Rosacea is a skin condition that affects the appearance of your face that usually develops slowly and can continue to get worse over time. It first appears as a redness (flushing or blushing) appearing on the cheeks, nose, chin and forehead. As rosacea first develops, the symptoms tend to come and go. Rosacea often begins as a tendency to flush or blush easily. At initial onset, symptoms are usually confined to the center of the face, but rosacea can involve the cheeks, forehead, chin, and nose.
Rosacea is a chronic skin condition, persisting for years with periods of exacerbation and improvement. The condition may appear to improve and then inexplicably flare up and appear even worse than before. If left untreated, the redness can become permanent and tiny blood vessels may become visible. As rosacea advances, pimples often develop. Because some signs of rosacea resemble acne, it is sometimes referred to as “acne rosacea” however, unlike acne, no comedones are present. In its advanced state the nose becomes bumpy, red and swollen. Rosacea rarely occurs beyond the face and contrary to popular myths it is not caused by poor hygiene or by drinking though a number of lifestyle factors cause the condition to flare-up.
An estimated 5-7% of the population suffer from rosacea, with the majority unaware that what they have is a treatable, skin condition. Rosacea often occurs in people of Scandinavian, Scottish, Welsh, or eastern European descent ranging from 20 to 70 years old. While it tends to occur more frequently and is more apparent in people with fair skin, rosacea has been diagnosed in Asians and African-Americans and can occur in any skin type. Women are more likely to get rosacea than men; however, men are more likely to experience more severe symptoms such as rhinophyma (bulbous nose).
- - Frequent redness, blushing or flushing on the face
- - Pimple-like facial blemishes (some contain pus and others do not)
- - Bumps or lumps on the nose
- - Watery or irritated eyes
- - Small red lines on your face caused by enlarged bloods vessels
What aggravates rosacea?
Food and condiments: Hot and spicy foods, soy sauce, vinegar
Balance hot foods with a cool drink or fruit. Avoid hot spices
Alcohol: Red wine, beer, bourbon, gin, vodka, champagne
Add ice or mix, or try a spritzer instead of wine.
Hot Drinks: Hot cider, hot chocolate, coffee, tea
Limit your intake and try iced coffee or tea.
Emotion: Stress, anxiety, flushing, blushing
Take a walk to cool off, deep breaths or run your wrist under cold water.
Dress appropriately. Drink cold water and take breaks.
Skin Care: Cosmetics, hair sprays with alcohol, witch hazel or fragrances, hydro-alcoholic or acetone substances, anything causing redness or stinging
Read labels and check with your pharmacist.
Temperature: Saunas, hot baths, feeling overheated, warm environment
Limit your exposure and stay in an air-conditioned area.
Weather: Sun, hot days, strong winds, cold, humidity
Wear light cotton clothing. Protect yourself from the sun with a hat and sunscreen. Wear a scarf when out in the cold.
Medical Conditions and Medication: Frequent flushing, menopause, chronic cough, caffeine withdrawal syndrome, vasodilators, topical steroids. Always check with your doctor.
Redness appears on cheeks, nose, forehead or chin that comes and goes.
Tiny blood vessels may become visible on the surface of the skin.
In some cases, the eyes may feel gritty.
Facial redness becomes ruddier and more permanent. Pimples appear as the disease progresses. These may appear as papules (small, red, solid bumps). Tiny blood vessels may become increasingly visible. Enlarged blood vessels called telangiectasia may develop. While they may produce a web-like look, they are not always visible. In some cases, the eyes may become bloodshot.
Inflammation of the skin grows increasingly severe. Men especially, may develop fleshy bumps on the nose. As the number of bumps increases, the nose may appear swollen. This condition is called rhinophyma.
Treatment depends on the physician’s evaluation of the condition, what symptoms are present, and your own feelings about treatment. In most cases doctors prescribe a topical antibiotic gel combined with oral antibiotics as initial treatment. This is followed-up by long-term therapy with a topical antibiotic gel alone to prevent recurrence. Over-the-counter therapies are not recommended for the treatment of rosacea, and acne preparations may make it worse.
Whatever the choice of treatment, continued, regular use of the rosacea medication will help control redness and the number of pimples over the long term. Proper use of the medication should show results after several weeks. To properly care for your skin, follow this daily four-step, skin-care regimen.
Skin cleansing should remove dirt without upsetting your skin’s protective layers or natural pH balance. Everyday soaps and cleansers are often harsh, causing dryness and irritation. Because rosacea–prone skin can be easily irritated, it is important to cleanse with a non-irritating, soap-free, oil-free and fragrance-free, gentle skin cleanser (like Cetaphil Gentle Skin Cleanser). Apply cleanser gently with your finger tips. Rinse with lukewarm water, not hot water, and blot with a soft towel.
There is no substitute for medical treatment in the effective management of rosacea. Once diagnosed, carefully follow your prescribed treatment. Apply your prescription medication in a thin layer across the affected areas only and allow it to dry before applying moisturizer, makeup or sunscreen.
3. Moisturize and Protect
Rosacea is noted for causing dryness to the skin and can upset your facial skin’s normal protective barrier. To help restore moisture without causing irritation, apply a long-lasting water-based moisturizer in a cream or lotion formulation. Make sure you choose a product that does not contain fragrances or lanolin and is non-comedogenic. For moisturizing during the day, apply Cetaphil Moisturizing Lotion.
You can help maintain your skin’s normal healthy state by cleansing and moisturizing your face once in the morning and again before bedtime. For overnight moisturization apply Cetaphil Moisturizing Cream to the affected areas.