone weighing 150 pounds).  Or you can just shoot for the typical eight glasses per day.
• Fatty Acids: Fatty acids such as omega-3 and omega-6 fatty acids which have unique anti-inflammatory properties. These fatty acids are present in fish oils, borage and black currant seed oil.  Click here to shop Omega-3 supplements.
• Avoid spicy, hot foods: For numerous people, consuming spicy, hot food is capable of triggering ocular rosacea, so it is best to avoid eating these sorts of food.
• Limit alcohol consumption: Alcohol consumption should be limited, especially as it can be a potential ocular rosacea trigger. It is best to limit consumption to a couple drinks each week if consumption of alcohol triggers rosacea flare-ups.

The simple fact is there is NO CURE for the condition, even if there are remission periods as flare-ups might occur. It helps to know that even flare-ups happen; there are numerous varied remedies that can be applied to help ease the situation.

FAQs about Rosacea and Ocular Rosacea

What are common triggers for ocular rosacea that you have seen in patients? What about stress?

Rosacea is both a genetic and an environmental issue. Stress is huge! An increase in cortisol in the body can cause many issues and definitely contributes to both rosacea and dry eye disease. Others include pent up anger, which can lead to an increase in cortisol as well, spicy (hot) foods, hot caffeinated drinks, extreme hot and cold temperatures, UV light, vigorous exercise, saunas or hot baths, oral and cream based corticosteroids, poor eating habits (inflammatory diets) and poor hygiene (which can increase bacterial load on the skin). 

How does rosacea affect meibomian glands and why?

Rosacea affects the meibomian glands because they’re in close proximity to the skin that rosacea affects, and the overproduction of unhealthy oils and bacteria gets overhauled into them. This increases inflammation in the glands, which can eventually cause them to obstruct and produce hardened oils.

Why is it so difficult to diagnose ocular rosacea?

It’s really not difficult to pinpoint someone with rosacea, if the doctor is looking and the patient has presented with the common signs and symptoms. Patients may have outward signs of rosacea, or they may have complaints with hardly any signs at all.

If you believe diet helps rosacea, how do you think it helps? If you believe intake of water helps with rosacea, please explain why.

A healthy diet is just one piece of the large puzzle of rosacea. It’s necessary, because if you’re feeding your body junk and not drinking water during the day (which is the majority of America), your body is going to show it and feel it. Of course with rosacea, there are certain trigger foods to avoid, such as spicy foods that increase heat, but eating a balanced diet is key to the treatment of so much disease.

Green smoothies are a great place to start because they replace most of the unhealthy breakfast foods so often consumed, and you’re flooding your body with nutrients first thing in the morning. Similarly, water intake can’t be ignored because it is necessary for all the cells of the body to function properly. We have continually seen diet changes provide amazing benefits for people with both rosacea and dry eye, and we’ll continue to recommend them.  

My understanding is that tea tree oil can be effective for the papules and pustules that some with rosacea develop, but it does not help those of us who have telangiectasia (spider veins) only. In fact, it can be too harsh for the sensitive skin of rosacea. Thoughts?

As far as tea tree oil, I agree that it can be too harsh for some yet tea tree products can help greatly with demodex, which often go hand in hand with rosacea. Most people have some degree of demodex, so I see no issue with recommending tea tree products for use a few times per week. 

It’s all about balance here, and it may be that the product can only be used a few times per week but is still effective. IPL is definitely more effective and an amazing treatment that we recommend for rosacea patients.

Should we seek dermatologists in addition to ophthalmologists or optometrists for treatment of rosacea?

Yes, this would be optimal. The treatment for rosacea and ocular rosacea will likely be more effective if you combine dermatologists and ocular experts and seek treatment regimens from both.

Does hypochlorous acid help rosacea? 

Hypochlorous acid is going to help level out the excess bacteria that can become a problem for rosacea patients. It has anti-inflammatory and antiseptic properties that disrupt the bad bacteria while avoiding the good, and this product is something I will continue to recommend for nearly all dry eye and rosacea sufferers. Will it help with your telangiectasia alone? Likely not. 

Heat is a common trigger for rosacea, yet many eye docs recommend warm compresses. I understand that blocked glands need to be opened, but if the glands aren’t clogged, what would be the purpose of warm compresses if heat triggers rosacea and increases inflammation? 

If warm compresses are bothersome, we recommend not doing them or using cool compresses instead. Many people find that alternating the use of a warm compress with a cool compress seems to be helpful in this case. IPL is a better option for those who find issues with warm compresses.

My understanding is that some types of alcohol are common rosacea triggers, but not all? 

It seems that red wine and darker liquors have more of a negative effect.  

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Rosacea: causes, treatment and prevention

Skin rosacea (from Latin Acne rosacea – rosacea on the face) is a very common skin pathology today. If back in 2007 we talked about 10% of the occurrence of the disease among the population of Russia, now almost every 4th has this pathology at different stages of development and varying degrees of severity.

Rosacea is a chronic skin disease that is manifested by persistent reddening of the skin of the cheeks, nose, forehead, which manifests itself in the form of bright pink rashes, dilation of small superficial vessels of the facial skin, pustules and skin atrophy. The clinical picture of this difficult disease is extremely diverse.

The symptoms of rosacea are quite typical and almost impossible to confuse with signs of other diseases. So, the main symptoms of rosacea on the face are:

A pink rash that appears against the background of redness. First, these are papules (pink bumps), located first on the skin of the nose and nasolabial folds, which often subsequently spread to the skin of the forehead and chin. Some of the papules eventually transform into pustules and acne, filled with sterile contents, leaving no traces behind. Often develops infiltration of the skin and swelling. It’s papulo-pustular stage.

Persistent redness of the center of the face (in the T-zone). That is, redness captures the nose, cheeks, chin and nose. Sometimes redness can be more extensive, capturing the chest and back of the patient. These symptoms are typical for erythematous stage .

Appearance on the skin of the face of many red vascular networks (telangiectasia) throughout the affected area, the appearance of red and cyanotic nodules are typical for erythematous-papular stages of the disease. The erythema persists for several days.

With ophthalmic rosacea , symptoms appear on the skin and eyes. Ophthalmological signs include:

dryness of the conjunctiva, irritation, redness, itching and burning, loss of eyelashes, sensation of a foreign body, photophobia, swelling of the eyelids, white flakes on the eyelashes resembling dandruff, greasy scales on the edges of the eyelids, decreased vision.

Also, the patient may feel pain in the eyes, as if a foreign body had got into them.

Ophthalmic rosacea is often accompanied by other ocular pathologies. Moreover, in some cases it is a consequence of these diseases, and sometimes it is the cause. Thus, blepharitis is diagnosed in 27% of patients. It is accompanied by secretion from the eyelids, redness of the eyes, swelling, the formation of barley and chalazion.

Corneal involvement occurs in 5-10% of patients with rosacea. We are talking about keratopathy, thinning of the stroma, vascularization of the cornea, ulcers, microbial keratitis. In 30% of patients with ophthalmic rosacea, the syndrome of “dry eye” develops. This is due to a lack of tear fluid. Conjunctival lesions, episcleritis, scleritis, anterior uveitis (inflammation of the choroid) and other diseases are also observed.

Thus, ophthalmic rosacea is a fairly serious disease that can lead to serious consequences, including severe visual impairment. Eye symptoms can be detected in 50% of patients with skin forms of rosacea. A detailed specification of eye symptoms and patients’ awareness of this form of rosacea help to contact an ophthalmologist in a timely manner.

Phymatous (or papular-nodular) form is characterized by the appearance of nodes and plaques. There is an increase in the size of the rashes with their subsequent merging. Fibrosis and hyperplasia of the sebaceous glands leads to an increase in skin areas (“fima”).

Hard, crusty facial skin in areas of redness. Red and tight skin on the nose. Due to the hypertrophy of the sebaceous glands and connective tissue, the nose can increase significantly in size, and bumpy nodes appear on it, separated by grooves. This is the most severe, nodal stage of rosacea, which is also called rhinoform . Most often diagnosed in men 50-60 years old.

NB! It is important to distinguish between skin diseases such as acne and rosacea, these seemingly different diseases have similarities.

Even today, unfortunately, it is impossible to say with complete certainty about the causes and mechanisms of rosacea. This is an individual skin reaction to any irritant! There is no single cause for this disease.

There are suggestions: on the one hand, it is believed that the disease is based on the high sensitivity of blood vessels to various physical environmental influences, such as ultraviolet, cold, heat, dry air or sudden changes in temperature, and on the other hand, there is a theory that the disease is hereditary.

NB! It is well known that the vascular and inflammatory manifestations of rosacea are caused by impaired innate immune responses. That is, the skin in patients with rosacea has a certain set of properties “due to” which it reacts to provoking factors, while other people do not observe any reaction to the same triggers. This is a purely individual reaction!

It was previously thought that rosacea was caused by the mite Demodex folliculorum, which parasitizes the skin of the face and the sebaceous glands of the hair follicles. In practice, demodicosis may accompany rosacea, but is not its cause. Modern research has established that Demodex is found on the skin of all people, but in a certain amount, and it does not need to be treated. With chronic inflammation of the sebaceous glands and hair follicles of the skin, and rosacea accompanies it, local immunodeficiency of the skin occurs, and therefore favorable conditions arise for the reproduction of the tick.

When the protective properties are restored, the number of Demodex folliculorum decreases even without the use of medicines, so the tick should not be given paramount importance. At the same time, it is undoubtedly worth considering concomitant demodicosis in the treatment of rosacea, but you should not constantly take antibacterial drugs in order to reduce the titer of Demodex folliculorum. Until favorable conditions for the reproduction of the tick disappear and the epidermis is restored, it will recur.

Rosacea is also closely associated with diseases of the gastrointestinal tract. The appearance of rosacea is caused by the bacterium Helicobacter pylori, which causes the development of gastritis and stomach ulcers. Thus, we can conclude that rosacea is more common in people with gastritis and peptic ulcer, but there is no direct relationship.

This disease can also be caused by drugs, which is also true. So “steroid rosacea” is caused by corticosteroid ointments that are not used on the face.

It has been noticed that the main trigger of rosacea is nervous tension, the onset of the disease is accompanied by intense stress. It is important to note that most people with skin rosacea are very emotionally vulnerable. This is a feature of this disease, and it must be taken into account, but during treatment, patients change before our eyes.

As a result, it becomes obvious that rosacea is caused by various causes, which can be grouped into the following groups:

• Vascular disorders
• Changes in the connective tissue of the dermis, microorganisms
• Dysfunction of the digestive system
• Immune disorders
• Changes in the sebaceous and hair apparatus
• Oxidative stress
• Climatic factors

902 05 Psychovegetative disorders

• Exposure to ultraviolet rays – 81%
• Emotional stress – 79%
• Hot weather – 57%
• Intensive training, physical activity – 56% 9American Acne and Rosacea Society (American Acne & Rosacea Society, AARS is one of the largest organizations dealing with rosacea. In June 2019, the AARS released updated guidelines for the management of rosacea, including both topical agents and new information on the use of physical therapies.

  Treating rosacea is a complex process. We begin treatment gradually, treatment with one drug is unacceptable. We determine the exact tactics of patient management in the course of therapy: it is necessary to strictly monitor the dynamics of the course of rosacea, as well as the body’s response to treatment. Individualization of the protocol during therapy is the secret to the success of the treatment of rosacea.

  NB! The basis of the treatment of rosacea is anti-inflammatory therapy of the skin of the face. Moisturizing the skin is an important pathogenetic point, since during a chronic inflammatory process, the skin loses water, and dryness further increases sensitivity to external aggressive factors. Such a mechanism closes the circle of pathological genesis, which must be broken.

  The presence of inflammatory papules and the presence of pustular elements oblige us to carry out powerful anti-inflammatory therapy, as well as restore the protective properties of the skin, in order to obtain a long and stable remission of this disease, for which we use various types of therapy.

  Tablet forms Isotretinoin ( Roaccutane , Acnecutane , Sotret ) are used only in severe form of rosacea!

  • Low dose – 0.5 mg/kg followed by a dose reduction
  • Duration 4-6 months
  • Maintenance therapy at a dosage of 20 mg 1-2 times a week is possible for a long time

  Roaccutane is a complex and dangerous drug . However, with proper use and monthly dynamic monitoring of blood biochemical parameters, its effect on the body is predictable and understandable. Roaccutane gives good clinical results in acne dermatoses and acne, but in rosacea, roaccutane often has the opposite effect. Systemic retinoids increase the sensitivity of the skin to the sun, and therefore often exacerbate rosacea. Moreover, Roaccutane negatively affects the functioning of the liver and kidneys, therefore, if it is possible to do without systemic retinoids, it is better to do so. But in the treatment of severe forms of rosacea, the use of Roaccutane is justified, but in minimal doses, which has practically no effect on the body.

  For moderate rosacea, use Antibiotics (tetracyclines) or Metronidazole , Ornidazole (antiprotozoal drugs with antibiotic activity).

  Classical treatment with antibiotics and Metronidazole is expected to be long-term and therefore associated with side effects. The situation is complicated by the fact that new types of microorganisms resistant to antibiotic therapy are constantly being formed, so the treatment may not have the proper bactericidal effect.

  As a rule, this type of treatment is accompanied by the intake of sorbents, “intestinal” antibiotics (Alfanormix, Intetrix), probiotics, sebum suppressors (Aevit, zinc preparations), sedatives for anxious, emotionally vulnerable patients.

  This type of therapy can be divided into several stages.

  1. Relief of inflammation with creams. Drugs such as Solantra cream, Metronidazole, Zinerit are not addictive.
  2. Maintenance – anti-relapse therapy (sulfur preparations containing azelaic acid, herbal extracts of wormwood).
  3. Non-steroidal inhibitors of inflammation, i.e. drugs that slow down or delay the inflammatory process (Elidel, Protopic).

  Also held in several stages.

  1. Stage 1: relief of the inflammatory process.

  Possible option:

  Cryomassage (the affected area is exposed to low temperatures with liquid nitrogen. This technique reduces the manifestations of telangiectasias and improves the appearance of the skin) – 2-3 times a week, a course of 10 procedures;

  Gentamicin-Diprospan injection – no more than once every 7-10 days;

  Plasma therapy – 1 time in 14 days, a course of 3-6 procedures.

  1. Stage 2: maintenance or anti-relapse therapy.

  In this case we use IPL and laser therapy. A laser beam is directed to the area with telangiectasia, which causes a thermal effect on the blood vessel and destroys it. This procedure allows you to eliminate telangiectasia for a longer time and is not accompanied by damage to healthy tissues, as with electrocoagulation. The choice of apparatus depends on the depth of the vessel.

  1. Stage 3 – aesthetics, treatment.

  Botulinum therapy – doses are selected individually, correction after 14 days;

  Biomimetic peptides (Aquashine BR).

  Once again, we want to emphasize that this is only an approximate treatment option for rosacea, since at the Znak Kachestva clinic we use an individual approach to each patient and select treatment based on their individual characteristics.

  Rosacea Prevention

  In this section, we will discuss in detail the general recommendations for patients with skin rosacea. The main prevention of rosacea is, first of all, competent vascular therapy!

  People prone to rosacea should not use:

  • Scrubs and peels containing coarse particles that can irritate the skin.
  • Alcohol-based lotions and other skin care products.
  • Creams, gels and other cosmetic products containing menthol or honey (these are strong allergens).

  Washing water should be moderately warm. Hot water, like cold water, causes vasodilation. After washing, it is not recommended to wipe your face, you just need to attach a towel to it for a few seconds to remove excess water.

  Do not drink alcohol with rosacea! Of course, patients violate this recommendation, of two evils – we choose the least: we prefer strong colorless drinks in a small amount (2 glasses maximum). Absolutely avoid sparkling wines, this is one of the most powerful skin rosacea triggers.

  With skin rosacea, it is important to maintain a drinking regime, so the main drink should be plain still water.

  It is important to drink water correctly: 5-8 sips of water every hour, if you want more – drink more, most importantly – no less. It is important to drink every hour. This is a fundamental point. A dosed intake of water into the body will bring much more benefits than one-time and abundant intake of water.

  What can you eat if you have rosacea?

  Practically all healthy, balanced food:

  • soups
  • cutlets
  • white fish
  • buckwheat
  • rice
  • dairy products
  • fruits
  • vegetables

  What can not be eaten with rosacea?

  • alcohol
  • ketchup
  • mayonnaise
  • fast food
  • sausages
  • processed cheeses and other products with preservatives
  • spices
  • spices
  • limit sweets

  It is clear that following a diet for skin rosacea will not cure you of the disease, but will reduce the likelihood of exacerbations.

  Of the general recommendations, sleep duration is important . Try to go to bed before 23:00 and sleep 9 hours a night. Sleep strongly affects the functioning of the nervous system, and the nervous system affects the development of neurogenic inflammation in skin rosacea. The nervous system needs restoration for greater stability. In patients with skin rosacea, the process of excitation prevails over the process of inhibition, so the stabilization of the nervous system is bearing fruit. Injection therapy of the face also strongly restores the trophism of the nervous tissue due to the acupuncture effect on the body, so it is important to carry out injection therapy at special points.

  The second powerful trigger for the development of exacerbation of skin rosacea is ultraviolet . Sunscreen must be used all year round.

  Negatively affects the skin of patients with rosacea and sea water. Sea water breaks the lipid barrier of the skin, increases the sun’s exposure to the skin of the face, thereby increasing the development of hyperkeratosis (damaged keratinocytes on the surface of the skin) and xerosis (dryness) of the skin, which is already present in patients with skin rosacea. Therefore, if the patient suffers from skin rosacea, it is necessary not to wet the face in the sea, or wash the face after bathing with running fresh water with sunscreen applied to the skin of the face.

  Pregnancy and childbirth are accompanied by serious hormonal changes in the body, so it is important to carry out procedures during pregnancy. There is a special range of procedures that are carried out for pregnant women with skin rosacea. As a rule, only peeling systems and external therapy with hyaluronic acid are included in the protocols. Injection therapy for skin rosacea, as well as laser systems, are completely excluded.

  Competent medical care for the skin of pregnant women occupy a key position at this time.

  People often ask if it is possible to cure rosacea on the face forever – no, it is not possible. The course of this disease is long and recurrent. The main goal of therapy is to obtain a stable remission.

  Conclusions

  • There are no reasons for the “disease”, it is an individual reaction
  • Compliance with the diet and lifestyle for the rest of your life
  • Long-term treatment (at least 1 year, relapses will occur)
  • It is very important to take into account the emotional state in the treatment patient

  Rosacea (rosacea): causes and care – Face Care – Sensitive Skin Care – Blog

  Rosacea (rosacea) is a chronic, often relapsing inflammatory skin disease that mainly affects the central areas of the face.
  

  Because this disease has many signs and symptoms, there are four subtypes of rosacea. Individuals can have multiple subtypes at the same time.

  Subtype 1: erythematotelangiectatic

  It is characterized by constant reddening of the face and vessels close to the surface of the skin.
  

  Signs and symptoms:
  

  • redness in the central part of the face
  • visible blood vessels (spider veins, spider veins)
  • hypersensitivity
  • skin may tingle and burn
  • there is dryness of the skin, roughness or peeling
    

  Subtype 2: papulo-pustular (rosacea)

  Papulopustular rosacea includes the same symptoms as the first subtype, such as redness, burning, or tingling on the face, however, these symptoms are associated with inflammatory elements, including red bumps of papules or purulent whiteheads, known as pustules. Rosacea most often appears around the center of the face, such as on the cheeks and middle of the forehead, but in some cases the entire face can be affected.
  

  Signs and symptoms
  

  • acne-like eruption on very red skin
  • oily skin
  • hypersensitivity
  • sensation of heat
  • blood vessels visible
  • dry plaques available
    

  Subtype 3: phymatous

  Rarely, rosacea can cause skin thickening and roughness. Basically, it concerns the nose area – this phenomenon is called rhinophyma.

  This subtype is rare, usually a person first develops signs and symptoms of another subtype of rosacea.
  

  Signs and symptoms:
  

  • uneven skin texture
  • skin begins to thicken, especially on the nose
  • skin may thicken on chin, forehead, cheeks and ears
  • ruptured blood vessels appear
  • enlarged pores
  • oily skin

  Subtype 4: ocular

  Rosacea can also affect the eyes.
  

  Signs and symptoms:
  

  • watery or bloodshot eyes
  • feeling of sand in the eyes
  • feeling of heat or burning sensation
  • very dry eyes
  • itching in the eyelids
  • sensitivity to light
  • Blurred and impaired vision
  • burst blood vessels visible on the eyeball

  General picture and causes of rosacea (rosacea)

  Couperose usually starts with redness on the cheeks, nose or forehead. With the naked eye, red lines of bursting vessels are visible, which form a characteristic pattern, because of which they are called spider veins and vascular networks.
  

  The exact causes of rosacea are unknown, but may be a combination of hereditary and environmental factors. At the moment, experts identify several points that can affect problems with blood vessels and the appearance of rosacea:
  

  Genes. Rosacea often runs in families and is inherited.

  Disease of the blood vessels. Redness on the skin may be due to problems with the blood vessels in the face.

  Skin mite. A type called Demodex folliculorum lives on the skin and is not usually harmful. However, its reproduction can cause skin irritation and disease – demodicosis.
  

  Bacteria. A type called H. pylori usually lives in the intestines. Some studies show that this microbe can increase the amount of a digestive hormone called gastrin, which can cause the skin to become inflamed.
  

  Increase the risk of rosacea:

  • Celtic or Scandinavian roots: blond hair, fair skin, blue eyes
  • age from 30 to 50 years old
  • female
  • family history of this disease, i.e. presence of family members with rosacea
  • smoking

  
  Rosacea often worsens when the blood vessels in the face dilate, causing redness. Things that cause an escalation are called triggers.

  Some triggers that often cause rosacea to flare up:

  • ultraviolet
  • temperature fluctuations from high to low and vice versa
  • wind
  • stress
  • hot tubs
  • hot/spicy food or drinks
  • alcohol
  • intense physical exercise

  Rosacea skin care

  Care for skin prone to rosacea should consist of products aimed at minimizing the discomfort associated with irritation and inflammation of the skin, neutralizing redness and strengthening blood vessels.
  

  For cleansing, you should choose special products suitable for skin with rosacea, since contact with hard tap water dries already irritated skin.
  

  Cetaphil’s Calming Foam Cleanser, Redness Control gently cleanses without damaging the skin barrier or drying out the skin, and reduces the burning, itching and dryness of rosacea-prone skin.

  For hypersensitive skin that cannot tolerate classic water-washable hygiene products, there are products for waterless cleansing. Dermo-cleansing emulsion for the face and eye contour Uriage, Roseliane does not require rinsing and has the most mild washing base.

  Dermo-cleansing emulsion for face and eye contour, 250 ml

  CLEANSES AND REMOVES MAKE-UP FROM THE SKIN OF THE FACE AND EYE CONTOUR, SOOTHES AND SOOTHES THE SKIN

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  To tone the skin with rosacea, there are also special products that can reduce the flow of blood to the tissues and strengthen the blood vessels. Facial lotion is especially suitable for skin with inflammation, as it has not only soothing, but also bactericidal properties.

  Toner for skin with fragile capillaries with witch hazel extract, 200 ml

  GENTLY CLEANSES, MATTIVES AND TONES SKIN, STRENGTHENS CAPILLARIES

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  Hamamelis Toner, 250 ml

  Tones and refreshes, antiseptic action

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  Basic care depends on the type of rosacea. For the erythemato-telangiectatic type, a characteristic feature of which is hypersensitivity and excessive dryness of the skin, products with a dense nourishing texture, supplemented with serum, are suitable.
  

  Janssen Cosmetics Daily Couperose

  Active Concentrate for Redness-Prone Sensitive Skin contains a capillary-strengthening complex of active ingredients and reduces the number of spider veins with regular use.

  Daily Couperose Serum, active concentrate for sensitive skin prone to redness and couperose, 30 ml

  Special care for skin prone to rosacea

  6152 ₽

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  SVR Sensifine Sensifine AR care cream provides both intensive moisturizing and soothing care, improves blood microcirculation, which has a beneficial effect on the condition of blood vessels and prevents their further damage.

  Care cream, 40 ml

  Reduces redness and improves microcirculation in the skin

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  Cica-Sensetive capillary protective cream for couperose skin, KORA relieves dryness and flaking thanks to nourishing

  components in the composition and protects blood vessels from damage.

  Capillary protective cream for skin prone to rosacea 50 ml

  effective comprehensive care for skin prone to rosacea and redness

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  Inflammatory papulo-pustular type of rosacea requires lighter and more comfortable textures that control oiliness of the skin. Such agents usually have antibacterial and anti-inflammatory functions. However, it is important to distinguish between acne treatments and inflammatory rosacea treatments. The former usually contain many rather aggressive components that will further irritate already sensitive rosaceous skin.
  

  There are many subtleties in the morphology and distribution of acne and rosacea that help doctors in making the correct diagnosis. Therefore, the diagnosis of the skin in the case of inflammatory elements should be entrusted to a specialist.
  

  Uriage Roseliane anti-redness cream blocks inflammatory reactions of the skin, restores the protective skin barrier, strengthens blood vessels, making them more resistant to external stimuli.

  Anti-Redness Cream, 40 ml

  MOISTURIZES – SOOTHES – PROTECTS. Restores comfort and evens out complexion

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  Redness Corrector Cream from Aravia professional is suitable as an anti-ageing treatment at the first signs of age-related changes. Contains a complex of firming components and antioxidants that increase the protective functions of the skin, improves the condition of blood vessels.

  Redness Corrector Cream, 50 ml

  increases elasticity and evens out skin tone

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  Anti-couperose masks can also be part of your ongoing routine, providing extra hydration and soothing to redness areas. Their format may be different, the main thing is not to use products with abrasive particles, film masks and acid-based masks are also undesirable.

  Alginate Mask against rosacea and skin redness “Sea Breeze” 30×5 gr

  Reduces pigmentation, rosacea, vascular networks on the face, eliminates redness

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  Gel-mask for face with Japanese Sophora extract, 30 ml

  prevention of the formation of a vascular network, rosacea and local redness

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  Sun protection
  

  Since ultraviolet light is generally considered a trigger, daily use of sunscreen is necessary even during the season of inactive sun. It is advisable to choose the level of protection from SPF 30 and above and give preference to physical filters over chemical ones, as they cause less negative reactions in sensitive skin.

  SPF 50+ Sensitive Area Sun Stick, 8g

  RELIABLE PROTECTION OF THE SKIN FROM THE ACTION OF UVB AND UVA RAYS

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  Mineral Shield Sun Milk SPF 50, 100 ml

  EFFICIENT SUN PROTECTION

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  Rosacea treatment

  Treatment plans for rosacea largely depend on the type and severity of symptoms.

  Treatment of rosacea primarily involves looking for triggers that aggravate the disease and preventing them. With a mild degree of the disease, this can be a decisive factor in improving the condition of the skin. The search for triggers can take quite a long time, since the skin reaction must be constantly monitored. Keeping a diary can help simplify this process, which will record possible irritants (weather, food, stress levels, new cosmetic products) present on a given day, and skin reaction.
  

  Drug treatment is mandatory selected by a dermatologist after diagnosis. It may include antibiotic therapy, selection of cosmetic care lines, as well as non-drug procedures. The latter include laser techniques to reduce redness due to dilated blood vessels and intense pulsed light therapy.
  

  According to the National Rosacea Society, about 415 million people worldwide suffer from rosacea, and many are unaware of it until a doctor diagnoses them.