Rosacea

Rosacea is a chronic inflammatory rash involving the central of the face where it often starts between the age of 30 and 60 years. It is a common condition in those with fair skin, blue eyes, and Celtic origins. It may be transient, recurrent, and persistent whilst it's characterized by its colour, red. It's also usually involved with visible dilated blood vessels on the cheeks, nose, and chin regions. These clustered patterns of visible capillaries are also known as 'spider telangiectasia'. However, it can appear as dilated or diffused in different patterns such as linear, polymorph, or combination of two. Not all individuals who fall in this category have true rosacea, although, most commonly on who suffer from facial flushing redness, may be a predictor of future rosacea.

There are several theories regarding the cause of rosacea including genetics, skin damage due to chronic sun exposure, vascular and inflammatory factors also environmental.

Characteristics of rosacea are:

Frequent blushing or flushing
Permanent
Persistent or prominent blood vessels
Red papules or pustules on the nose, forehead, cheeks, and chin
Dry and flaky skin
Temperature changes such as sun exposure, hot spicy food, alcohol, and cold winter months
Sensitive skin: burning and stinging
Enlarged unshapely nose with prominent pores - sometimes fibrous thickening occur occurs and look like a swollen, bulb-shaped nose (rhinophyma)
Bumps on your eyelids

There is no cure for rosacea, however, some treatments can help to manage this condition under control. Untreated rosacea can make the redness worse and might be permanent and will affects your confidence in the long run, therefore, early management is better.

At Skinderm Aesthetics, we have available treatments to help you manage rosacea skin condition:

For homecare, sunscreen with minimal SPF 30+ must be apply everyday, even in cold, rainy, stormy or snow outside. Any soothing and calming ingredients such as Hyaluronic acid (How, et al., 2020), Niacinamide (B3), Panthenol (B5), Aloe Barbadensis Extract (aloe vera), Centella Asiatica, Chamomile Extract, Licorice Extract, Colloidal Oatmeal, Antioxidants and Azelaic acid are also great anti-inflammatories for rosacea. Another important thing will be hydration, as this is the key to keep your skin barrier function to do its job appropriately (Li et al., 2020).

References

How, K. N., Yap, W. H., Lim, C. H., Goh, B. H., & Lai, Z. W. (2020). Hyaluronic-Acid Mediated Drug Delivery System Targeting for Inflammatory Skin Diseases: A Mini Review. Frontiers in pharmacology, 11, 1105. doi:https://doi.org/10.3389/fphar.2020.01105

Li, Q., Fang , H., & Dang, E. G. (2020). The role of ceramides in skin homeostasis and inflammatory skin diseases. Journal of dermatological science, 97(1), 2-8.

doi:https://doi.org/10.1016/j.jdermsci.2019.12.002

Lim, K. M. (2021). Skin Epidermis and Barrier Function. International journal of molecular sciences, 22(6), 3035. doi:https://doi.org/10.3390/ijms22063035

Loyal, J., Carr, E., Almukhtar, R., & Goldman, M. P. (2021). Updates and Best Practices in the Management of Facial Erythema. Clinical, cosmetic and investigational dermatology, 14, 601-614.

doi:https://doi.org/10.2147/CCID.S267203

Piccolo, D., Zalaudek, I., Genovesi, C., Dianzani, C., Crisman, G., Fusco, I., & Conforti, C. (2023). Long-pulsed Nd:YAG laser using an "in motion" setting to treat telangiectatic rosacea. Annales de dermatologie et de venereologie, 150(2), 121-122. doi:https://doi.org/10.1016/j.annder.2022.09.007

Sarkar, R., Podder, I., & Jagadeesan, S. (2020). Rosacea in skin of color: A comprehensive review. Indian journal of dermatology, venereology and leprology, 86(6), 611-621.

doi:https://doi.org/10.4103/ijdvl.IJDVL_769_19

Woo, Y. R., Lim, J. H., Cho, D. H., & Park, H. J. (2016). Rosacea: Molecular Mechanisms and Management of a Chronic Cutaneous Inflammatory Condition. International journal of molecular sciences, 17(9), 1562. doi:https://doi.org/10.3390/ijms17091562