What is Rosacea

Rosacea is a cutaneous vascular skin disorder characterised by papules and pustules which occurs on the face and is often associated with facial redness and flushing. There may also be uncomfortable inflammation of the eyes and eyelids. It affects both sexes equally usually from the 4th decade onwards. Rosacea is more common in fair-skinned individuals. It is a chronic condition, the severity of which waxes and wanes. There is no cure for this condition but it can be managed very effectively with appropriate treatment.

What causes Rosacea?

This is not fully understood. There are however a variety of trigger factors that make Rosacea worse but may not trigger it in the first place; these include Diet, for example, hot spicy foods, hot drinks and alcohol. Fluctuations in temperature aggravate the disorder so a Climate where there are extremes of hot or cold makes condition worse. Topical steroids used on the face will aggravate Rosacea. Rosacea will be aggravated by Sunlight

How will Rosacea be diagnosed?

The rash of Rosacea has a typical appearance that should be easily diagnosed by your Doctor. There are no diagnostic laboratory tests. It usually starts with a tendency to flush or blush easily. After a while the central areas of the face become a permanent deeper shade of red, with some dilated blood vessels studded with small red bumps and pus filled spots which come and go in crops. The affected skin of the face is usually very sensitive, and the affected areas may feel hot or sting.

Some patients with Rosacea have eye symptoms (which includes red, itchy, sore eyes and eyelids, a gritty feeling and sensitivity to light). Be sure to consult your doctor if you have problems with your eyes.

How can Rosacea be treated?

Pulsed Dye Laser: A very effective treatment for Roascea, the laser targets blood vessels and over a period of time breaks them down reducing general redness and the effects of Rosacea.

Skin care: Daily factor 50 sunscreen and topical vitamin C serum 15-20% should be used daily on the face in patients with rosacea. Also a very gentle daily facial cleanser and moisturiser are recommended. Avoid facial scrubs or home exfoliation as these will aggravate the skin. Dr. Mackle will be happy to offer advice on suitable products during your skin consultation. The above products are available for purchase at Adare Cosmetics Clinic.

IPL laser: This is very useful to reduce the appearance of redness. There is a 20-30% improvement with each treatment session. Full face laser starts from 100 euros per session.  Usually 6 treatment session are recommended and a maintenance session once or twice yearly after that. It is important to follow a good skin care regime to maintain results.

Automated Microneedling: This is a very useful treatment for improving the appearance of redness or thread veins. Sometimes this treatment may not be suitable initially for patients with Rosacea because the skin can be very inflamed and needs to be brought under control at first.

Antibiotics: After a diagnosis of Rosacea has been made by your doctor a course of oral and/or topical antibiotics may be prescribed. Usually the course if for 3 to 6 months but sometimes a patient may require longer term antibiotics.

What should I do now?

Book a Dermatology skin consultation with us. The cost of a Dermatology skin consultation is €100. Our doctors will make a diagnosis of your skin condition, recommend a course of treatment and there will be a review visit in about three months time.

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