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7 Best Ways To Treat Rosacea

Many patients I see have tried

everything to control their rosacea

but aren't sure which treatments they should use.

Today, I will teach you all about rosacea

and let you in on my seven best Rosacea treatments.

Hey guys, my name is Dr. Sam.

Firstly, I want to give you a quick overview about rosacea

and then I'll dive into the best treatments

in 2020 for rosacea.

So first up - what is rosacea?

And who gets it?

Rosacea is a really common skin rash

that affects different part of your face.

Symptoms may first appear in your early

20s but the usual age people get this

is in their 30s to 60s.

It's more common if you have fair skin,

blue eyes and are of Celtic origin.

I.e. People like me!

What causes rosacea?

Annoyingly, we don't know what causes it.

There are certain factors that are associated,

but none are proven to cause rosacea.

Genetics may be a factor, as rosacea

tends to run in some families.

It is thought that sun damage and an abnormal

immune reaction happens in the skin,

which leads to inflammation.

And this then causes tiny, tiny blood vessels

under the skin to become leaky.

Also higher numbers of a tiny mite called

demodex folliculorum are found on the

skin of people with rosacea.

On a positive note, rosacea is not contagious

so it can't be spread between people.

What does rosacea look like?

Well Rosacea is often mistaken as acne,

as they look a little similar.

But they are really quite different conditions.

You may notice flushing, which is often the first

symptom for months or years before

anything else develops.

The interesting thing is that flushing is caused by

particular triggers, like sunlight.

I'll link the most common triggers in

the description for you.

You may get redness of the face that looks like sunburn,

and small tiny blood vessels also become

more obvious.

The skin may become more sensitive

and sting or burn when using face creams.

You may get spots that look like acne,

and men can get thickened skin,

especially around their nose.

People can develop eye symptoms with rosacea,

so please see a doctor if you develop

eye pain or visual symptoms and you have rosacea.

How is Rosacea diagnosed?

Well, it's usually diagnosed by a doctor

based on your symptoms and what the

rash looks like.

What are the best treatments for Rosacea?

Okay into the good stuff!

Thankfully, there are quite a few

treatments available and I'll go through

the seven main treatments for rosacea.

So the first one is home basics.

And when I say this I mean there are simple things

that you can do at home.

Particularly, minimize your exposure

to hot or spicy foods, alcohol, hot showers and baths.

Use water-based makeup and avoid oil-based

facial creams and protect yourself from the sun.

Some patients find they can

reduce redness temporarily by holding an

ice block in their mouth

between their gum and cheek.

Number two is antibiotic tablets

and these help to treat the redness, acne and

eye symptoms but they aren't a cure for rosacea.

They work through the anti-inflammatory effects rather

than treating a bacterial infection.

So usually six to twelve weeks of an antibiotic,

like Doxycycline 50 milligrams, once daily

is recommended.

Sometimes other antibiotics such as

Co-trimoxazole or Metronidazole or

Minocycline are used when Doxycycline

isn't working.

Number three are creams and gels.

There are four different

topical treatments that have

anti-inflammatory effects on rosacea.

So firstly, there's metronidazole cream or gel,

which can be used now and then or


Then there is Azelaic acid cream,

which is also quite useful for mild rosacea.

You apply this twice daily to the red areas of rosacea.

Then there's Brimonidine Gel

which can reduce the facial redness temporarily.

The brand name for this is Mirvaso

and you apply it once daily to the

affected areas of your face.

Finally, Ivermectin cream or soolantra

is helpful to treat the acne pustules of rosacea.

Number four is Isotretinoin tablets.

And when antibiotics aren't working,

and things are looking a bit grim you

can use isotretinoin in a low dose,

for the long term

and for some patients they

need to take this for years.

I wouldn't recommend this as a

first-line medication to take,

as it has its own set of problems.

But it can be quite effective in treating rosacea.

Number 5 is anti flushing tablets.

Now there are certain oral medications that

help reduce flushing, redness and inflammation.

These are available on prescription and

include Clonidine and Carvedilol.

Essentially, they are blood pressure pills

and work by constricting blood vessels.

Overall they are moderately well tolerated and

can be quite beneficial for rosacea,

but they should be started under guidance

by your doctor.

Number six is Vascular laser or IPL.

Now, this is one of my favorite treatments

for telangiectasia which is the

small tiny blood vessels that start

appearing on your face.

It's usually very successful and has very few drawbacks

to this treatment.

Number seven - finally - there is surgery.

Now dermatologists or plastic surgeons can

reshape the nose and surgically correct

the skin thickening called rhinophyma.

Which can happen with rosacea.

My other secret ingredient for those of you with

rosacea is to use moisturizers

that contain niacinamide.

In at least two studies moisturizers containing

nicotinamide or niacinamide have been

shown to improve skin barrier function.

Which lead to diminished skin reactions

to cleansers in cosmetics.

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And feel free to check out some of my other

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Thanks for watching :)