Sansum Facial Plastic Surgery
215 Pesetas Lane, Santa Barbara, CA 93110

Understanding rosacea and its treatment

In addition to surgical solutions, many patients come to our center for treatment of skin conditions like uneven pigmentation, age spots and rosacea. Rosacea is a chronic skin condition involving inflammation of the cheeks, nose, chin, forehead, or eyelids. It may appear as redness, prominent spider-like blood vessels, swelling, or skin eruptions similar to acne.

Symptoms may include:
• Redness of the face in discrete areas or covering the entire face
• A tendency to flush or blush easily
• Increased number of spider-like blood vessels (telangiectasia) of the face
• A red nose that may or has progressed to a bulbous nose
• Acne-like skin eruptions (may ooze or crust)
• A burning or stinging sensation of the face
• Irritated, bloodshot, watery eyes

Treatment
There is no known cure for rosacea. The goal is to identify and avoid possible triggers, and thus reduce flare-ups. There are specific triggers you may have; you may be able to see a pattern of what makes your rosacea worse. Use this information to avoid future flare-ups.

Here are some steps that may help:
• Avoid sun exposure. Use sunscreen every day.
• Avoid prolonged exertion in hot weather.
• Try to reduce stress. Try deep breathing, yoga, or other relaxation techniques.
• Limit spicy foods, alcohol, and hot beverages.
Triggers vary from person to person. Other triggers may include wind, hot baths, cold weather, specific skin products, exercise, or other factors.

Antibiotics taken by mouth (such as tetracycline, minocycline, or doxycycline) or applied to the skin (such as metronidazole) may control skin eruptions. Other medications (isoretinol or Accutane), which are similar to vitamin A, are stronger alternatives that your doctor or dermatologist might consider. Rosacea is not acne and will not improve with over-the-counter acne treatment.
In severe cases, laser surgery may help reduce the redness. Surgical reduction of enlarged nose tissue may also improve your appearance, if you so choose.

Causes
Although the cause of rosacea is unknown, you are more likely to develop this harmless skin condition if:
• You are fair-skinned
• You blush easily
• You are a woman (however, men with the condition are usually more severely affected)
• You are between the ages of 30 and 50
Rosacea involves swelling of the blood vessels just under the skin. It may be associated with other skin disorders (acne vulgaris, seborrhea) or eye disorders (blepharitis, keratitis). Your physician can usually diagnose rosacea.

Rosacea is not medically dangerous. It is not curable, but can usually be controlled with occasional laser treatments, diligent use of sunscreen and use of topical or oral medications.

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David F. LaPatka, MD, FACS

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