Rosacea

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Understanding

Chronic inflammatory skin disorder (progressive in nature) Centro-facial (nose, cheek, forehead, chin, eyes) Graded in stages Cause not completely understood Literature concludes that there are certain triggers that exacerbate the symptoms. Triggers Hot and cold temperatures UV exposure Exercise Alcohol Spicy foods Wind Hot and cold drinks Emotions/ stress Irritation from topicals Factors likely to contribute High conc. Of MMP’s = increased inflammation (MMP’s – matrix metalloproteinases are enzymes responsible for the collagen degradation in the extracellular matrix (ECM) High conc. Of cathelucidins = swelling and oedema Demondex mites increase risk Increase in VEGF (Vascular endothelial growth factor) Family hx

What next

Treatment plan LED +++ IPL rejuvenation for diffuse redness IPL vascular for the telangtasia LA peels Skin needling Skin care Mild cleanser, Multi B, Hydra shield, SPF Hyaluronic acid Vitamin C (when skin barrier is intact)

Stages Pre-Rosacea – flushing/ blushing Stage 1 mild – Persistent redness, small telangtasia Stage 2 moderate – Burning and stinging, small red lumps (may appear as acne), itching Stage 3 server – Swelling/ inflammation, rhinophyma, thickening of the skin, watery/ bloodshot eyes.

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