Rosacea is a long chronic skin condition characterized by facial redness, visible blood vessels, and sometimes acne-like bumps. There are 4 types of rosacea, that primarily affects the central part of the face, including the cheeks, nose, forehead, chin and eyes. While rosacea can affect anyone, it is most commonly seen in middle-aged women and men with fair skin. The exact cause of rosacea remains elusive, believed to be a blend of genetic and environmental factors.

In this blog post, we delve into the world of rosacea – its symptoms, underlying causes, common triggers, and holistic treatment approaches.

Recognising Rosacea: Symptoms and Manifestations

Facial Redness

Persistent redness in the central part of the face is the hallmark of rosacea. This redness can resemble a permanent blush or sunburn that never fades.

Visible Blood Vessels

Tiny blood vessels on the nose and cheeks often become visible, imparting a flushed appearance to the skin.

Acne-like Bumps

Rosacea can lead to pimple-like bumps that may be filled with pus, often mistaken for acne, yet devoid of blackheads.

Eye Irritation

Rosacea can also affect the eyes, causing dryness, irritation, and swelling, a condition known as ocular rosacea.

Enlarged Nose

In severe cases, rosacea can cause the skin on the nose to thicken and enlarge, a condition termed rhinophyma, more common in men.

Root Causes of Rosacea

The precise cause of rosacea remains a mystery, but it is believed to be the result of hereditary and environmental interplay. Some potential contributing factors include:

• Immune System: An abnormal immune response may trigger rosacea. This response could be induced by certain bacteria or microscopic mites on the skin. One hypothesis suggests that the bacterium Helicobacter pylori, commonly found in the gut, may play a role by increasing levels of a digestive hormone that causes skin flushing. Additionally, a skin mite called Demodex folliculorum, present on everyone's skin, may be found in higher numbers on those with rosacea, leading to inflammation and symptoms.
• Genetics: Rosacea often runs in families, indicating a genetic predisposition. If you have a family history of rosacea, you are more likely to develop the condition. Genetic factors may influence your skin's reaction to various triggers and how your immune system responds to potential irritants.
• Vascular Abnormalities: Issues with blood vessels in the face could contribute to the persistent redness and visible blood vessels seen in rosacea. Abnormalities in facial blood vessels may lead to chronic dilation and flushing, causing redness and the appearance of spider veins (telangiectasia) on the face. Factors such as sun damage may exacerbate these vascular issues, making symptoms more pronounced.
• Environmental Factors: Exposure to certain environmental elements, such as sunlight or extreme temperatures, may exacerbate rosacea symptoms. UV radiation from the sun can damage the skin and blood vessels, triggering or worsening rosacea. Environmental stressors like wind, cold weather, and heat can lead to skin irritation and flare-ups. Protecting the skin from these elements through proper skincare and holistic wellness practices is essential.

Common Triggers of Rosacea

• Sun Exposure 

Exposure to the sun's UV rays is a frequent catalyst for rosacea flare-ups. Protecting your skin with high-quality sunscreen and limiting prolonged sun exposure is paramount for maintaining your skin's elegance and health.

• Hot or Cold Weather

Extreme temperatures, whether hot or cold, can provoke rosacea symptoms. Rapid temperature shifts, such as transitioning from a warm environment to an air-conditioned space, also contribute to flare-ups. Embrace balance and harmony in your surroundings to nurture your skin's well-being.

• Spicy Foods and Alcohol

Indulging in spicy foods or alcoholic beverages, particularly red wine, can incite rosacea flare-ups. These elements elevate blood flow to the skin, thus exacerbating symptoms. Opt for refined choices that align with your holistic wellness journey.

• Stress and Emotions

Stress, anxiety, and potent emotions can trigger rosacea. By practicing stress-management techniques and mindfulness, you can reduce the frequency and severity of symptoms, fostering an atmosphere of calm and serenity for your skin.

• Skincare Products

Certain skincare products, especially those with alcohol, fragrances, or other irritants, can exacerbate rosacea. It is essential to select gentle, luxurious products specifically formulated for sensitive skin, ensuring a sophisticated skincare routine.

When to Consult a Professional About Rosacea

If you encounter persistent redness, visible blood vessels, or acne-like bumps, consulting a dermatologist is advisable. Early diagnosis and bespoke treatment can manage symptoms and prevent further progression. Should over-the-counter treatments prove ineffective or if rosacea affects your eyes or causes significant discomfort, seeking professional guidance becomes essential.

Treatment for Rosacea

While there is no cure for rosacea, a range of sophisticated treatments can help manage and alleviate symptoms. Here are some of our exclusive options:

Laser Therapy

Our advanced laser and light-based therapies are designed to reduce redness and visible blood vessels associated with rosacea:

Green Toning Laser Treatment

This exceptional treatment targets the superficial blood vessels in the skin that contribute to persistent redness. The green laser selectively focuses on hemoglobin within these vessels, causing them to collapse and be naturally reabsorbed. This process significantly diminishes facial redness and reduces the appearance of visible blood vessels, leading to a more harmonious skin tone. Green toning laser treatment is generally well-tolerated, with minimal downtime and few side effects, making it a preferred choice for discerning individuals seeking rosacea management.

Frac3 Laser

The Frac3 laser penetrates deeper layers of the skin to address the inflammatory processes underlying rosacea. It is notably effective for treating bumps and thickening of the skin, especially in severe cases such as rhinophyma. By delivering precise microbeams of energy, the Frac3 laser stimulates collagen production and promotes skin healing, reducing inflammation and enhancing overall texture and appearance. Multiple sessions may be required for optimal results, and side effects typically include temporary redness and swelling, which usually subside within a few days.

LED Light Therapy

Consult for Skin to Heart’s LED Light Therapy

LED light therapy utilises different wavelengths of light to address various skin concerns associated with rosacea. Red and blue light therapies are particularly beneficial; red light helps to reduce inflammation, calm irritated skin, and promote healing, while blue light targets and reduces bacteria that can exacerbate symptoms. LED light therapy is a gentle, non-invasive treatment that can be experienced in the tranquility of a dermatologist's office or at home with a handheld device. It is well-tolerated, with no downtime, making it an accessible and luxurious option for those managing rosacea.

Skincare Regimen

Maintaining a gentle and consistent skincare regimen is essential for managing rosacea. Here are some exclusive tips for an effective skincare routine:

• Gentle Cleansers: Opt for mild, non-irritating cleansers to prevent exacerbating symptoms. Seek out products specifically labeled "for sensitive skin."
• Moisturisers: Hydrate your skin with non-comedogenic, fragrance-free moisturisers to preserve the skin barrier.
• Sun Protection: Use a broad-spectrum sunscreen with SPF 30 or higher daily. Physical sunscreens containing zinc oxide or titanium dioxide are often better tolerated by those with rosacea.
• Avoid Irritants: Avoid products with alcohol, menthol, witch hazel, and fragrances, as these can trigger flare-ups.
• Cool Compresses: Applying cool compresses can help reduce redness and soothe the skin during flare-ups.

Topical Medications

Prescription creams and gels that reduce inflammation and redness are often the first line of defense against rosacea. These include:

Azelaic Acid

Azelaic acid, a naturally occurring acid found in grains such as barley, wheat, and rye, boasts anti-inflammatory, antibacterial, and keratolytic (skin-shedding) properties. It effectively treats rosacea by reducing swelling and clearing up the bumps and pimples associated with the condition. Azelaic acid also has a mild exfoliating effect, helping even out skin tone. Typically applied twice daily, it is available in gel or foam formulations.

Bisabolol

Bisabolol is a natural compound derived from chamomile known for its anti-inflammatory, antimicrobial, and soothing properties. It effectively calms the skin, reducing redness and irritation associated with rosacea. Bisabolol works by inhibiting the release of pro-inflammatory cytokines and reducing oxidative stress in the skin. Additionally, it enhances the skin's healing process and improves its barrier function. Bisabolol is often included in luxurious skincare products such as creams, serums, and ointments, suitable for sensitive skin.

Brimonidine

Brimonidine is a topical gel that specifically targets facial redness caused by rosacea. By constricting the dilated blood vessels in the skin, it significantly reduces redness. As a selective alpha-2 adrenergic agonist, brimonidine activates receptors that tighten blood vessels. The effects are noticeable within a few hours of application and can last up to 12 hours. It is typically applied once daily and is well-tolerated, although some users may experience mild burning or stinging sensations.

Oral Medications

For more severe cases of rosacea, oral medications may be prescribed to manage symptoms:

Zinc Gluconate

Zinc gluconate, an oral supplement with anti-inflammatory and immune-modulating properties, can benefit patients with rosacea by reducing inflammation and the frequency of flare-ups. Zinc is a mineral crucial for skin health and immune function. Some studies suggest zinc supplementation can improve rosacea symptoms, particularly in reducing pustules and redness. Zinc gluconate is generally well-tolerated, but it is important to follow the recommended dosage to avoid potential side effects such as nausea or gastrointestinal discomfort.

Antibiotics

Oral antibiotics such as doxycycline and minocycline help reduce inflammation and bacterial growth. These are typically used for their anti-inflammatory properties rather than for eradicating bacteria.

Isotretinoin

A powerful oral medication that reduces oil production, isotretinoin can be effective for severe rosacea unresponsive to other treatments. It is typically reserved for severe cases due to its potential side effects.

FAQs about Rosacea

What is the number one trigger for rosacea?

The primary trigger for rosacea is sun exposure. Protecting your skin from the sun through diligent use of sunscreen, donning elegant hats, and seeking shade can help prevent those unwelcome flare-ups.

Does rosacea get worse with age?

If left unattended, rosacea can indeed intensify over time. However, with mindful management and tailored treatment, symptoms can be gracefully controlled, ensuring minimal progression.

Is rosacea hereditary?

Yes, rosacea often runs in families, indicating a genetic inclination towards the condition.

Is rosacea contagious?

No, rosacea is not contagious. It cannot be transmitted through contact with others.

Is rosacea itchy?

While rosacea typically does not cause itchiness, some individuals may experience a gentle burning or stinging sensation in affected areas.

Premium Rosacea Treatment at Skin to Heart

For discerning individuals seeking expert guidance and bespoke treatment plans for rosacea, schedule a consultation with Skin to Heart. Our team of dedicated skincare professionals will meticulously assess your skin condition and offer the most refined course of action to effectively manage your rosacea. Let us guide you towards a clearer, more comfortable complexion, uniquely tailored to your needs. Embrace the holistic wellness journey, where luxury meets exceptional care, fostering a sense of community and belonging.