2017 essential guide on rosacea causes and treatments

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6/25/2017

2017 Essential guide on rosacea causes and treatments. Skin Aspirations | Bespoke Skin Treatments & Facials In Chelsea, London

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2017 Essential guide on rosacea causes and treatments

Rosacea is not a complexion problem that will go away by itself, if it is not treated, it will become worse. According to the National Rosacea Society, “well over 16 million Americans have rosacea - and most don’t know it.” This common aspect of rosacea does not, however, mean that rosacea is well understood, or that there are guaranteed ways to control it. In a National Rosacea Society survey of 1,459 rosacea patients, 47% said they had never heard of rosacea prior to their diagnosis, and 95% said they had known little or nothing about its signs and symptoms. Rosacea can also cause devastating psychological and social problems in addition to its physical effects. In other National Rosacea Society surveys, 90% of rosacea patients said rosacea’s effect on personal appearance had lowered their self-conᗼdence, and 52% said they had avoided face-to-face contact.

What is rosacea?

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6/25/2017

2017 Essential guide on rosacea causes and treatments. Skin Aspirations | Bespoke Skin Treatments & Facials In Chelsea, London

Rosacea is most commonly seen after age 30, and may initially resemble a simple sunburn or a mysterious redness. Abruptly, without warning,  a redness appears on the cheeks, nose, chin or forehead. Sufferers often have a butterᗼy pattern across the cheeks, where the skin under the eyes is in stark contrast to the redness. Then just when you start to feel concerned, the redness disappears. Unfortunately, this happens repeatedly, becoming redder and lasting longer each time, and eventually, visible blood vessels may appear. The bottom line is that it's progressive so it's here to stay and will likely get worse if you don’t carefully manage it. Dermatologists commonly deᗼne rosacea as a vascular disorder that exhibits visible changes and reactions on and within the skin such as: Flushing redness on cheeks, nose, forehead and chin Erythema (swelling) and inᗼammation Tightness Small blisters, red bumps and pimples Watery and itchy eyes Bulbous nose, noticeable pores, ᗼbroplasia and distorted facial features Sensations include; stinging, burning and hot itchy rashes

What are the types of rosacea? Rosacea is an inᗼammatory condition. While the skin looks inᗼamed, it is not infected. The location and pattern of the inᗼammation determine the type of rosacea. There are four different types of rosacea. You may also ᗼnd that you have more than one rosacea type, which is very common.

Erythematotelangiectatic rosacea Erythematotelangiectatic rosacea is characterised by ᗼushing and persistent central facial erythema or swelling (Figure 1). There is often a history of ᗼushing episodes lasting over ten minutes and occurring from various stimuli such as emotional stress, exercise, hot baths or showers. The skin is often ᗼnely textured with scaling and roughness of the central face, which is a strong indication that the facial skin may also be very sensitive. This could also indicate that skin care products and harsh climates have been unusually irritating in the past causing facial redness, scaling and discomfort.

Papulopustular rosacea Papulopustular rosacea is the classic rosacea type (Figure 2). It is characterised by persistent central facial erythema (swelling) with papules and/or pustules in the centre of the face. Comedones are absent, in contrast to acne, and burning and stinging may be present. This type of rosacea is often seen in combination with or develops after erythematotelangiectatic rosacea.

Glandular rosacea Glandular rosacea is a deep sebaceous rosacea type, most commonly seen in men with a history of teenage acne (Figure 3). Flushing and broken capillaries are less prominent. Skin is thick and sebaceous and is not easily irritated. Pores are large and ᗼlled with plugs of dead skin cells and sebum. There is swelling and enlargement of the oil glands that is demonstrated by a larger rounded nose.

Ocular rosacea Ocular rosacea is inᗼammation of the oil glands along the eyelash line. Some studies have linked it to Demodex mites. Ocular rosacea occurs in up to 70% of patients with rosacea. One-third of these patients may develop corneal involvement, which is potentially sight-threatening.

Why does someone get rosacea? The causes of rosacea are still a mystery although you are more likely to be affected if you are pale skinned, female and 30-50. At present, researchers believe that hereditary, as well as environmental factors, are to blame:

Genetics Rosacea often affects multiple family members. Recent analyses have found distinct genetic proᗼles for each rosacea type.

Triggers Rosacea can be ᗼared up by a variety of triggers ranging from sun exposure, stress, alcohol, spicy foods and hot beverages such as coffee. Medications and cosmetics with irritating ingredients and fragrances can also lead to an outbreak of rosacea. Stress is also a contributing factor in that elevated levels of cortisol over a prolonged period of time suppress the immune system and inᗼammatory conditions occur.

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6/25/2017

2017 Essential guide on rosacea causes and treatments. Skin Aspirations | Bespoke Skin Treatments & Facials In Chelsea, London

Everyone has a different trigger ingredient for their rosacea ᗼare-ups and we recommend keeping a food/lifestyle diary. With time and patience,  you will learn the speciᗼc triggers which contribute to your rosacea ᗼare-ups.

Infection Research has shown evidence that Helicobacter Pylori bacterium, the bacteria that gets in the gut and causes stomach ulcers, has been detected in rosacea. The face mite Demodex folliculorum, which lives in hair follicles, has been identiᗼed in elevated numbers in patients with rosacea. It is postulated that an immune defect allows the mite to penetrate the dermis and stimulate an exaggerated immune response, giving rise to the papules and pustules of rosacea. However, the role of Demodex mites remains controversial.

What are skin conditions confused with rosacea? Rosacea can be easily confused with other skin conditions and vice versa. The most common reason for this confusion is that rosacea appears similar to other skin conditions. For example, both acne and rosacea can present as overall redness, raised spots, and even cysts.

Non-rosacea forms of acne From a distance, rosacea and acne look very alike. In fact, rosacea is so similar to acne vulgaris (the proper name for acne), that it is often referred to as acne rosacea. Acne is more common in adolescents and young adults. Rosacea is more common in young and older adults, and the risk of rosacea increases with age. Also look for blackheads as they are more common in acne. Female hormonal acne, another form of acne that can develop in adult women, usually manifests as big, painful cysts along the jaw. This is not a common site for the pimple-like lesions or rash of rosacea.

Facial dandruff (seborrheic dermatitis) Dandruff can be harder to distinguish from rosacea. It often involves the mid-portion of the face just like rosacea. With dandruff, there is scaling and a salmon-colored redness of the skin. Involved areas are often sensitive as well. It often occurs with rosacea, but the good news is the treatments overlap.

Skin rashes of allergic and irritant dermatitis An allergy or irritation from products is located only where the product is being applied in the beginning of the rash. The rash may eventually spread out from that area, but in the beginning, it starts where the product was applied. There is often an itching with allergic reactions. There is often a dry, chapped appearance to the skin associated with stinging when a product is causing an irritant reaction. Classic examples are AHA or acne products (especially benzoyl peroxide products) that are too strong for a person’s skin.

How do we treat rosacea? Early treatment is key. Rosacea cannot be cured but it can be controlled. In general, rosacea is controlled by various methods such as antibiotic creams (Rozex), oral medication, laser treatment and specialist skin revision facials. We advocate treating rosacea through specialist skin revision facials. An effective treatment and homecare products will dramatically reduce the symptoms and signs of rosacea. Traditional style facials that focus on just calming the skin attempting to reduce the redness do not give a long-term resolution. Effective treatment needs to get to the core of the problem and addresses all the contributing factors that cause rosacea. We treat rosacea through a combination of DMK Therapy Facials. The key characteristics and beneᗼts of DMK Therapy Facials are: Bacterial ᗼghting agents work immediately to kill bacteria and also the Demodex mite. Reduces inᗼammation, heat and swelling in the skin. Re-establishes the skins barrier defence lines. Enhances the functioning of the skin, boosts the function of the immune system of the skin, increasing the resilience of the skin. Strengthens the skin's structures. Encourages repair and restoration of cellular integrity. A stronger healthier skin is able to hold water and has a better defence system.

If you live in London or visiting London, schedule an appointment with us. We help our clients achieve their skin aspirations out of a discreet but relaxing setting in Chelsea, London.

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