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Rosacea

Faces is run by Doctors trained in both aesthetics AND dermatology so we are in the very best position to advise you on an appropriate treatment for YOUR SKIN from inexpensive over the counter preparations, through medical grade cosmeceuticals and peels right up to Prescription only topical and oral preparations.
Rosacea is an extremely common inflammatory skin condition seen most often in people of Irish and Celtic origin, so much so it is sometimes referred to as the Celtic Curse. It is most common between ages 30 and 60 and is more common in women than men.
There are actually three different presentation types but a person might have a mixture or even all three. Effective treatments are different for each type.
Papulo-pustular is the typical Acne Rosacea where there are pustules on the cheeks and nose that resemble teenage acne. There is usually a background of redness. When left untreated on the nose it can develop into Rhinophyma, with thickened skin and redness.
Ocular Rosacea affects the eyelids, which are red and sore.
Erythematotelangiectatic Rosacea (ETR) there is facial flushing and redness often in response to spicy food or alcohol, visible blood vessels and sensitive skin.

Causes:
Rosacea can also be caused by using topical steroids on the face. This can occur during use or when the steroid has been stopped.
Some dermatologists believe that there is a relationship between a mite Demodex Folliculorum and Rosacea. This mite lives in the follicles of about 60% of the population including people without any skin problems. Rosacea sufferers typically have up to 10 times the number of mites this could be because the mite causes the Rosacea or that Rosacea prone skin provides an attractive breeding ground for the mite. They come out of the follicles to mate on the face at night but it is when the mite dies that the trouble starts as it releases a bacteria that triggers inflammation in those patients who have Rosacea, leading especially to the severe papulo-pustular form. Killing the mite with a treatment called Invermectin (Soolantra) has been shown to be very effective and in many cases appears to cure the condition completely.

Things that make Rosacea worse: Sunlight, oil and creams, alcohol, spicy food, stress.

Treatments:
There are many really good treatments that will help keep the Rosacea at bay however it is a chronic condition and you will always be prone to flare ups. (Though it is possible and looking hopeful that treatments like Invermectin may provide an actual cure)
Anti-Biotics, usually from the Tetracycline family, either oral or topical, are really good for both ocular and Papulo- pustular as is Metronidazole Gel or Cream.
Alumier MD have a cosmeceutical product, CALM-R containing Hinokitiol which is anti-bacterial and has been shown to be very effective even in severe Rosacea as part of a skin care regime.
Intense Pulse Light (IPL) or Laser is effective for redness and visible blood vessels.
Brimonidine (Miravaso) is a topical gel that significantly reduces facial redness and flushing.
Skinceuticals Redness Neutralizer is a product shown to reduce redness associated with Rosacea prone skin.
Invermectin Works by killing the Demodex mite. It is applied daily for 12 weeks and looks like a very exciting new option in the treatment particularly of papulo-pustular Rosacea.

Professional skin care advice is essential when undergoing treatment for Rosacea. Many patients are afraid to use any products even moisturizers on their skin as they experience flare ups. At Faces we can advise you on all the products you can and should use to protect your skin and prevent sun aging while treating your Rosacea effectively without provoking flare-ups.