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5821 Fairview Road, Suite 115
Charlotte, NC 28209
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(704) 643-2205

Rosacea Treatments

For rosacea treatment using IPL (BBL) in Charlotte, NC, visit the skin specialists at Evolve Medical Associates.

Transient

 Rosacea is a chronic skin disease that causes redness and swelling, primarily on the face. Other areas that can be affected are the scalp, neck, ears, chest and back. Sometimes, rosacea affects the eyes. 

Those afflicted with rosacea may first notice a tendency to flush or blush easily. The condition can occur over a long period of time and often progresses to a persistent redness, pimples and visible blood vessels in the center of the face that can eventually involve the cheeks, forehead, chin and nose.

Since rosacea causes facial swelling and redness, it is easily confused with other skin conditions, such as acne and sunburn. For this reason, rosacea is known as the “great pretender,” and often incorrectly referred to as “adult acne.”

Who Gets Rosacea?

Transient

Rosacea affects an estimated 14 million Americans. Adults, especially those between 30 and 50 years of age who have lighter skin, blonde hair and blue eyes, are most likely to suffer from rosacea. However, rosacea can affect children and people of any skin type.

Rosacea is often passed on in families, with women being afflicted more often than their male counterparts. Men, however, often get more severe forms of rosacea. For women with rosacea, increased flushing and blushing may occur around and during menopause.

Famous rosacea sufferers include W.C. Fields and former President Bill Clinton, both often captured on film with the classic mid-face redness and bumpiness of rosacea. These classic signs of rosacea are often misidentified as 78 percent of Americans, according to a Gallup survey, do not know that rosacea exists.

 Psychological Effects

Some believe the social and emotional effects of rosacea are worse than the physical symptoms. In one survey, 1 nearly 70 percent of rosacea patients said it lowered their self-confidence and self-esteem. Forty-one percent said the condition caused them to avoid public contact or cancel social engagements.

Causes

While the precise cause of rosacea remains a mystery, researchers believe that heredity and environmental factors are to blame. One explanation is that something causes the blood vessels to swell. The result, these scientists believe, is the flushing and redness characteristic of rosacea.

Another theory is that a mite called Demodes folliculorum, which lives in hair follicles, could be a cause of rosacea. The belief is that the mites clog oil glands, which leads to the inflammation seen in rosacea. Others believe that a bacterium called Helicobacter pylori, which causes intestinal infection, might be a cause. The immune system also has been implicated as playing a role in rosacea’s development.

Signs and Symptoms

Rosacea may begin as a tendency to flush or blush easily. In fact, when people with rosacea think about their pasts, they often remember flushing or blushing more easily than most. This tendency to flush or blush easily can occur over a long period of time and may gradually progress to a persistent redness, pimples and visible blood vessels in the center of the face that can eventually involve the cheeks, forehead, chin and nose. Other affected areas may be the neck, ears, chest and back. Rosacea affects the eyes in approximately 50 percent of the people who have rosacea.

While most common on the face, one recent study indicated that some people who have rosacea do not have it on their face at all but rather on their back or elsewhere.

Signs and symptoms vary from person to person and are often intermittent. Rosacea can be treated and controlled if medical advice is sought in the early stages. When left untreated, rosacea often gets worse and then becomes more difficult to treat.

Flushing of Face/Neck: Rosacea can cause redness, similar to that of a blush or sunburn. The flushing occurs when increased amounts of blood flow through vessels at a fast rate and the vessels expand to accommodate this flow. The redness may become more noticeable and persistent as the disease progresses.

Dry Facial Skin: Some people notice that their facial skin becomes increasingly dry.

Pimples: The pimples of rosacea, which often occur as the disease progresses, are different from those of acne because blackheads and whiteheads (known as comedones) rarely appear. Rather, people with rosacea have visible small blood vessels and their pimples—some containing pus—appear as small, red bumps.

Red Lines: Some with rosacea notice red lines, called telangiectasia, which appear when they flush. This is due to small blood vessels of the face becoming enlarged and showing through the skin. These red lines usually appear on the cheeks—especially when the overall redness diminishes.

Bumps on Nose: Nasal bumps, a condition called rhinophyma, are an uncommon sign seen especially in untreated rosacea. Men are more likely to experience the small, knobby bumps on the nose, and as the number of bumps increases, the nose and cheeks may appear swollen.

Facial Burning, Stinging or Itching: A 2002 survey conducted by the National Rosacea Society indicated that some people who have rosacea suffer physical symptoms, such as facial burning, stinging or itching. 

The first step to helping deal with rosacea is to try to avoid triggering outbreaks. This can be anything that turns the face red, including sun or wind exposure, sudden temperature change, spicy foods, coffee and tea, alcohol, and stress. Different people may have different triggers. We recommend rosacea sufferers keep sunscreen on hand whenever they will be outdoors for awhile, and that they employ a gentle skin care regimen.

 Laser Treatment Options

Laser treatment is effective against certain symptoms of rosacea. Rosacea laser treatment may help with the following symptoms:

   •    Dilated blood vessels
   •    Persistent or recurring redness
   •    Thickening of the skin
   •    Flushing
   •    Acne like breakouts

There are a few different methods of laser treatment of rosacea used to treat the symptoms of rosacea, generally targeted towards specific symptoms. For example, intense pulsed light (IPL) therapy has been used to treat dilated blood vessels and recurring redness. With thickening skin on the chin, nose and other parts of the face, our Sciton laser is used to precisely shave away excess skin tissue.

 Medication Treatment Options

Topical therapy for rosacea, especially those suffering with acne rosacea, address all aspects of an effective skin care program: cleansing, healing, and protection. In consultation with our physicians and skin care specialists we will develop a highly effective rosacea treatment program. There is no longer a need to suffer the embarrassment and pain of a red face and blotchy complexion.

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