- Erythematotelangiectatic rosacea: Redness, flushing, visible blood vessels.
- Papulopustular rosacea: Redness, swelling, and acne-like breakouts.
- Phymatous rosacea: Skin thickens and has a bumpy texture.
- Ocular rosacea: Eyes red and irritated, eyelids can be swollen, and person may have what looks like a sty.
Famous faces of rosaceaIf you are living with rosacea, you are in good company. Some famous people have struggled with rosacea:
- Bill Clinton.
- Diana, Princess of Wales.
- W.C. Fields (a film star in the 1920s and 1930s).
Various presentations of rosacea:
the burden of rosacea
Rosacea shouldn't be "coddled"
A less "coddling" approach to rosacea skin care has important benefits:
- Using more powerful topicals, and soldiering through the initial dryness, minimizes the work that needs to be done with oral medications. Rosacea patients can see tremendous improvement when given oral antibiotics but, for many, as soon as the antibiotic is stopped the breakouts return.
- It uses powerful anti-aging ingredients: Many rosacea patients are frustrated because their sensitive, intolerant skin cannot handle the ingredients that are so well-established as effective anti-aging factors (retinoids in particular).
- It helps to restore better skin texture: eliminating surface oil and constantly stimulating cell renewal will iimprove the appearance of the skin greatly.
diet and rosacea
My favorite anti-rosacea tactics:
- 40% sulfur cream: this is a product I have made up by a compouding pharmacist. No one loves to use it (not a terrible smell but also not one that wins people over) but it works and can be a wonderful way to avoid taking oral antibiotics. It's safe in pregnancy and works for acne as well.
- Tretinoin or other retinoids: These "MVPs" of skincare are underused because of the "coddling" phenomenon. With good guidance, many rosacea patients can thrive on these products which are unquestionably the most effective anti-aging ingredients we have.
- IPL or Laser: I prefer to use light and laser interventions after the active inflammation of rosacea has been controlled by a topical regimen. This saves a patient money and ensures they are going to get the most longevity out of their treatments. These treatments target visible blood vessels, reduce background redness and improve texture and tone.
- Mandelic Acid Peels: These peels are a great way to maintain the skin, especially after laser. They give minimal to no peeling and the treatment itself is painless.
- Mindfulness/meditation: I'm not qualified to teach it but I do suggest it. Acceptance and awareness of one's thought patterns is key to the whole process--and to the outcome. For many rosacea patients a vicious cycle arises where the sensation of flushing triggers embarrassment and worry which only make the flushing worse. With mindfulness an affliction like rosacea can actually help trigger strength and growth.
- Mineral makeup: The right makeup doesn't make you look "made-up" and offers extra sun protection. The natural, exposed look of the skin is not always sustainable. You will accumulate sun damage if you are not protecting with sunblock. A lightweight foundation powder can actually make your sunblock look better--more natural. Mindful Dermatology is now offering Jane Iredale mineral makeup for that natural and protected look.