Before starting any Rosacea treatment it is important to understand the symptoms and causes.
Rosacea is a chronic inflammatory skin condition that is categorized by erythema / red-flushing, broken capillaries & inflamed papule. Pustules may also be present. Some suffers also experience an itching or burning sensation in the skin.
If left untreated Rosacea can escalate into advanced stages, with more severe symptoms such as thickened skin that can cause disfigurement and cause irritation and swelling of the eyes. One embarrassing symptom can include a red, enlarged nose, which can be wrongly attributed to excessive alcohol consumption.
Rosacea is also a highly reactive and hyper-sensitive skin so their treatment plans are very similar. Some common factors that both Rosacea and hyper-sensitive skins share include hyper-vascularity, impaired barrier function and exposure to excessive amounts of chronic inflammation. This can be through UV exposure, stress / emotions, hormones and diet.
Rosacea is often misdiagnosed and mistreated as acne, because it shares similar characteristics such as papules and pustules. However they are different conditions and therefore require different treatment plans.
Unfortunately the root cause of Rosacea is yet to be determined and although it cannot be cured, with the correct treatment, diet and lifestyle choices, it can be managed effectively.
There are many factors that we do know about Rosacea. So understanding those are an important part of Rosacea treatment and the effective management of the condition.
Rosacea tends to run in families. Although it has not yet been discovered if it’s genetic, we do know there is higher risk of getting it if one or both parents were also a sufferer.
The condition is most common in women aged over 30, however men are more likely to suffer from the more advanced Rosacea symptoms. It is also more common in fair skinned people, from Celtic or Scandinavian heritage. This may be due to having thinner skin with less melanin (natural UV protection) content compared to darker skin types.
We also know that Rosacea sufferers tend to have a higher number of Demodex mites (that live on everyone’s skin) on their skin, compared to non-suffers. It is thought that this could trigger an abnormal immune response and promote inflammation within the skin.
Sun damage is also a factor as it affects the underlying connective tissue and dilation of the blood vessels. Studies have also shown that exposure UV radiation led to the production of vascular endothelial growth factor (VEGF), a substance that has been linked to the development of visible blood vessels (telangiectasia).
As with acne, it is unlikely to be a single cause but rather a collective of contributing factors.
As Rosacea is an inflammatory skin condition, it is important to reduce levels of chronic inflammation within the body. One of the key factors when managing this condition is to understand your ‘triggers’ i.e. the things that cause your facial redness.
Trigger may be different for different people but common triggers include;
Only by identifying these triggers can you put in a plan of elimination to avoid exposure to them and reduce low-level / chronic inflammation within the body.
As with acne, there are 4 different subtypes of Rosacea, used to determine the severity and symptoms of the condition.
When treating Rosacea and sensitive skins, the aim is to strengthen the skin. Making it less reactive and more able to cope with external factors.
The initial step is an in-depth skin health consultation to identify the possible triggers. An elimination and treatment plan can be designed to manage the condition.
A typical Rosacea treatment with Andy would involve a course of CosMedix Benefit Peel treatments. These combine Vitamin C and Vitamin A (Retinol) to strengthen the skin, supporting the extracellular matrix and the capillary walls. The Benefit Peel also stimulates collagen and elastin production, improving hydration levels through increases NMF’s. The D-Tox Peel is also an effective treatment as it has potent anti-inflammatory, antimicrobial and detoxifying benefits.
LED Red Light Therapy is also an excellent option. Supporting skin function by increased collagen production. This also helps to strengthen the skin, supporting the extracellular matrix and the capillary walls. Used in conjunction with the Benefit Peel treatment, they work hand-in-hand to make skin more resilient. Red light therapy is also very healing and anti-inflammatory. Helping to reduce redness and flushing within the skin.
An advanced home care regime is also recommended to follow in-between treatments. Which would be discussed as part of your aftercare. With an anti-redness serum and a high factor physical sunscreen an absolute must for Rosacea & Sensitive skins.
Micro needling can also be a very effective treatment for non-nodular and non-pustular rosacea because it increases collagen production, thickening the skin and making it stronger and more resilient. Micro needling can be used instead of or alongside metabolic peels as part of an overall treatment process. Bespoke treatment packages are available at significantly discounted cost.
Andy is based in Harborne, Birmingham, If you are interested in Rosacea treatment, book an appointment now.