Rosacea – Diagnosis and treatment

Diagnosis

No specific test is used to diagnosis rosacea. Instead, your doctor relies on the history of your symptoms and an examination of your skin. You may have tests to rule out other conditions, such as psoriasis, eczema or lupus. These conditions can sometimes cause signs and symptoms similar to those of rosacea.

If your symptoms involve your eyes, your doctor may refer you to an eye specialist (ophthalmologist) for evaluation.

Treatment

Treatment for rosacea focuses on controlling signs and symptoms. Most often this requires a combination of good skin care and prescription drugs.

The duration of your treatment depends on the type and severity of your signs and symptoms. Recurrence is common.

Medications

New rosacea medications have been developed in recent years. The type of medication your doctor prescribes depends on which signs and symptoms you’re experiencing. You may need to try different options or a combination of drugs to find a treatment that works for you.

Prescription drugs for rosacea include:

• Topical drugs that reduce redness. For mild to moderate rosacea, your doctor may prescribe a cream or gel that you apply to the affected skin. Brimonidine (Mirvaso) and oxymetazoline (Rhofade) reduce redness by constricting blood vessels. You may see results within 12 hours after use. The effect on the blood vessels is temporary, so the medication needs to be applied regularly to maintain improvements.

  Other topical products have less effect on the redness but help control the pimples of mild rosacea. These drugs include azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others) and ivermectin (Soolantra). With azelaic acid and metronidazole, noticeable improvements generally don’t appear for two to six weeks. Ivermectin may take even longer to improve skin, but it results in a longer remission than does metronidazole.

• Oral antibiotics. Your doctor may prescribe an oral antibiotic such as doxycycline (Oracea, others) for moderate to severe rosacea with bumps and pimples.
• Oral acne drug. If you have severe rosacea that doesn’t respond to other therapies, your doctor may suggest isotretinoin (Amnesteem, Claravis, others). It’s a powerful oral acne drug that also helps clear up acnelike lesions of rosacea. Don’t use this drug during pregnancy as it can cause serious birth defects.

Therapies

Laser therapy and other light-based therapies may help reduce the redness of enlarged blood vessels. Repeat treatments may be needed periodically to maintain the improved appearance of your skin.

Lifestyle and home remedies

These self-care practices may help you control the signs and symptoms of rosacea and prevent flare-ups:

• Identify and avoid triggers. Pay attention to what tends to cause flare-ups for you and avoid those triggers.

• Protect your face. Apply sunscreen daily. Use a broad-spectrum sunscreen — which blocks both ultraviolet A and ultraviolet B rays — with an SPF of 30 or higher. Apply sunscreen after you apply any topical medication you are using for your face, and before applying any cosmetics.

  Take other steps to protect your skin, such as wearing a hat and avoiding midday sun. In cold, windy weather, wear a scarf or ski mask.

• Treat your skin gently. Don’t rub or touch your face too much. Use a nonsoap cleanser and moisturize frequently. Avoid products that contain alcohol or other skin irritants.
• Reduce visible redness with makeup. Some makeup products and techniques may help reduce the appearance of skin redness. Try powder cosmetics with a green tone and matte finish.

Alternative medicine

Gentle daily facial massage may help reduce swelling and inflammation. Use a circular motion with your fingers starting on the central part of the face and work toward the ears.

A recent study suggests that caffeine may reduce the risk of developing rosacea. Even so, hot beverages are a common trigger.

Many other alternative therapies — including emu oil, laurelwood and oregano oil — have been touted as possible ways to treat rosacea. But no conclusive evidence supports the idea that any of these substances are effective.

Talk with your doctor if you’re considering dietary supplements or other alternative therapies to treat rosacea. He or she can help you weigh the pros and cons of specific alternative therapies.

Coping and support

Rosacea can be distressing. You might feel embarrassed or anxious about your appearance and become withdrawn or self-conscious. You may be frustrated or upset by other people’s reactions. Talking to a counselor about these feelings can be helpful.

A rosacea support group, either in person or online, can connect you with others facing the same types of problems — which can be comforting.

Preparing for your appointment

You’re likely to start by seeing your family doctor. Or when you call to set up an appointment, you may be referred to a skin disease specialist (dermatologist). If your condition affects your eyes, you may be referred to an eye specialist (ophthalmologist).

It’s a good idea to prepare for your appointment. Here’s some information to help you.

What you can do

Preparing a list of questions will help you make the most of your appointment time. For rosacea, some basic questions to ask your doctor include:

• What might be causing the signs and symptoms?
• Do I need tests to confirm the diagnosis?
• What is the best treatment?
• Is this condition temporary or chronic?
• Is there a generic alternative to the medicine you’re prescribing?
• I have other medical problems; how can I manage them together?
• Can I wait to see if the condition resolves on its own?
• What are the alternatives to the approach that you’re suggesting?
• What skin care routines do you recommend I use?

Don’t hesitate to ask any other questions that come up during your appointment.

What to expect from your doctor

Your doctor is likely to ask you several questions, including:

• When did you begin experiencing symptoms?
• How often do you experience these symptoms?
• Have your symptoms been continuous or occasional?
• What, if anything, seems to improve your symptoms?
• What, if anything, appears to trigger or worsen your symptoms?

Sept. 06, 2019

30 Best Skin-Care Products for Redness and Rosacea 2021

Photo: Print Collector/Getty/Getty Images

Dealing with red, reactive skin and rosacea — a chronic condition where skin is overly sensitive, often with visible blood vessels and raised bumps on the face — usually means tiptoeing around anything that could trigger a flare-up. The problem is that virtually “anything that makes the face flush can cause a rosacea flare,” says dermatologist Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital.

Common triggers include stress, extreme temperatures, spicy foods, fragrance and alcohol in skin care, and alcoholic drinks (especially wine), says dermatologist Debra Jaliman, an assistant professor of dermatology at Mount Sinai’s Icahn School of Medicine. Even hot showers and skin-care acids can worsen symptoms. Constant rubbing and friction (like from frequent mask-wearing) can also cause a flare-up, says Skin Wellness Dermatology founder and dermatologist Dr. Corey L. Hartman, who has noticed an uptick in flare-ups since the beginning of the pandemic. But there are ways to tame outbreaks and lessen their effects, so we asked five dermatologists and an esthetician to suggest the products that might calm and camouflage inflamed skin, from creams and cleansers to tinted primers and sunscreen.

If you have reactive skin, you know that even the cleansing process has to be gentle. Zeichner and David Lortscher, a board-certified dermatologist and CEO of Curology, both recommend this foaming Neutrogena face wash for its extra-gentle ingredients. “The technology in this cleanser prevents the cleansing ingredients from compromising the integrity of the outer skin layer,” says Zeichner.

Another foaming cleanser Zeichner suggests is this one from Aveeno because it contains feverfew, a calming ingredient associated with chamomile, which has been clinically proved to reduce redness and irritation. Other perks: It’s free of fragrances and hypoallergenic, too.

Another gentle option is EltaMD Foaming Facial cleanser, an oil- and paraben-free face wash that’s formulated without additives. Miami-based dermatologist Roberta Del Campo of the Del Campo Dermatology and Laser Institute likes this one because it also gently removes makeup and oils.

Dermatologist and founder of Skin Wellness Dermatology Dr. Corey L. Hartman is a fan of this cleanser from Restorsea, which uses natural actives like songyi mushroom and Aquabeautine XL, which comes from the hatching fluid of baby salmon. “This potent, yet gentle cleanser is naturally derived and chemical free,” he says. He also likes that it’s good at removing dirt and oils and makeup but won’t irritate skin, key for someone with an already compromised skin barrier.

The general rule with red, rosacea-prone skin is “the less ingredients, the better,” so Lortscher also suggests this Free & Clear liquid cleanser, which is noncomedogenic (so it won’t clog pores) and free of common dyes, fragrances, preservatives, and chemicals.

Dr. Smita Ramanadham, a plastic surgeon who also has a skin-care brand, Skin by Dr. Smita, recommends this gentle cleanser, which uses oat amino acids that don’t strip the skin and supports the skin barrier. It also contains glycerin for hydration and botanical antioxidants that help to protect skin from the elements.

Certain ingredients found in cleansers (menthol or eucalyptol, specifically) can throw off the skin’s PH level, says Zeichner, making rosacea worse. His go-to recommendation is Dove’s Sensitive Skin Beauty Bar, a simple, skin-barrier-supporting, ultra-affordable option that you can use to cleanse both your face and body. “It uses a gentle cleansing agent and is particularly moisturizing,” he says.

It’s common for people with rosacea to also deal with acne, but it can be difficult to find a cleanser that’ll clear out pores without further irritating or drying out the skin. If you’re hoping to deal with both simultaneously, look for something that gently exfoliates, like this cleanser, which comes recommended by aesthetician Candace Marino. “This cleanser does an excellent deep clean without foaming up and drying out the skin,” she says. It uses botanical-derived lactic, glycolic, and salicylic acid, which work together to gently exfoliate without further irritating the skin. “It’s so gentle it’s recommended for clients post-laser or peel,” she says.

As someone with routinely reactive, red skin, I would personally also suggest using an alcohol-free toner. This calming toner from Korean brand Swanicoco is the best I’ve ever used for calming my skin — instead of stripping your pores like an astringent, it gently soothes and brightens with fermented rice extract and vitamin C. Instead of a liquid-y texture, it’s gel-like and very hydrating.

[Editor’s note: This toner is currently out of stock, but we think COSRX’s Full Fit Propolis Synergy Toner is a great alternative. It’s alcohol-free and well-liked for its hydrating abilities. It’s in stock for $22 at Ulta and $28 at Amazon.]

For some additional soothing after you tone, Jaliman suggests this serum specifically formulated for rosacea-prone skin from La Roche-Posay. “This visible redness-reducing serum does what it says. What’s nice about it is that it’s free of parabens, it’s oil-free and fragrance-free, so it’s really good for sensitive skin. It’s made with an ingredient called ambophenol, which soothes skin.”

If you’re prone to rosacea, you already have an impaired skin barrier — which is why Del Campo recommends this hyaluronic acid serum, which can help to fortify the skin’s barrier and lock in moisture. “This hyaluronic acid serum has multiple forms of HA, which means it’ll hydrate the skin more intensely,” she says.

Del Campo also likes Neocutis Bio Serum, which helps to boost collagen without the use of retinoids, which can be irritating for rosacea-prone skin. “Many products that are capable of boosting collagen are unfortunately too harsh for rosacea-prone skin,” she says. “This product uses human-derived growth factors (proteins that are found naturally in the skin, then synthesized in labs) to improve skin quality and repair damage, without causing any irritation.”

“This is by far the most compelling rosacea product I have ever worked with,” says Marino of this serum, a favorite of her clients with rosacea. The anti-redness treatment uses ingredients like azelaic acid and white- and red-tea extracts, which calm and soothe skin while also helping to improve rosacea symptoms over time.

Marino also recommends this skin treatment from No7, which has a similar consistency to a mask. “This is the 911 product that every rosacea client should have on hand at all times, especially during the winter months,” says Marino. This overnight treatment should be the last step in your nighttime skin-care routine and uses ingredients like centella asiatica (known for its calming properties) and ophiopogon japonicus, which helps to reinforce and maintain the skin’s barrier.

For more immediate results, Marino likes this serum that uses seven active ingredients to address visible signs of rosacea, including arnica montana, which helps to decrease inflammation and calm skin. “It has an instant effect on the skin and is a great product for ultrasensitive skin types that react easily,” she says.

Retinols can be tricky if you have rosacea because it tends to exacerbate irritation and redness, which is why Hartman recommends bakuchiol instead. Dubbed “nature’s retinol,” bakuchiol offers the same benefits (increased cell turnover, helps with fine lines and wrinkles) without the negative side effects. “Isdin Melatonik is my go-to bakuchiol product,” he says. “It contains vitamin E, a direct antioxidant, and melatonin, an indirect antioxidant — includes two of my holy-trinity skin-care basics. It repairs oxidative damage at night and, as a bonus, reduces the appearance of wrinkles and fine lines.

If you’re dealing with other skin issues like hyperpigmentation and acne, Hartman recommends this serum from the Ordinary that will address those issues and reduce redness too. “It helps to improve brightness and reduce the appearance of blemishes and also acts as an antioxidant,” he says.

Moisturizing is equally important, and Jaliman says to look out for creams containing niacinamide (or vitamin B3), “one of my favorite ingredients to reduce redness.” This one targets inflammation and weak blood vessel walls, so it’s very well suited for redness and rosacea.

“Research indicates the possible role of a gut-skin connection in rosacea,” says Lortscher, which is why probiotics might be helpful for calming your skin. If you want to dabble, Jaliman suggests this Clinique Redness Solutions cream because, she says, it’s very gentle and contains probiotic technology.

Del Campo recommends this Nia24 moisturizer, which she says both calms down and conceals any redness. “It contains niacinamide,” she says, “which is calming to the skin.” Plus, she says, the moisturizer itself is tinted light green, which helps neutralize redness in the face. It also uses licorice root to sooth the skin, and vitamin E to moisturize.

Marino likes this gel-cream moisturizer from No7 that has a lightweight texture and absorbs quickly into the skin. “This will address dryness and dehydration and help to calm irritated and red complexions,” she says, noting that ingredients like vitamin C protect skin from free radicals, while vitamin E works to soothe and nourish skin.

For a less pricey option, Lortscher suggests this gel cream from Neutrogena: It’s hydrating (boosted with hyaluronic acid), yet fragrance-free and noncomedogenic.

And if your skin is particularly dry and sensitive, Lortscher says, “you could try a thin layer of a heavier moisturizer in the morning to help protect your skin, such as pure petrolatum (Vaseline) or EltaMD’s Intense Moisturizer.”

“Even on a cloudy day, UVA rays penetrate the clouds and can trigger rosacea flares,” says Jaliman, which is why she suggests wearing sunscreen every day if you have rosacea or sensitive skin. “I always recommend a physical sunscreen with a high concentration of zinc oxide or titanium dioxide. It’s what’s used for diaper rash.”

Here’s one that Jaliman and other derms have recommended to us in the past, containing anti-inflammatory niacinamide.

And here’s another physical sunscreen that’s been recommended to us again and again by derms. It’s tinted, so all the better to help with any redness you may have.

Zeichner likes this zinc-oxide-filled mineral option too, which provides broad UV protection without leaving a white cast behind. It also contains antioxidants and ceramides, which help to reinforce the skin’s barrier and protect it from environmental aggressors.

For chronic redness, a more concentrated moisturizer can also be helpful. “Thermal spring water and calming peptides help reduce facial redness,” says Zeichner of this mask from Avène’s Antirougeurs (or anti-redness) line.

“Green tint bases can help mask the pink color of irritated or flushed skin,” says Lortscher, which is why he recommends using primers or color-correcting fluids with a green tint. He suggests this one from E.l.f., which is mineral-based and inexpensive.

Another best-selling green-tinted primer is this Smashbox redness-reducing one that contains peptides and antioxidants.

Research also shows that red LED light therapy can be beneficial for reducing inflammation. This handheld device from Quasar is FDA-approved and two-sided, so you can target acne one day (the blue side) and redness another (the red side).

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9 Soothing Rosacea Treatments That Don’t Require a Prescription

“Are you wearing blush?” is a question I’ve received since I was old enough to understand English. My answer has always been an automatic “No, that’s just my face.”

As skin conditions go, I know that I can’t really complain about mine. I have a case of rosacea so mild that it passes for makeup most days. Exceptions occur only when I exercise, drink alcohol, eat spicy food, or overheat, which is when my face becomes noticeably more flushed. In these instances, the question typically changes to the somewhat less flattering “Are you OK? Your face….” Still, I’ve never had a flare-up so extreme that it called for an urgent visit to a dermatologist. A regimen of products labeled “soothing” and “hydrating” is the only change I ever bothered making.

A recent meeting with dermatologist Timm Golueke, M.D., alerted me that I might want to rethink that attitude. “You have rosacea,” he informed me midconversation (in the kindest way possible). I considered it a welcome reminder to start assembling a more tailored skin care routine.

A very important point to remember when it comes to rosacea is that the chronic condition gets worse over time. According to dermatologist Joshua Zeichner, M.D., it’s best to prevent progression in the earlier stages. “Rosacea is in your genes, and while we cannot change our genetic makeup, we can change the way that our genes are expressed,” he says. Dr. Golueke notes that a milder version will manifest as facial redness (although having facial redness doesn’t necessarily indicate that you have rosacea), while more aggressive versions cause pimplelike bumps on your cheeks and nose. Triggers include spicy foods, the sun, and irritating skin care ingredients (particularly retinols, exfoliants, and anything acid-based).

As for treatments, there are common prescription options that are both topical and oral. I’m currently using Soolantra on Dr. Golueke’s suggestion, which contains the active ingredient ivermectin. Ivermectin helps reduce the level of mites living on your skin, which is increased (thereby causing inflammation) in those with rosacea. Your dermatologist may also prescribe Mirvaso or Rhofade, both of which constrict blood vessels in your face, reducing the appearance of redness for hours.

Then there’s Oracea, a medication taken by mouth that reduces inflammation from the inside out. “While it’s technically considered an antibiotic, the dose is so low that it doesn’t kill any bacteria,” says Dr. Zeichner. “It really works as an anti-inflammatory treatment, and because of this, it can be taken for extended periods of time without the risk of bacterial resistance.”

In the realm of beauty tech, LED light therapy also scores points for reducing redness. This is an option celebrity aesthetician Joanna Vargas often recommends. “It thickens your skin and helps eliminate that persistent redness,” she says. “LED light has been proved to increase the energy in living tissue, which is why it stimulates collagen production, reduces inflammation, and speeds healing.” In her practice she often administers the treatment with her RevitaLight Bed.

While LED facials and derm appointments are highly recommended if you want to effectively treat your rosacea, they don’t cover everything else you do at home. So to make sure your top shelf is fully expert-approved, I asked the pros to also weigh in on effective over-the-counter products for rosacea. Below, an everyday routine that will keep your face cool and calm—no prescription needed.

9 Skin-Care Products for Rosacea Skin Recommended by Dermatologists — Expert Tips

Flushed skin is the most well-known symptom of rosacea, but this incredibly common skin condition — which affects 16 million Americans, according to the American Association of Dermatology — is more than just a blush. “Symptoms of rosacea include facial redness, flushing, patchy dryness, and acne-like bumps,” says board-certified dermatologist Patricia Farris.

Rosacea often manifests itself in the middle of the face around the nose or in the center of the forehead, explains Joyce Davis, a dermatologist in New York City. “Rosacea may look like you’re blushing,” she says. “Rosacea is more likely in women and is usually found in people who have a light complexion.” If you have fair skin that tends to burn easily, you may be a candidate for rosacea.

If these symptoms sound familiar, a dermatologist can help you determine whether you’re dealing with rosacea, and more important, which type of rosacea you may have. Dermatologist Deanne Mraz Robinson explains that rosacea is broken down into four subcategories: papulopustular rosacea (characterized by “redness, swelling, and acne-like breakouts”), erythematotelangiectatic rosacea (which means “redness, flushing, visible blood vessels”), phymatous rosacea (“skin thickens and has a bumpy texture”), and ocular rosacea (“eyes red and irritated, eyelids can be swollen, and the person may have what looks like a stye”).

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Symptoms, treatment options, and personal experiences for various physical, mental, and health conditions and concerns.

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A dermatologist can help determine the proper course of treatment, which may include “low-dose oral antibiotics, topical medicines such as sulfur or finacea gel, or different topical medicines with sulfa antibiotics or Oracea, which is a low-dose doxycycline that can be taken topically or orally,” says Davis.

In addition to prescription treatments, there are innovative over-the-counter products that soothe and mask redness, combat acne bumps from papulopustular rosacea, minimize swelling, and more. In fact, there are so many products that we needed our dermatologists to pare them down. Ahead, find expert recommendations for moisturizers, masks, cleansers, and more to add to your rosacea-specific routine.

“Patients with rosacea often complain of sensitive skin, making it difficult for them to use cosmetic products,” says Farris. “This is likely due to the fact that there is a disruption in skin-barrier function associated with rosacea.” Many of our dermatologists also recommend products that repair the skin barrier to help lock in moisture and minimize dryness. Read on for each one’s rosacea solutions.

All products featured on Allure are independently selected by our editors. However, when you buy something through our retail links, we may earn an affiliate commission.

A Dermatologist Explains How to Fix Skin Redness and Rosacea

Red is a bold colour. Wearing a red dress has historically been viewed as loud or sexual. In China, red is auspicious and the colour for luck and ceremony. In L.A., bright red cars are magnets for speeding tickets. An investment banker once told me that when his girlfriends wore red, it made him think of markets in decline. It’s safe to say, red can be triggering in a lot of ways—but especially when it’s on your skin.

Fortunately, skin redness nowadays can almost always be cauterized or minimized with the help of careful skincare and in-office treatments like lasers.

Unfortunately, the laser arena is vast, and requires a deep dive of investigation and reconnaissance work. Questions about brands, downtime, IPL vs. pulsed dye, and whether or not your face will look like it’s covered in Sriracha afterwards are common concerns. We turned to Dr. Jonathan Cabin to set the record straight about what makes our skin red and how to get rid of it.

Meet the Expert

Dr. Jonathan Cabin is a board-certified head and neck surgeon specializing in minimally invasive facial plastic and reconstructive surgery. He practices at Beverly Hills’ Center for Advanced Parotid & Facial Nerve Surgery, (and is a regular at Kardashian-Jenner events).

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What Causes Skin Redness?

Cabin: “For any patient with new skin redness, the first thing I’d want to do is make sure it’s not a symptom of a more serious medical condition, like an infection, immune disorder, or medication reaction. This involves a thorough medical history and exam. 

For redness that may be related to the immune system or environmental factors (like eczema or psoriasis), the first line treatments are topical and oral medications, as well as trigger avoidance.”

What Causes Rosacea?

Cabin: “This is a tricky question. Rosacea is a complex skin condition that—depending on the sub-type—includes varying levels of fluctuating redness and/or visible blood vessels. Optimal treatment for this redness includes careful sun protection and skincare. Patients may also have redness ‘triggers’ that, once learned, can be avoided.”

What Are the Best Rosacea Treatments?

“For persistent redness, there are some medications that can help. The VBeam laser (along with some other redness-targeting light therapies) is one of the most effective therapies to reduce persistent redness. But it will depend on how the rosacea presents itself and will typically be used only if conservative measures are not fully effective.”

Click here to read about the rosacea diet and five natural remedies for rosacea. 

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What About Post-Inflammatory Scarring or Redness?

Cabin: “For an isolated episode of redness related to a time-limited event, like a scar, the wisest approach may be the simplest: the passing of time.“

How Do I Avoid Redness Caused by Broken Capillaries?

Cabin: “Broken capillaries are really just dilated blood vessels very close to the surface of the skin. Certain people are pre-disposed to these lesions, especially those with fair skin. But in those predisposed (and even those that aren’t), external factors can cause these lesions and make them worse. Avoidance of trauma (such as facials or pimple popping), extreme temperatures, or extensive UV exposure can prevent these lesions from forming, and stop them from progressing.

Regarding in-office treatments, energy treatments like IPL and VBeam are really the only way to eliminate these lesions once they’ve formed. Complete elimination may require multiple treatments, and there is no guarantee that these areas of redness will be totally removed. So, an ounce of prevention is worth a pound of cure.”

What About Cherry Angiomas?

Cabin: “No one really knows what causes cherry angiomas (or reddish moles), but the characteristic overgrowth of small blood vessels within this lesion is what gives them their red hue. VBeam, an intense pulsed dye laser, is best for cauterizing these in usually one go.”

Stocksy

V Beam Downtime

Cabin: “Typically, patients have six to eight hours of redness, swelling, mild pain (like a sunburn). In a minority of patients, these symptoms can last up to three days. A small number of patients will notice light darkening or bruising that typically persists for three to 10 days. 

The nice thing about VBeam is that makeup and lotions can be used immediately after treatment to reduce or eliminate any visible signs of treatment and to soothe the skin.”

Are Lasers Safe For Dark or Olive Skin Tones?

Cabin: “Contrary to popular belief, and although less common, individuals with darker skin can also suffer from rosacea. All laser and light treatments, whether for redness or other conditions, should be approached with extreme caution in darker skinned people. Individuals with darker skin tone are at risk for permanent hyper-pigmentation (skin darkening) or hypo-pigmentation (skin lightening) as a result of these treatments.

All laser and light-based redness therapies are an option for darker skinned individuals with rosacea, but it is wise to start with much lower settings, and to begin with a test area in a non-visible portion of the body (for example, under the chin) before proceeding with full treatment. IPL is a bit riskier because it emits light across many different wavelengths is harder to control the patient response. Therefore, laser treatments are slightly safer than IPL in darker skin tones, but all should be approached with caution.”

Click here for the 12 best moisturizers for rosacea, according to experts.

10 Best Rosacea Skincare Products and Redness Treatments of 2021

John Francis

Dealing with constant facial redness, acne-like bumps, or broken blood vessels? Is your skin suuuuper sensitive and easily irritated? Are you lowkey always annoyed with how temperamental it seems to be? Yeah, chances are, you’re dealing with rosacea—a super-common skin condition that can affect just about anyone (although it’s most common in women with fairer skin tones). Rosacea is also unpredictable: It can flare for a few days, weeks, or even months, and then disappear, only to come back very randomly. And while there is no “cure” for rosacea, there are some in-office treatments and at-home skincare products you can use to help keep it in check.

What are the main causes of rosacea?

Rosacea can be genetic (so if your mom or dad has it, there’s a good chance you will too), but it’s usually made worse by triggers like sunlight, wind, alcohol, hot or spicy foods, exercise, and medications that dilate your blood vessels (though, FWIW, rosacea triggers can differ from person to person). It may sound like a no-brainer, but the first step in treating your rosacea is figuring out exactly what your triggers are and then avoiding them when you can. And that, yup, starts with a dermatologist.

Sorry, but Dr. Google doesn’t cut it, and before you know how to treat your rosacea, you’ve gotta make sure you’re actually dealing with rosacea, and not one of the zillion other potential red/bumpy skin conditions out there. Can’t make it to a derm in person? Don’t worry—virtual appointments are also totally reliable and most derms are currently offering them. See? No excuses.

How do you clear up rosacea?

If—no, when—you see a dermatologist for your rosacea, they’ll likely prescribe you oral medications and/or topical treatments to manage the bumps and redness. But if you want to go the over-the-counter route, you’ve still got options, like gentle skincare with anti-inflammatory properties and redness-reducing ingredients (like aloe vera and azelaic acid) can help keep flushing and irritation to a minimum. Ahead to make it all easier for you, I rounded up the 10 best rosacea skincare products you can get without a prescription, below.

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1

Best Moisturizer for Rosacea

Avene Cicalfate+ Restorative Protective Cream

Made with a blend of restorative minerals and soothing thermal spring water, this nourishing cream is a must for anyone with rosacea—especially during the dry winter months. Smooth it on clean skin both morning and night to relieve redness and inflammation.

2

Best SPF for Rosacea

Colorescience All Calm Clinical Redness Corrector SPF 50

UV exposure is a common trigger for rosacea, which makes daily sunscreen a must if you want to keep yours from flaring. Go with this three-in-one formula—it color corrects with a subtle green tint to cancel out flushing, soothes skin with niacinamide, and protects with mineral-based SPF 50.

3

Best Face Wash for Rosacea

Shani Darden Skin Care Cleansing Serum

Anyone with rosacea should steer clear of aggressive face washes with harsh surfactants (looking at you sodium lauryl sulfate) and opt for a gentle cleanser instead, like this one from LA-based facialist Shani Darden. It removes makeup and build-up but without aggravating your skin, thanks to soothing olive and chicory leaf extracts and nourishing oat bran extract.

4

Best Drugstore Serum for Rosacea

Aveeno Calm+ Restore Triple Oat Serum

Designed for the most sensitive of skin types, this drugstore face serum is free of potential irritants (like fragrance, alcohols, and dyes) and filled with a blend of prebiotics, oats, and feverfew extract to restore your skin’s protective barrier, tone down redness, and eliminate dryness too.

5

Best Face Mask for Rosacea

Is Clinical Hydra-Intensive Cooling Masque

Pop on this face mask after a night of red wine and Thai takeout (remember, alcohol and spicy foods are classic rosacea triggers) to help relieve redness. The gel-like formula provides an instant cooling effect and helps calm down skin with anti-inflammatory aloe vera and rosemary extract.

6

Best Drugstore Face Wash for Rosacea

Cetaphil Foaming Face Wash Redness-Prone Skin

Legit every dermatologist recommends this drugstore face wash to patients with rosacea (or just anyone with sensitive skin in general). The mild formula gets rid of dirt, makeup, and excess oil while minimizing redness and irritation with soothing allantoin. 

7

Best Booster Serum for Rosacea

Paula’s Choice 10% Azelaic Acid Booster

Not familiar with azelaic acid? You should be, because the ingredient is one of the best out there for treating rosacea. It smooths bumps and rough texture, reduces flushing and swelling, and helps brighten your skin tone too. Try it in this booster serum, which can be used alone or mixed with your moisturizer.

8

Best Lightweight Moisturizer for Rosacea

La Roche-Posay Toleriane Fluide Oil Free Moisturizer

If your rosacea-prone skin also happens to be oily, this moisturizer from La Roche-Posay is for you. The lightweight, oil-free lotion soaks into skin fast (so there’s no greasy residue) and helps eliminate redness with niacinamide, glycerin, and the brand’s famous healing spring water.

9

Best Toner for Rosacea

Epi.Logic by Dr. Jeanniton Even Balance

epilogicskincare.com

$55.00

After you wash your face, saturate a cotton round with this toner and sweep it over your skin. It helps balance your skin’s moisture levels post-cleanse—plus it’s infused with soothing aloe vera and chamomile extract to take down any flushing.

10

Best Serum for Rosacea

Skinceuticals Phyto Corrective Gel

This calming face serum is a gem for rosacea-prone skin, thanks to soothing botanicals, like thyme, olive leaf, and cucumber extracts plus hydrating hyaluronic acid. Use it twice daily under your moisturizer and SPF for redness-free skin.

Lauren Balsamo
Deputy Beauty Director
Lauren Balsamo is the deputy beauty director at Cosmopolitan covering all things skin, hair, makeup, and nails for both the magazine and website.

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What are the treatment options for rosacea? – InformedHealth.org

Rosacea can often be treated effectively with topical (externally applied) treatments. If that doesn’t help enough or if the symptoms are severe, other possible treatments include medications that are swallowed. Laser treatment and light therapy can be used for visible blood vessels, and surgery is an option for treating severe rhinophyma (a very bulbous nose).
Rosacea is a common, chronic inflammation of facial skin. The symptoms can vary greatly. Doctors differentiate between four types of rosacea, depending on the main symptoms:

• Red areas of skin on the face and sometimes small visible blood vessels (type 1)

• Bumps (papules) and pus-filled spots (pustules) (type 2)

• Thickened and bumpy skin, particularly on the nose (rhinophyma) (type 3)

• Inflamed eyes and eyelids (type 4)

It is quite common to have a mixture of different types. The treatment is based on the individual symptoms.

Treatments for red skin and small visible blood vessels

Reddened facial skin can be treated with brimonidine (trade name: Mirvaso). This medication makes the blood vessels narrower, reducing the blood flow to the face and decreasing the redness. But it is not effective in reducing other symptoms of rosacea, such as bumps or pustules.

Brimonidine gel is applied to the skin of the face once a day (for instance, in the morning). It should not be applied to the eyes, lips, mouth or nostrils. Up to 1 gram of the gel should be enough each time you use it. This is about five pea-sized amounts: one for the forehead, one for the chin, one for the nose and one for each cheek. In the first week of treatment, people are advised to use smaller amounts at first and then gradually use more (up to 1 gram) as needed. Once the gel has been absorbed and the skin is dry again, you can use other creams and cosmetics too.

Studies have shown that brimonidine can reduce facial redness: This symptom improved in

• 50 out of 100 people who did not use brimonidine, and

• 76 out of 100 people who used brimonidine.

So brimonidine reduced facial redness in 26 out of 100 people.

It usually starts working within one hour, and the effect lasts up to twelve hours.

Possible side effects include skin irritation and allergic reactions in the skin that may make the skin redness even worse. It’s important not to get any of the gel in your eyes because it can temporarily lower the fluid pressure inside the eyes.

Laser treatment and intense pulsed light therapy

Laser treatment or intense pulsed light therapy are particularly suitable for rosacea with bothersome red blood vessels. Both treatments involve damaging the small blood vessels using heat (also known as cauterizing). But there is hardly any research on these treatment approaches. In Germany, the costs of these treatments aren’t covered by statutory health insurers.

Mild pain may occur during and after laser treatment. Cooling the skin can help to reduce the pain. It might also cause superficial skin burns. In addition to pain, this may cause temporary redness, blisters, scabs and swelling. Bleeding at small points on the skin may also occur. But the skin usually heals within a few days. In very rare cases, small scars may remain.

Beta blockers

Facial redness is sometimes treated with beta blockers. This medication causes the blood vessels to become narrower, which lets less blood flow through the skin on the face.

Beta blockers are generally used to treat high blood pressure and other kinds of cardiovascular disease. In Germany, beta blockers are currently not approved for the treatment of rosacea, so they can only be prescribed “off-label”.

Because beta blockers are swallowed and travel around the body in the bloodstream, they can cause more side effects than creams or gels, which are applied directly to the skin. These side effects include tiredness, dizziness and lightheadedness.

Beta blockers are considered for the treatment of rosacea if the symptoms are severe and no other treatments have helped. But there isn’t much research on how effective they are in the treatment of skin redness caused by rosacea. And not everyone is able to take beta blockers. They aren’t suitable for people who have asthma, for example, because they could narrow the bronchi in the lungs.

Treatments for red and yellow spots

Raised spots (papules) and pus-filled spots (pustules) on the skin can be treated with medications that are applied directly to the skin. Creams, gels and lotions containing azelaic acid, ivermectin or metronidazole are normally used.

Several studies have shown that these medications reduce the skin problems or even make them go away completely for a while. A noticeable improvement can be seen after about three to four weeks.

Most people tolerate the medication well. The possible side effects include minor skin irritation, a burning sensation, itching and dry skin.

Azelaic acid

Azelaic acid (trade names: Skinoren, Finacea) reduces inflammation and helps prevent pores from becoming blocked. The gel is carefully applied to the affected areas of skin in the morning and in the evening. Half a gram is used per application. That’s about the amount that is squeezed out of a tube along the last section of an adult’s finger (about 2.5 cm long – see illustration).

Studies have shown that azelaic acid can noticeably reduce rosacea symptoms: The symptoms improved or disappeared in

• 44 out of 100 people who didn’t use azelaic acid, compared to

• 62 out of 100 people who did use it.

In other words, azelaic acid relieved the symptoms in 18 out of 100 people.

Ivermectin

Ivermectin (trade name: Soolantra) reduces inflammation and also fights certain mites that play a role in rosacea (Demodex mites). It is applied to the facial skin once a day. A pea-sized amount of the cream is used on each of five areas: the forehead, chin, nose and each of the cheeks. Contact with the eyes, lips and mucous membranes should be avoided. Once the cream has been absorbed by the skin, you can use other creams and cosmetics too.

Ivermectin is used for up to four months. The treatment can be repeated if necessary.

Research has shown that ivermectin can relieve the symptoms of rosacea in many people. They improved considerably in

• 37 out of 100 people who did not use ivermectin, and

• 68 out of 100 people who used ivermectin.

In other words, ivermectin led to a clear improvement in 31 out of 100 people.

Metronidazole

Metronidazole is an antibiotic drug that reduces inflammation. It is very commonly used in the treatment of rosacea. Metronidazole products are applied to the affected areas of skin once or twice a day in the form of a cream, lotion or gel. It is important to make sure that these medications don’t come into contact with your eyes or any mucous membranes. Good sunblock is needed if you go outside. Tanning beds should be avoided.

A few studies have compared azelaic acid with metronidazole, but they led to contradictory results. So it still isn’t clear whether one is more effective than the other.

Doxycycline

If topical treatments don’t help enough or if the rosacea symptoms are severe, oral medication (to be swallowed) may be considered. The antibiotic drug doxycycline is then typically used.

Doxycycline fights bacteria and also reduces inflammation. When used to treat rosacea, it is often taken at lower doses than when used to treat bacterial infections alone.

Because oral doxycycline enters the bloodstream and travels around the whole body, it causes more side effects than topical treatments do: About 10 out of 100 people have side effects due to doxycycline. The possible side effects include diarrhea, nausea and sensitivity to light.

Treatments for changes affecting the nose (rhinophyma)

Rosacea sometimes causes the skin on the nose to become thicker, making the nose look large and bulbous (rhinophyma). This mainly happens in men. The skin on the nose may be inflamed too. The treatment that is used will depend on how severe the skin growths are and whether the skin is inflamed.

There is a lack of good research on how best to treat early stages of rhinophyma. Sometimes people try taking isotretinoin capsules over a period of several months. People with rhinophyma often have enlarged oil glands (sebaceous glands) in their skin. Isotretinoin causes these glands to shrink. But there isn’t much good-quality research on their effectiveness in treating rhinophyma either.

Isotretinoin may irritate skin and mucous membranes, as well as make them dry and sensitive to light. Blood lipid and liver enzyme levels sometimes increase when using this medication, so they are regularly monitored during the treatment. Women who are pregnant or breastfeeding should not take isotretinoin because it can harm their child. In Germany, isotretinoin has only been approved for use in the treatment of severe forms of acne, so it can only be used “off-label” for rosacea.

Very severe rhinophyma with a swollen and bulbous nose can be operated on or treated with certain laser treatments. These treatments involve numbing the area and removing excess tissue to try to restore the normal shape of the nose. There is a lack of good research here, too.

If the skin on the nose is inflamed, a treatment of several months with an antibiotic like doxycycline may be considered.

Treatments for rosacea-related eye problems

If rosacea affects your eyes, it’s a good idea to see an eye specialist too. In rare cases, deeper layers of the eye may become inflamed.

Blocked sebaceous (oil) glands in the eyelids can be unblocked using warm compresses and gentle massage movements. It is best to ask an eye doctor to show you how.

Depending on the severity of rosacea-related eye problems, doctors may suggest treatment with artificial tears and eye drops containing antibiotics or ciclosporin. Ciclosporin reduces inflammation. If that isn’t enough, treatment with doxycycline tablets may be considered.

Unfortunately there’s a lack of good research on treatments for rosacea-related eye problems, too. So it’s not possible to say which treatment is the most effective.

Sources

• IQWiG health information is written with the aim of helping
  people understand the advantages and disadvantages of the main treatment options and health
  care services.

  Because IQWiG is a German institute, some of the information provided here is specific to the
  German health care system. The suitability of any of the described options in an individual
  case can be determined by talking to a doctor. We do not offer individual consultations.

  Our information is based on the results of good-quality studies. It is written by a
  team of
  health care professionals, scientists and editors, and reviewed by external experts. You can
  find a detailed description of how our health information is produced and updated in
  our methods.

90,000 Rosacea treatment

Rosacea is a chronic inflammation of the skin that usually affects only the skin on the face of a person and occurs most often in people from 30 to 50 years old, with fair skin prone to redness. Signs of rosacea include persistent facial flushing, accompanied by small red and white fluid-filled pustules. Rosacea progresses over time and the skin condition worsens, redness increases, and pustules become more and more.Rosacea is often confused with Acne and Eczema, allergic skin rashes, so it is important to diagnose the disease correctly and on time. Redness with Rosacea is accompanied by a rush of heat to the face and upper half of the body, hyperemia – this entails the expansion of the small vessels of the face and their germination to the surface of the skin. The vessels become visible as a mesh of small red-purple threads. Frequent hot flashes lead to inflammation and red papules.

There are a lot of reasons for the onset of the disease, the main ones are genetic predisposition, stress, changes in hormonal levels, weakness of the walls of blood vessels, alcohol consumption, smoking, sudden changes in temperature, aggressive cosmetics for skin care.

If Rosacea is diagnosed, exposure to harmful UVA, UVB radiation, stress, high temperatures, wind and excessive physical activity, as well as certain cosmetic procedures, should be avoided. Rosation treatment is complex and multi-stage.

The main method of exposure for Rosacea we chose the BBL photosystem

During the procedure, the doctor uses several wavelengths to influence the disease, working first with dilated and visible vessels, and then with papules and inflammations, and also acts on bacteria that cause inflammatory elements.

The doctor can also supplement the treatment with the RegenLab plasma therapy procedure.

Plasma therapy is a method of rejuvenation and treatment, which is based on the restoration of skin cells with active substances of blood plasma. Plasma platelets contain growth factors. They activate fibroblasts – cells that produce collagen, elastin and hyaluronic acid. Collagen and elastin are responsible for skin firmness and elasticity, while hyaluronic acid provides skin hydration and cell regeneration.The technique is effective for solving a wide range of problems from skin aging to hair loss. Plasma therapy can be carried out in addition to other procedures to increase their effectiveness.

After the procedures, the vessels become less visible, the amount of inflammatory elements is reduced. The complexion is evened out.

Rosacea treatment – RYMARENKO

This disease is often confused with acne. However, rosacea does not cause pustular eruptions.The main manifestations are pronounced redness of the skin, edema, telangiectasia, and rashes. The reasons can be different – from dietary habits to changes in the immune status, from infectious skin diseases to gastrointestinal diseases.

Rosacea causes strong discomfort not only physical (burning sensation, heat, sensitivity), but also moral . Often, patients with avoid public speaking, become shy and withdrawn, so that the lines do not attract attention to themselves (after all, in a stressful situation, redness and burning sensation can intensify).And this affects friendship, career, personal life, social self-realization in general.

Fortunately, this problem has long been known and well studied in dermatology.

In the treatment of rosacea, it is very important not only to take the drugs recommended by a dermatologist (if necessary), but also to comply with the following rules :

• Carefully use sunscreen, do not go to the solarium;
• avoid overheating, including in the sauna;
• to closely monitor which foods affect the condition of the skin;

develop relaxation skills and try to reduce the amount of stress in life;

• Carefully choose cosmetics, use the most gentle care.

These recommendations are really important, since all irritating factors affect the manifestations of rosacea.

One of the treatment methods that shows very good results in patients is botulinum therapy in the form of microinjections.

The mechanism of work of botulinum toxins is as follows: they block the synthesis of acetylcholine – a substance that is responsible for the transmission of a nerve impulse from the nerve endings to the muscle fiber or cells of the glands (sweat, sebaceous), respectively, turning off their work, reduce the inflammatory reaction and redness, normalize vascular tone and reduce soreness.

How is rosacea treated?

• we do multiple superficial microinjections, practically painless;
• the procedure can be repeated after 2 months;
• the effect occurs 5-7 days after the procedure – redness and inflammation decrease, the skin normalizes sensitivity.

As a rule, we use the botulinum toxin preparation Xeomin. It does not stimulate antibody production and resistance, and allows very small dosages.

In any case, the treatment of rosacea is complex , which should include other methods: medical procedures, home and professional care. It is also desirable to accompany the patient by a gastroenterologist and a gynecologist.

You can close your eyes to aesthetic defects, but it is definitely impossible to live with burning, irritation and discomfort. It is not necessary to endure and suffer, to try on yourself the grandmother’s methods and miracle food supplements from the insta-guru.

Our dermatologists use only evidence-based methods that have proven themselves in international practice.We know how to treat rosacea, how home care and prevention should be. It’s not easy, but we can help you!

90,000 symptoms, causes, treatment and prevention.

Rosacea is a cyclical disease of the skin of the face, prone to the transition to a chronic form. It is also called “rosacea”, as the disease manifests itself in the form of purulent eruptions, redness and tissue compaction.

Rosacea symptoms

“Rosacea” are formed mainly on the cheeks and nose.However, rosacea also has accompanying symptoms. It is:

• Chronic redness of the skin in the T-zone and on the cheeks, and in some cases it extends to the chest and back.
• The appearance of red lines on the face, caused by vasodilation.
• Resistant nasal seal – rhinophyma. This rosacea symptom manifests itself mainly in men.
• Inflammation of the cornea of ​​the eye, characterized by a sensation of dryness, the presence of a foreign body, redness and tearing.

Causes of rosacea

So far, scientists do not have a clear understanding of why some people have “rosacea”, while others do not. However, doctors have made some progress in finding the cause of rosacea. It is already known that disease can arise in response to the following stimuli:

1. Pathogenic bacteria. This theory is supported by the fact that after the use of antibiotics, the rashes become much smaller.True, it has not yet been possible to establish which bacterium triggers the disease-causing process.
2. Pliers. Surprisingly, when examining the tissues of patients, insects of the genus Demodex are often identified in biomaterial. And after the treatment of demodicosis “rosacea” become much less pronounced. However, this theory has not yet been scientifically proven.
3. Incorrect power supply. Regular consumption of spices, alcohol and citrus fruits, as well as smoking, irritates the stomach lining.In theory, this can cause capillary expansion. There is no confirmation of this hypothesis either.
4. Diseases of the gastrointestinal tract. Doctors do not exclude that gastritis and diseases of the small intestine can be the causes of rosacea. Studies have shown that these symptoms occur in 50 – 90% of people suffering from rosacea.
5. Frequent stress. This hypothesis also raises questions.

The risk group also includes:

• People with very thin walls of blood vessels, since at the slightest external irritation (blood flow, exposure to dry hot air, etc.)capillaries on the face burst.
• Menopausal women.
• Suffering from seborrheic dermatitis and using external hormonal agents.

Diagnosis of rosacea

An experienced dermatocosmetologist will determine the presence of this disease by the patient’s appearance. However, sometimes, in order to make a correct diagnosis, it is required to conduct a study of the microflora of the facial skin and assess the state of the blood vessels. In some cases, a laboratory blood test is required.

Rosacea treatment

In order to achieve maximum results, it is necessary to select a complex therapy. That is, in addition to the local effect on the inflamed skin, concomitant diseases should be cured – get rid of stress, normalize the functioning of internal organs, etc.

Important:

Each case of rosacea treatment is different. You should remember that some forms of the disease respond to therapy quickly, while others – rather slowly.

General rules

1. Follow a healthy diet.Limit consumption of smoked meats, spices, extractives, caffeinated drinks; give up very hot foods, alcohol, fast food, etc.
2. Limit, or rather completely eliminate, smoking.
3. Normalize your daily routine, especially work and rest.
4. Protect yourself from high and low temperatures, UV rays.
5. Monitor your health by seeing a doctor.

Cosmetic treatment of rosacea

Hardware Methods

1.Cryotherapy. Inflamed skin is exposed to liquid nitrogen, the temperature of which is -196 ° C. As a result, the capillaries reflexively narrow, and after a while they expand. These processes help to dramatically improve the blood supply to the skin, which, in turn, leads to healthy cells and a decrease in inflammation.

A pleasant bonus after a course of cryotherapy (at least 20 procedures) will be a lifting effect. The renewed cells better produce “building” proteins, collagen and elastin, due to which mimic wrinkles become less noticeable, and the oval of the face – younger.

2. Laser therapy. It is perhaps the most powerful weapon in rosacea treatment. The laser beam acts pointwise – directly on the damaged microvessel. Under the influence of high temperature, hemoglobin in the capillary curls up and “solders” its walls. As a result, after 2-3 weeks, the vessel dissolves, turning into connective tissue, and, accordingly, local inflammation disappears.

Laser treatment is effective both at the initial stage of rosacea and during exacerbation of the disease.The course consists of 4-5 sessions lasting just a few minutes. During this time, you will only feel mild discomfort. A pleasant bonus after the therapy will be the resorption of small scars and scars, post-acne on the treated skin areas.

Injection therapy

Meso- and ozone therapy. With the help of subcutaneous microinjections, an ozone-oxygen mixture is injected, supplemented with a “vitamin cocktail”. Its composition depends on the characteristics and condition of the dermis. The therapy is carried out in a course, at least 5 sessions are required.This procedure is not suitable for acute inflammation and pustular rosacea.

Plasma therapy

This method of injection cosmetology is close to mesotherapy, only instead of vitamin cocktails the doctor injects the client’s subcutaneously purified blood – plasma saturated with platelets. This composition activates the processes of intercellular metabolism and natural skin rejuvenation. Its cells begin to synthesize elastin, collagen, hyaluronic acid as in the “youth mode”, and the inflammation gradually subsides.

To learn more about hardware and injectable treatment of rosacea, as well as to choose a therapy, contact the dermatocosmetologists of VERSUA Clinic.

Prevention

What should be done to avoid exacerbation of the disease, we have already written in the section “Treatment”. It protects the skin from the slightest stress caused by natural conditions; proper nutrition, adherence to a certain daily routine.

It is also very important for rosacea to choose the right cosmetics and face care products.They must be free from alcohol and other irritants. You should use hypoallergenic natural products for sensitive skin.

And one more thing. When fixing your hair with varnish, using sprays and perfumes, make sure that they do not get on your face.

Want to know more? Dermatocosmetologists of VERSUA Clinic are always at your service.

Treatment of rosacea, rhinophyma

Rosacea (rosacea, acne pink) is a chronic pathology of the skin of the face, in most cases of angioneurotic origin.It manifests itself in the central part of the face, on the nose, chin, cheeks in the form of periodically occurring changes: telangiectasia, hyperemia, papules, deformation (nodes). According to statistics, women are more likely to get sick, although it is men who are more likely to develop complications and the rapid manifestation of symptoms. Effective treatment of rosacea on the face in adults, regardless of the stage of the disease, is available thanks to modern techniques and drugs in cosmetology.

Rhinophyma is a benign neoplasm that manifests itself in all parts of the nose.The skin and ducts of the sebaceous glands are hypertrophied. Increased sebum secretion, as a result of which the secretion of the glands accumulates in the ducts, leads to the appearance of not only an unpleasant appearance, but also an odor. May be a complication of rosacea. Pathology is more typical for men aged 40 and older.

INDICATIONS FOR TREATMENT

The presence of signs of the disease is already a direct indication for solving the problem. The cause of rosacea is still not fully understood.Most often, the disease occurs when the skin is hypersensitive to external influences. The provoking factors that can cause an exacerbation are sudden changes in temperature, the use of hot and cold foods, alcoholic beverages, spicy and spicy foods, prolonged exposure to sunlight, emotional outbursts. At risk are also people with pathology of the digestive system, disruptions in the functioning of the endocrine and immune systems.

CONTRAINDICATIONS

All modern hardware-based treatment methods have a number of contraindications.These include:

• pregnancy;
• oncological diseases;
• reception of photosensitizers;
• the presence of herpes and other infections in the body.

DEVICES AND PREPARATIONS FOR SOLVING THE PROBLEM

GMTClinic offers modern methods of treatment of rosacea and rhinophyma, allowing patients to get rid of existing pathologies. Experts can offer several options for solutions.

Preliminary consultation of an endocrinologist and, in some cases, a dermatologist-oncologist is required in order to diagnose a hemangioma.

• Diode laser treatment is a gentle, injection-free, painless technique. Rosacea laser removal is suitable for all skin types. In the process of exposure to the skin, collagen production is activated.
• Laser resurfacing. In the treatment of rosacea and rhinophyma, laser resurfacing can be useful for smoothing the skin relief.They are done in a course of 2-4 procedures.
• Bioreparation or biorevitalization is an injection, modern technique that allows natural way (activation of cellular internal resources) to restore the skin structure. The specialists of our clinic use certified drugs made in France and Italy: NCTF, Mesoxanthin.
• Facial plasma therapy is an injection, absolutely safe procedure that has practically no contraindications. The result can be seen already a week after the first session.To obtain the optimal effect, our specialists recommend a course consisting of 2-4 procedures with a month interval between them. Does not provoke the appearance of allergic reactions, suitable for all skin types. Technologies RegenLab (Switzerland), PRGF-plasma therapy Endoret (Spain) are used.
• Phototherapy (Sciton BBL, Elos, M22) or IPL therapy – exposure of the skin to pulsed bright light. The wavelength is different, which allows the rays to penetrate into the deep layers.
• ELOS therapy using light and electromagnetic energy.

There are several options for getting rid of rosacea with a beautician. The patient receives the optimal solution at a face-to-face consultation after a detailed diagnosis.

LASER TREATMENT OF ROSACEA AND RHINOPHYM

Lasers allow the patient not only to undergo nasal rhinophyma treatment in the clinic, but also to obtain a rejuvenating effect.

How is the procedure

The non-traumatic procedure takes place without violating the integrity of the skin.It is based on the activation of the process of collagen production, reduction of redness, dryness and restoration of the skin. It takes a few minutes to complete.

Benefits of the procedure

The advantages of the technique include:

• gentle effect on the skin;
• lack of preparatory and rehabilitation periods;
• high performance.

PREPARATION FOR PROCEDURES, REHABILITATION

Special complex preparation is not required before undergoing procedures.But the specialists of our clinic warn that you should refrain from visiting saunas, solariums, beaches and swimming pools for 10 days.

• Laser treatment is not a traumatic technique, therefore, there is no recovery period after the procedure.
• Bioreparation. The duration of the session is from 20 to 30 minutes. There is no swelling, traces of injections, like papules, disappear after 12-36 hours.
• Plasma therapy. Experts recommend excluding fatty foods and alcoholic beverages the day before.After the procedure, you cannot use cosmetics for the next 12 hours, visit the sauna and swimming pool for three days, solarium for seven days.
• Phototherapy is a non-traumatic technique. There may be mild hyperemia within 2-4 weeks.
• ELOS therapy. It is recommended to refrain from sunburn, visiting the solarium 2-3 weeks before the procedure. During the last few days before the session, it is important to prevent mechanical or chemical irritation of the skin.

RESULTS OF PROCEDURES

The results depend on the initial condition of the skin and the stage of the disease.In some cases, the effect is noticeable after the first procedure of the chosen technique. In others, several sessions. The decision is made by the doctor. All of these options are almost 100% effective.

90,000 Laser treatment of telangiectasia, diffuse facial redness, rosacea in Brest

Vascular lesions are caused by damaged or dilated blood vessel walls. They can be caused by natural aging, genetic predisposition, or environmental factors such as intense tanning and frequent sun exposure.On the surface of the skin, vascular lesions are visible to the naked eye due to the thinner connective tissue that is characteristic of reddened skin. Today, in most cases, the laser is the only effective way to remove not only dilated capillary walls, but also redness.

Clinic NICA MEDICA offers you the treatment of vascular lesions with the most innovative alexandrite-neodymium laser Vbeam Perfecta, Candela, USA, recognized by dermatologists and patients around the world as the most effective and suitable for solving problems associated with vascular lesions.

Candela V b eam Perfecta Pulsed Dye Laser is recognized by doctors and patients worldwide as the most effective treatment for vascular lesions. This is the only laser that treats not only capillaries, but also redness. Vbeam Perfecta perfectly copes with all types of redness, including all types of dilated blood vessels, both large and small capillaries, redness on the face and body, stellate hemangiomas, cherry angiomas and other vascular lesions.

Efficiency

It is very important that the vascular laser of the Candela company, USA not only eliminates dilated capillaries and copes with blush perfectly, but also stimulates the production of new collagen and elastic fibers, as a result of which the connective tissues of the reddening skin are strengthened, the visibility of the surrounding capillaries decreases. Thus, the recurrence of capillary dilation is prevented, which is especially important in the treatment of extensive blush, rosacea in the presence of dilated capillaries.The Vbeam Perfecta laser is also the only vascular laser that prevents relapses. Procedures using this laser are deservedly called treatment aimed at the cause of the disease.

Result

• Removal of vascular lesions permanently.
• production of new collagen and elastic fibers
• strengthening of connective tissues
• reduced visibility of surrounding capillaries

Correction of cicatricial changes in rosacea using combined injection methods (clinical case)

Konstantinova Veronika Albertovna

Dermatologist, cosmetologist, Institute of Allergology and Clinical Immunology, Moscow

Abstract

A description of a clinical case is presented: a patient with subcutaneous cicatricial changes in the cheeks and chin on the background of steroid rosacea.Correction of cosmetic defects was successfully carried out by introducing into the problem area sequentially and alternately an enzyme preparation based on hyaluronidase subcutaneously and a biorevitalizant with hyaluronic acid and a vitamin-mineral complex intradermally.

Key words: rosacea, Metrogyl, Mirvazo, hyaluronidase, Longidase, polyrevitalization, NCTF-135, combination therapy.

Patient Ch., 38 years old, came to the clinic with complaints of redness and peeling of the skin in the area of ​​the nose, cheeks, forehead and chin, accompanied by a feeling of tightness and dryness; pustular eruptions on the skin of the cheeks and chin, painful on palpation; “Irregularities” in the relief of the skin of the cheeks.

History and diagnosis

The patient considers herself ill for about three years, when she first noticed the appearance of persistent redness of the face in the cheeks and chin.

On the recommendation of a dermatologist, Metrogil gel was applied topically [1] and inside Trichopol 250 mg for a course of 3 weeks. Against the background of the therapy, the patient noted a temporary improvement in the form of a decrease in facial hyperemia, however, 2 months after the termination of treatment, the process resumed. In addition, in addition to redness of the skin, there was a feeling of tightness, itching and multiple large pustular elements, painful on palpation.

At the next visit to the doctor, an analysis was carried out for demodex – not found. The dermatologist prescribed a topical Celestoderm B cream with garamycin for a 4-week course, against the background of which there was an almost complete regression of all existing rashes.

In the future, in case of relapses of the disease, the patient independently randomly used corticosteroid drugs locally for almost two years. Gradually, she began to notice the formation of subcutaneous seals in places where large pustular elements were previously located, the hyperemia of the face became brighter, irregularities and retraction appeared on the surface of the skin of the cheeks.According to the patient, without the use of hormonal creams and ointments, the rashes on the skin of the face intensified, but when they returned to their use, a complete clinical cure did not occur.

The patient notes that she has to use a large amount of tonal means every day to camouflage cosmetic imperfections. At the reception, attention is drawn to the fact that the woman is in a depressed psychoemotional state, formed due to the low efficiency of previous therapy, disbelief in the success of further treatment and dissatisfaction with her own appearance.During the consultation, we managed to convince the patient that modern injection methods of correction would solve not only dermatological, but also aesthetic problems.

Life history

Heredity is not burdened. Concomitant diseases: chronic gastroduodenitis (in remission), chronic sinusitis (in remission). The gynecological history is not burdened. Allergic history: drug toxicoderma and allergic dermatitis to chamomile flower extract, respectively, internally and locally.

Local status

The skin in the region of the central part of the face (forehead, nose, cheeks, chin) is bright pink with a bluish tint and fine-lamellar peeling on the surface. In the area of ​​the left cheek (at the wing of the nose) and the chin on the right, there are two large pustular formations measuring 4 mm with a corolla of hyperemia along the periphery and a serous-purulent crust on the surface. On palpation – moderate pain in the area of ​​inflammatory elements.

In addition, a pronounced unevenness of the skin relief in the cheek area with multiple retraction sites is visually determined.On palpation – subcutaneously in the cheeks and chin, multiple spherical seals are found, with an average diameter of 3 to 8 mm (Fig. 1A).

Diagnosis

Steroid rosacea, pustular stage (stage III), complicated by secondary cicatricial changes [2].

Recommendations and assignments

Before the start of treatment and at the end of each of its stages, photographic recording of the dynamics of the skin process was carried out. Before the start of injection therapy, an informed consent was signed for the procedures, and a written permission from the patient was obtained to publish her photographs in print media.

Rice. 1. Patient Ch., 38 years old: A – at the initial consultation; B – after the 1st stage of therapy; B – after the 2nd stage of therapy; D – after the 3rd stage of therapy.

Table. Structure of the combined injection program

Due to the complexity of the clinical case and the development of complications in the form of cicatricial deformity of the subcutaneous tissue, it was decided to draw up an individual comprehensive program for the correction of cosmetic defects for the patient, including 3 main stages (see table ).

1. Elimination diet with the exclusion of extractives and products that provoke vasodilation (pickled, spicy, smoked, alcohol, coffee, scalding hot drinks and food).
2. Inside – multivitamin complexes (to replenish a possible deficiency of vitamins and minerals) for at least 1 month.
3. Topical therapy (on the site of rashes) – Mirvazo derm gel (in the morning), Solantra cream (in the evening), 4 weeks.
4. On large abscesses – pointwise liquid Dimexide at a dilution of 1: 2 with distilled water, 2 times a day, 2 weeks.
5. Subcutaneous injections of Longidase (lyophilisate 3000 IU), 2 times a week, in a course of 10 procedures (at a dose of 3000 IU per procedure).
6. Intradermal injections of the preparation NCTF135 3.0 ml, once a week, a course of 5 procedures.

Treatment performed

1st stage

The initial task was to achieve remission of the skin process as soon as possible, and only then to carry out a series of injection interventions to solve cosmetic problems. The situation was aggravated by the fact that the patient had developed an addiction to corticosteroid drugs for several years. In such cases, the doctor primarily performs the function of a dermatologist and only then – a cosmetologist.

Together with the patient, a decision was made to discontinue local corticosteroids. The patient was explained that the withdrawal of the hormonal cream can lead to a temporary exacerbation of the skin process – withdrawal syndrome [3]. As a topical therapy, it was decided to choose the combined use of Mirvaso Derm gel and Solantra cream.

The choice of these drugs was dictated by two reasons. Firstly, drugs based on metronidazole for external use have already been prescribed to the patient and have had an insufficient therapeutic effect.Secondly, Mirvaso gel (brimonidine tartrate) and Solantra cream (1% ivermectin) are modern, highly effective agents for the treatment of rosacea and perioral dermatitis. Brimonidine is a highly selective α2-adrenergic receptor agonist [4], and ivermectin is an anti-inflammatory drug that suppresses the production of cytokines and causes the death of the Demodex tick. Their combined use solves several problems at once: it reduces facial skin hyperemia due to direct vasoconstriction of small blood vessels in the dermis and, in parallel, has an anti-inflammatory and antiparasitic effect on the dermal pathogenic flora.Moreover, according to numerous studies, the effectiveness of ivermectin is much higher than that of metronidazole derivatives [5].

Antibacterial, local anesthetic and anti-inflammatory effects in the area of ​​pustular elements were achieved through the use of a 30% solution of Dimexide (dimethyl sulfoxide). Quickly penetrating into the deep layers of the skin, it stopped the inflammatory process, reduced the intensity of pain and helped to reduce subcutaneous infiltration in the area of ​​pustules [6].

The patient was recommended to apply Mirvaso Derm gel in the morning and Solantra cream in the evening for 4 weeks. Interestingly, against the background of such topical therapy, it was possible to avoid exacerbation and in a short time (less than 1 month) almost completely get rid of facial hyperemia. Presumably, the use of Mirvaso Derm gel played a leading role in the absence of corticosteroid withdrawal syndrome.

The use of Dimexide liquid in a 1: 2 dilution locally made it possible to achieve a decrease in pustular elements in size and dry them with the formation of a serous crust on the surface (Fig.1B). As a result, the skin process entered the stage of remission (hyperemia decreased, the local inflammatory process was arrested), which made it possible to proceed to the next phase of therapy. The patient’s subjective state also noticeably improved, as she saw the first positive results and believed in the successful ending of the therapy she had begun.

2nd stage

At the next stage, after regression of rosacea symptoms and cessation of corticosteroid therapy, it was required to achieve alignment of the facial skin relief and splitting of the formed subcutaneous fibrous tissue.

Hyaluronidase enzyme is currently recognized as a means of affecting connective tissue. But the therapeutic effect of existing enzyme preparations based on hyaluronidase is low due to their rapid destruction in the biological media of the body and the ability to provoke an antigenic response. To solve this problem, the drug of choice was Longidase 3000 IU, which is a conjugate of hyaluronidase with a high molecular weight carrier polyoxidonium. This is a prolonged, thermostable form of hyaluronidase, resistant to inhibitors.In addition, polyoxidonium has immunomodulatory, detoxifying and antioxidant properties. Due to this, Longidase is a multifunctional drug capable of not only suppressing the acute phase of inflammation, but also preventing the reactive growth of connective tissue and causing the reverse development of fibrosis [7].

Immediately before the procedure, the contents of 1 vial of Longidase 3000 ME was dissolved in 2.0 ml of 0.9% sodium chloride solution. In the process of diluting Longidaza, it must be remembered that the solvent must be added to the vial very slowly, without shaking, otherwise the protein will foam and the drug cannot be drawn into the syringe.The novocaine solution was not used to dilute the lyophilisate, since the patient was not sure of the absence of an allergic reaction to novocaine in her history.

The resulting solution was injected subcutaneously into the scar tissue in the cheeks and chin. The procedures were performed 2 times a week, with a course of 10 injections. Interestingly, at the beginning of the course of Longidase therapy, the needle hardly penetrated the skin, meeting the resistance of the fibrous tissue. Already by the 5th procedure, the advancement of the needle into the deep layers of the skin was significantly facilitated, and by the 9th-10th procedures, subcutaneous scar seals in the cheeks and chin were no longer detected by palpation, the skin relief leveled off, the places of retraction and irregularities disappeared (Fig.1B).

3rd stage

The final phase of treatment was a mesotherapy course with NCTF135 (Filorga). With a wide range of biorevitalizants, this drug was chosen due to its combination of high efficiency, multicomponent composition and good tolerance [8]. NCTF135 has proven itself to be free of stabilizers, preservatives, colorants and fragrances. In addition, the author of the article has his own experience of the successful use of this drug in the injection treatment of dermatological pathologies (alopecia, post-acne, vitiligo).

The composition of the NCTF135 preparation contains a revitalizing complex of 54 active ingredients: 13 vitamins, 23 amino acids, 6 minerals, 6 coenzymes, 1 antioxidant (glutathione) and hyaluronic acid at a concentration of 0.025 mg / ml. Hyaluronic acid plays an important role in tissue hydrodynamics, cell migration and proliferation. In addition, it activates neoangiogenesis, improving skin microcirculation. Amino acids and peptides serve as building blocks for cells, and vitamins A, E, C and B group have antioxidant properties and are involved in basic metabolic processes and skin regeneration.

After preliminary anesthesia with Emla’s cream (30 min), NCTF135 was injected intradermally in an amount of 3.0 ml using the papular technique. The procedures were performed once a week, with a course of 5 injections.
Due to the normalization of microcirculation and the moisturizing effect of hyaluronic acid, by the end of the 3rd week of the mesotherapeutic course, peeling completely disappeared, and the patient noted the disappearance of the feeling of dryness and tightness of the skin of the face. By the 5th procedure, the skin acquired a fresher look, a natural shade, became softer and more elastic to the touch (Fig.1D).

Conclusion

Summing up, we note that the combined treatment program was 11 weeks. Topical therapy with Mirvazo derm and Solantra made it possible to almost completely stop facial flushing. Complex therapy with the use of Longidase had a pronounced anti-fibrotic effect in the form of a complete regression of subcutaneous cicatricial changes and leveling of the relief of the surface layers of the skin. And finally, the biorevitalizant NCTF135, due to the presence of hyaluronic acid, antioxidants, peptides and vitamins in its active form, made it possible to eliminate flaking and a feeling of dryness, improving microcirculation and providing pronounced moisturizing and regenerating effects.The patient was satisfied with the results of therapy and injection correction.

Thus, it was possible to achieve an optimal combination: to combine the maximum therapeutic effect and patient satisfaction with the results of the treatment and correction of aesthetic defects.

This clinical observation clearly demonstrates that successful and effective correction of pronounced cicatricial changes in severe forms of rosacea can be achieved only with the use of combined therapy programs.We were able to show how you can effectively combine traditional drug therapy and injection procedures. Probably, in the future, more and more often will be used “hybrid” methods of treatment that arise at the intersection of dermatology and cosmetology.

Injection methods have repeatedly demonstrated their effectiveness, and sometimes indispensability in the treatment of a number of dermatological diseases (including rosacea, scars, post-acne, alopecia), and are able to take their rightful place alongside traditional medication for the treatment of these nosologies.

Rosacea: products for the skin that requires care

Contents:

1. Rosacea – how to recognize and how to treat it?
2. We select your product: mousse, foam or cream for redness
3. How to avoid summer exacerbation of rosacea on the face

Did not wash in time – pimples on the face, ate a spicy dish or forgot to protect yourself from the scorching sun – red nose and cheeks, smeared with ointment “for allergies” – improvement for a couple of days, then the spots are larger than before.All of this is experienced by people suffering from rosacea. In addition, the disease can cause itching, a feeling of tightness of the skin, redness for no apparent reason. The favorite localization of rosacea is on the face, closer to the center. Otherwise, the disease is called “rosacea”. Let’s talk about what kind of disease it is, what remedies we have to improve the condition of the skin with rosacea and about the features of skin care with rosacea in the summer.

・ ・ ・ Rosacea – how to find out and how to treat it? ・ ・ ・

People 30-50 years old suffer from this disease, more often women, especially fair-skinned, red-haired, blue-eyed.But this does not mean that rosacea cannot affect a dark-skinned man, this also occurs. Redness appears, then small lumps (“pimples”) that rise above the skin, which can turn into pustules. With a prolonged course of rosacea without appropriate treatment, the skin becomes denser, and an increase in the volume of tissues, for example, the tip of the nose, may appear. The disease has been known for a long time, but the exact reasons for its appearance have not been established to this day.

Some facts about rosacea:

• Scientists have managed to rid society of the opinion that rosacea has a direct connection with alcohol abuse.
• In case of rosacea, the vessels of the face react with excessive expansion and the appearance of new small vessels to many stimuli: strong wind, heat, ingestion of spicy or hot food.
• The relationship with emotional stress (stress) is disputed.
• The relationship of rosacea with infectious agents is noted: the Demodex ssp mite – on the skin of the face, the microorganism Helicobacter pylori – in the gastrointestinal tract. Therefore, dermatologists are engaged in the treatment, in addition, consulting patients with a therapist and gastroenterologist.

Among other recommendations, the doctor will warn you about procedures that are undesirable for rosacea on the face: ordinary peels, darsonval, many types of cosmetic massage. Men are advised to shave with an electric razor as a more delicate shave.

In case of a mild form of the disease, after consultation, the doctor may prescribe skin care with the help of special medicinal cosmetics. In more serious cases of rosacea, treatment with drugs, topical drugs, and physical therapy is prescribed.But even in this case, one cannot do without medical cosmetics: the skin needs moisturizing, additional care, gentle cleansing.

・ ・ ・ We select your product: mousse, foam or cream for redness ・ ・ ・

So, what cosmetic companies can offer us:

cleansers (most often in the form of micellar water or mousse), creams containing the main active ingredients that counteract the expansion and neoplasm of capillaries, as well as products for specific localizations, for example, cream for the skin around the eyes.

Taking into account the fact that the predisposition to skin irritation with rosacea persists almost constantly, it would be quite justified to buy a proven cleanser in large quantities. For example, Bioderma Sensibio H2O is available in volumes up to 500 ml. After cleansing the skin, we use a cream that contains emollient, moisturizing ingredients and usually anti-redness agents. There are also options for special occasions, such as Sensidian Sensitive Combination Skin Care.This rosacea cream is good for oily skin.

・ ・ ・ How to avoid summer flare-ups of rosacea on the face ・ ・ ・

Rosacea is not a hindrance to enjoying summer at all! How to rest and relax during this period, because we are surrounded by so many factors that provoke an exacerbation of this ailment?

Summer tips for rosacea skin

• Skin problems may worsen during periods of heat and sun, redness may become brighter and persist.Therefore, avoid sun exposure from 10 am to 2 pm, use sunscreen products for sensitive skin, for example, Photoderm AR cream SPF 50+ for photoprotection of thin, fragile facial skin with an expanded capillary network and redness. Among medical cosmetics, Sensibio AR BB-cream also has good protection indicators. It reduces and prevents redness, enhances the protective properties of the skin, has an SPF 30 / UVA 17. Wear a wide-brimmed hat as an additional tool.
• On vacation, do not abuse alcohol and spicy, spicy food, which can contribute to vasodilation of the skin and exacerbation of rosacea.Some people know from experience which foods they should avoid.
• In the summer, sweating increases, we are more likely to encounter dust on the street, and this contributes to skin pollution. With rosacea, a thorough and at the same time gentle skin cleansing is required. Suitable products that do not contain aggressive components that do not violate the physiological level of acidity of the skin and the water-lipid mantle on its surface.