General skin care and avoidance of trigger factors - The foundation of rosacea management is identification and avoidance of triggers. Patients will have individual trigger factors unique to their disorder. Common triggers include UV radiation, alcohol, hot drinks, spicy foods, stress and anxiety.
Incorrect skin care is NOT a cause of rosacea, however the use of irritaiting creams may flare up the condition. Cleansers should be gentle and non- abrasive, toners should NOT be used. Anti acne creams that contain Vitamin A and Benzoyl Peroxide should be avoided, as they may cause skin irritation. We recommend cetaphil or QV Gentle Wash as a facial cleanser.
Non irritating sunscreen should be worn on a daily basis- physical blockers such as titanium dioxide or zinc oxide are recommended.
Mineral make up may also assist in reducing the severity of rosacea.
For more information on Skin Care and Cosmetics in rosacea patients, click here.
Prescription creams used for the treatment of rosacea include Erythomycin, Rozex (metronidazole gel), and Azelaic acid. Creams may decrease inflammation and reduce flare ups of rosacea, however they are of limited value in treating flushing or redness seen in this condition.
In certain subtypes of rosacea, your dermatologist may elect to prescribe a compounded solution of Sulfur as a daily wash. This compounded solution may act as an anti-inflammatory soothing wash.
Tablets, including antibiotics, function as anti-inflammatory agents and are best suited for papular-pustular rosacea (acne like rosacea.) They are of limited value in treating redness, flushing and blushing of this disease. Antibiotics are prescribed over a period of several weeks to months.
In severe cases of rosacea not responding to oral antibiotics, isotretinoin (Roaccutane) may considered.
Laser Treatment /IPL (intense pulse light) treatments
The redness, flushing and blushing commonly experienced by rosacea patients maybe treated with vascular laser andBBL. Treatment is aimed at decreasing the size and amount of superfical blood vessels and capillaries seen in rosacea. Visible broken capillaries can be treated with sclerotherapy or vascular lasers, whilst the background redness can be reduced with a series of BBL treatments.
IPL/ BBLTreatments take 20-30 minutes to perform. Redness maybe seen after each treatment, but this usually settles down within a few hours, swelling is occasionally seen, and may take a day or so to settle. Patients will often note a 20-30% improvement with each treatment. Several BBL/ IPL treatments are recommended for optimal results.
More on IPL/BBL treatments
More on Vascular laser
More on sclerotherapy