Are You Having Acne Rosacea?

When our skin is reacting, it is natural to want to get to the root of the problem. While we may be good at identifying a pimple, it may not be so when you are having breakouts around your cheeks, chin with redness. It may be acne vulgaris. It may also be… Acne Rosacea.

What Is Acne Rosacea?

Most people think rosacea is redness. That’s accurate. But the condition can present itself in different ways. Beside red facial skin, rosacea can sometimes entail bumps and broken blood vessels on nose, chin, cheeks, and forehead. When rosacea is not treated, it can cause cysts, dilated blood vessels, eye irritation and small red bumps that may contain pus.

Unlike acne vulgaris, rosacea does not have blackheads. It is uncommon in children and tends to be more frequent in women but more severe in men. It is most common in fair-skinned women over 30 and can be passed down through genetics. Rosacea can last for years, and if left untreated, tends to worsen over time.

What are some of the causes of Acne Rosacea?

1. Emotional stress, anxiety, fear
Dealing with rosacea can feel a bit like walking on eggshells, can be stressful. Unfortunately, stress is a common component of our lives. Stress and anxiety can be a tripwire for the condition.

2. Genetic

Yes, it can be passed on to next generation. 

3. Environmental factors eg coldness, wind, dust, heat and sun exposure

Extreme temperatures (hot or cold) and strong winds can cause a flare-up and bring rosacea to the surface of your skin. Heat is especially known for its rosacea-inducing abilities.

4. Alcohol, spicy foods, hot drinks, dairy

If you do drink, I’m sad to say that alcohol is reactive. According to the National Rosacea Society, red wine is the most reactive while Vodka is the least reactive alcohol.

Spicy foods and hot drinks warm up the body and may trigger a flare-up.

Dairy is a good source of vitamin D and calcium, but it's also an inflammatory food. You may notice increased facial redness and swelling. Reducing or removiinig dairy from your diet may reduce redness and other symptoms of rosacea.

5. Demodex mite. 

Rosacea sufferers are also found to have large numbers of Demodex, a mite that lives on everyone’s skin, especially on the nose and cheeks as compared to those who don’t have rosacea.

How Is Acne Rosacea Treated?

While there is no cure for rosacea now, there are a lot of treatment options for different severity of the condition. We list 8 below:

1. Gentle skincare
Rosacea sufferers’ skin are usually more sensitive. It is recommended to keep daily skincare simple and gentle. Avoid overuse of acidic ingredients such as AHA/BHA, Salicylic Acid, Gycolic Acid, avoid Witch Hazel and do not exfoliate more than once weekly. Always keep skin hydrated. Do not skip moisturiser.

2. Azelaic Acid 15% gel

It is a well-liked ingredient over the counter. Doctors will prescribe a medicated dose of this antibacterial for severe rosacea. It is well tolerated and doesn’t cause the dryness or irritation that other acne topicals, including retinoids. It is suitable for sensitive and rosacea-prone skin. It is FDA-approved for daily use. 

3. Soolantra

This is an anti-inflammatory and anti-parasitic cream. It works against the Demodex mite found in the oil glands and hair follicles in those with rosacea. It is usually well-tolerated and can help more with acne rosacea breakouts (papules and pustules) than with redness. It is FDA approved.

4. Antibiotics and Low Dose Doxycycline

They are prescribed for their anti-inflammatory properties. Oral antibiotics such as tetracycline, minocycline, and erythromycin tend to give faster results than topical ones. Fewer acne-like breakouts can be seen within one month. Once under control, another treatment such as low-dose doxycycline can be recommended to maintain results to prevent antibiotic resistance. 

5. Brimonidine and Oxymetazoline

Both are topical treatments that work to constrict blood vessels. They are used specifically to reduce the redness from rosacea temporarily. The possible side effect is rebound erythema, where the redness is worse than it was before. It can last for months.

6. Isotretinoin (Accutane)

It treats severe acne or inflammatory rosacea. Isotretinoin is a powerful drug that inhibits the production of oil by the sebaceous glands. Side effects may be severe such as birth defects so it’s not an option for everyone.

7. Lasers

Laser treatments can be effective in fighting rosacea but the cost may be high. These treatments often require multiple sessions at monthly intervals. You may need to repeat the treatment every 1-2 years for maintenance.

8. Facial treatment

If you wish to avoid prescription medicine and lasers, certain facial treatments may help to relieve redness and inflammatory acne-like rosacea. KYLN Anti Rosacea Facial uses natural ingredients such as French rose, seaweed, green tea and licorice. It eases all microcirculation problems such as Couperose, Erythrose, Erythrocouperose and Rosacea.

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