Treatments for rosacea

There are four identified rosacea subtypes. Many patients experience characteristics of more than one subtype at the same time, and those often may develop in succession. While rosacea may or may not develop from one subtype to another, each individual sign or symptom may progress from mild to moderate to severe. Early diagnosis and treatment are, therefore, recommended.

Typical Rosacea Sub type 1

Treatments for Rosacea subtype 1

People with Subtype 1 rosacea have very easily irritated skin. It often feels tight and is sensitive. Sub type 1 also tends to have very dry skin . (Dermatology times jan 2014)

Finola says: This is why the finca serum worked so well for me because it adds oils and moisture to the skin which is naturally lacking and does so in a way that is non irritating..ie. no harsh ingredients or harsh preservatives.

  • They should use sunblock (factor 30+) every day with zinc oxide or titanium dioxide as the active sunblock – not chemical sunscreens – the finca skin organics sunscreen is ideal - contains only 7 ingredients including zinc oxide and is lightly tinted to lightly cover redness. see www.rosacea.ie/products
  • Identifying and avoiding lifestyle and environmental factors that trigger rosacea symptoms in individual cases can be especially effective in controlling the flushing and redness of subtype 1, Look at the diet and lifestyle suggestions on this website know your triggers and use appropriate skincare products eg. Finca skin organics serum and finca skin organics sunscreen
  • The appearance of flushing, redness and visible blood vessels may also be reduced with cosmetics. Products with a green or yellow tint can counteract visible redness, and cover makeup may be used to conceal visible blood vessels and other signs of rosacea.
  • For Women - Avoid hair colourants with any red tints in them as this only highlights the redness in the face.
    Finola says: Let your hairdresser know that you are conscious of the redness in your face so that he/she can recommend cooler colours away from any warm tones. It does really makes a difference- I always loved red shades through my hair until a hairdresser actually pointed out –very nicely – that the warmer tones didn’t suit my skin tone- I was having a rosacea moment…. Also some hair colours can bring about a facial reaction in rosacea sufferers (nevermind your scalp giving you grief!) . Visit your local health food store and look at the more natural options available and if all else fails take an anti histamine a while before applying the colour….but only as a last resort.
  • Laser therapy is good if a person with Subtype 1 has very small, red spider veins. The photo below shows the good results which can be achieved with laser therapy or intense pulsed light therapy IPL.

    Finola says: an update on prices - prices vary but one treatment usually costs from in or around 150 euro and a minimum of 4 treatments may be needed as the therapist needs to spread the treatment over this period providing a gradual improvement of the skin and minimal amount of adverse effects. A high sun factor of at least 30 needs to be applied after treatment. For the treatment of just broken veins, diathermy needle treatment is a lot cheaper and accurate costs from 50 euro upwards for each treatment and doesnt hurt...

  • Only use a therapist who is qualified and can give patient references or before and after photos of previous patients….If not you could end up with a patchy effect and risk of actual damage to the skin.

    Finola says: Laser therapy and those that treat rosacea using laser therapy can promise much. Whilst it is difficult to very accurately predict results, experienced therapists should be able to look at your skin and predict improvement rates based on previous clients. For a therapist to say they can improve your skin 100% and actually improve it 40% or even less is disingenuous. Better to say 40 -50% improvements and realistic expectations than disappointed customers. Especially when paying up o 600 euro for treatments. As a customer you should insist on realistic improvement predictions or take your money elsewhere!!


    Mi skin Drogheda 041 9803666 have had good success treating type 2 rosacea - as can be seen from their website http://www.miskin.ie/rosacea-redness/


    New Faces Dundalk 042 9331313 -(ask for Sinead) - treat any visible veins using a diathermy needle and then overall redness with IPL


    Therapie Molesworth St Dublin 1890 650750 - good success for treating type 2 rosacea - some success with overall diffuse redness -approx 50% reduction in redness reported from recent male customer who said he was fairly satisfied and not as conscious about redness as he was before treatment.


  • Erythema (redness) of the face in Subtype 1 rosacea can also be successfully treated with brimonidine tartrate gel better known as Mirvaso.

    Finola says: Rosacea forums have seen some mixed reaction with this mirvaso gel. It is only in use within the last year or so. It works by constricting the blood vessels near the skin surface bringing about a reduction in redness – which makes logical sense. The effect however is temporary – approx. 12 hours and in some cases brings about what is called a rebound flush…but this does not happen in all cases… My own opinion on it is initially maybe use a smaller amount than what is stated on the packaging….just to get your skin used to it and to make sure that you don’t have a rebound flush which is often worse than the original redness.

Treatments for Rosacea subtype 2 (papulopustular)

Persistent redness around the centre of the face, with bumps and pimples resembling acne. Burning and stinging may also occur. This type is often seen after or in combination with subtype1 . Sub type 2 skin is mainly oily or greasy. (dermatology times jan 2014)

They can look like pimples and be solid bumps, or filled with pus. But remember Subtype 2 is the type of rosacea that responds most easily to treatment.

Natural Treatments

Apple Cider Vinegar

Buy unfiltered apple cider vinegar, dilute with water (50% water, 50% apple cider vinegar) and apply on your face. Many say to only use apple cider vinegar if you have the papules and postules, as they may irritate the skin too much otherwise. Finola says : Take it easy and look at how your skin reacts. Apple Cider Vinegar can also be taken internally ( see diet and rosacea).

Tea Tree Oil

Never apply undiluted tea tree oil. Use a q-tip and apply the tea tree oil only in the affected area. If you use a moisturizer, you can mix in some tea tree oil and see how it feels. Again, start with a small dose to see how your skin reacts.

Alternatively, finca skin organics type 2 serum contains a small amount of tea tree oil as well as other natural anti inflammatory ingredients such as licorice root and green tea - Apply the type 2 serum to raised bumps and pustules areas. www.rosacea.ie/products/

Medical Treatments

  1. Ivermectim: Postular rosacea also responds well to a drug called Ivermectin. It is is a broad-spectrum antiparasitic agent, traditionally used against parasitic worms. Ivermectin acts as an anti inflammatory as well as acting against the dermodex mite…
  2. Topical antibiotics (creams); Systemic antibiotics (oral tablets); - it may take a couple of trials with different anti biotics to find one that works for you. Always take a pro biotic when on a course of anti biotics to help keep your levels of good bacteria in your gut healthy. Available on the product section of this website.
  3. Topical metronidazole, azelaic acid
  4. In cases that prove difficult to treat, isotretinoin (Roacutane) is sometimes useful, but people do usually relapse within a year of using it.
  5. IPL can also successfully treat the symptoms of type 2 rosacea...have a look at some of the named clinics above or if you know of any others please email us to [Enable JavaScript to see the email address]

Rosacea sub type 3 - phymatous rosacea

May include thickening skin, irregular surface nodularities, and enlargement. May occur after or in combination with subtypes 1 and 2.

A: mild; B: moderate; C: severe

This is a complication of rosacea that occurs rarely, and mostly in male sufferers. Early stages are characterised by ‘peau d’orange’ where the skin has the texture of orange peel

Treatment

  • Surgical excision
  • Electrosurgery
    – or –
  • Laser treatment.

Finola says: Men don’t suffer on with this if it is an issue with your self confidence …approach your doctor to see what your options are…..patients are usually delighted with the results…

Rosacea sub type 4- ocular rosacea

Red, irritated eyes. Eyes may appear watery or bloodshot. Symptoms may include feeling like there is something in the eye, burning or stinging, dryness, light sensitivity, blurred vision.

Treatment

The treatment for mild ocular rosacea may include:

  • Using artificial tears that contain lipids; - dry eye spray and drops are available on the product section of this website.
  • Gentle cleaning of the lids with water and a warm compress. TEARS your eyes’ own lubrication, are made up of water and an oily substance produced by glands along the eyelids. If cells in the glands harden and plug the opening, it can keep the oil from getting into the tear film. Without that oil, the water in tears evaporates too quickly, leaving eyes feeling dry. A warm compress helps liquefy plugs so the oil can flow into tears. How to use them: Place a warm, wet washcloth over your eyelids for up to 10 minutes once a day as needed.

For moderate ocular rosacea it may be necessary to:

  • Use an anti-inflammatory antibiotic cream for a short time;

Take oral antibiotics for three-four months – first doxycycline, then erythromycin;

  • Use steroid creams;
  • Take a drug called cyclosporine which boosts the relevant immune system. People with severe ocular rosacea may need surgery on their eyes.