get rid

Rosacea relief: How to treat persistent facial flushing

many people blush when they're excited

or embarrassed but if you have

persistent facial flushing you may be

showing one of the symptoms of the

common skin condition called rosacea

April it is rosacea Awareness Month so

joining us to discuss this dermatologist

dr. Jeff interesting good to have you in

to talk about this so listen what

exactly it is because it's just not

about blushing no solarization it's a

chronic skin condition where you see it

starts with redness and flushing in the

central face but then it can morph into

other types of variants so when when you

say flushing is it something that just

kind of happens and then disappears

again

yes yeah it kind of comes and goes and

there's triggers that can cause it so

people know about red wine alcohol right

hot liquids spicy foods caffeine emotion

stress these are the things that can

cause you to flush and then it goes away

but over time the redness becomes

persistent so you have rosy cheeks like

permanently what's the you know what do

we know about rosacea in terms of some

people getting it and some people know

what yeah so we don't really know what

causes it that's the problem so there's

lots of theories people have talked

about hormones sun exposure the immune

system bacteria and lately we're talking

about a demodex might it's a mite that

lives on our skin and the hair follicles

but we don't know if it causes it we

just know that in rosacea sufferers you

have more of those mites so it's a

target of treatment when we talk about

chronic rosacea in terms of the skin is

it I mean tell me about can you actually

see you know veins as a result of that

yeah so there's four types of rosacea

and that's what people don't know so the

first one is when you get the redness

and flushing and those people often get

little veins in their cheeks and they

often have sensitive skin and that's

more common in women and the second type

is when you get bumps and pimples like

this type here on the picture yeah so it

looks like acne but it's a little

different because there's redness around

it you have to be able to determine

which is which the third type is when

you get it in the eyes it's called block

yeah yeah you can get in the eyes called

ocular rosacea and you can't really see

it so much but it kind of looks or it

feels like a gritty sensation and

sometimes you can get inflammation of

the eyelids oh boy and then the fourth

type is when everyone's scared of that's

when we get the big fat nose yeah okay

and what's that as a result of because

we're taking a look at this yeah so so

this is a result of overact

of oil glands so the nose can become

like this one here for example it can be

quite large bulbous and there's lots of

oil glands there will it go back to

normally can you fix that what I mean is

you know can with treatment well the

treatment doesn't really were the only

way to get rid of that is to actually go

for surgery oh boy yeah but not

everybody gets that

tell me about common you know treatments

I guess for rosacea so because you have

to identify which type it is so the

bumps and pimples are easy to treat and

so is the ocular rosacea in the eyes

those respond to antibiotics and creams

okay the big fat nose is usually a

surgical one and the one that's the

hardest one to treat is the one where

you get redness and flushing because

that often only responds well to laser

and then and laser will do what does it

so lasers like shining a flashlight on

your skin and it targets the blood so it

heats it up and it kind of sticks the

blood vessel wall together so it kind of

eliminates the blood vessel so it

reduces the redness so once you have the

treatment and let's say you know you're

lucky and the treatment works it can it

come back well this is the problem for

rosacea usually starts in adulthood in

the 30s to 50s you're actually the

person that usually gets it people of

Eastern European descent versus Indians

or Asians but it kind of starts to

evolve and then eventually it plateaus

we don't have a ton of people in the

nursing home with rosacea so at some

point it starts to Plateau but we just

don't know when it's kind of an

individual thing you know and it's it

would seem that oh is this something you

know okay like you exacerbated I'm by

son or is it something that you know

it's of modern times

well I necessarily know it's not a

modern times because if you ever go to

the Louvre for example there's this

painting it's called an old man in his

grandson and the man is portrayed with a

big bulbous nose the big fat nose we're

talking about here is this painting and

this is in the loop that's in the Louvre

it's beside the Mona Lisa so I get

attracted to this where everybody else

goes yeah I go to this one but this is

from fourteen hundred and eighty wow so

it's been around for a long time so he's

had that condition of course

dermatologists would have recognized

that for that painting for doing we

might have helped him yeah all right

well it's fascinating doctor thank you

for coming in thanks so much for playing