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ROSACEA SKIN CARE | Dermatologist Review

guys dr. devon limbaugh to the fat lady

dermatologist to them we'll be talking

about specific skin care so I've talked

about general skin care many many videos

on things like vitamin A vitamin D

vitamin C at built in regard to skin

however today would be more focused on

how to actually treat skin or what skin

care should you use if you have

sensitive skin now one of the most

common causes are sensitive skin is

rosacea so rosacea usually affects

people around the ages of 30 onwards

over thirty to sixty and it can manifest

in various ways including things like

skin sensitivities redness flushing

blushing capillaries broken capillaries

a thickened skin for example new

forbidden that was a nose area but most

commonly you can actually manifest as

pimples so much like acne - the black

kids in the white kids so that's called

papular pustular rosacea now for rosacea

skin care has to be very active has to

be precise because when we talk about

skin your threshold for irritation for

patients who have sensitive skin like

rosacea the threshold lisa's of being

this high it's way down here which means

anything you use including things like

sunscreens even all your vitamin a

retinyl any skin care product can

actually decrease that threshold to a

point where you have irritation so in

context of skin care let's start from

the basics first of all when you use or

wash use something very simple

dermatologists like using things like

silver fill yes we do know it contains

things like propylene glycol but in the

vast majority of patients that's not the

problem the problem is to actually

decrease the amount of irritation with

your astringent for your cleansers so

for example

rip product recommendations first of all

Cetaphil survey it makes a really good

one la roche-posay has a very good range

in the context of rosacea

prone skin so things like tolerate or

rosa lake right so that is your cleanser

if you want to use a moisturizer it's

very similar you want to use things

which has

very little in the way of active

ingredients once again dermatologists

like Cetaphil yeah and other products

like I said include the LA roche-posay

range now in the context of what actives

you can use in in the recession prone

skin the answer is not that easy because

it's a bit of trial and error in fact

there's a little bit of trial and a lot

of error

once you understand your skincare

threshold it can actually add from there

for example does it mean that rosacea

patients can't use retinoids the answer

is perhaps yes so what you could do is

you can use a dual test spot to use a

very good retinoid for example like AB

IG 0.5 and you dilute that with a little

bit of moisturizer so basically your

concentration is lovely the pea-sized

drop your pea-sized drop there mix it

together instead of being 0.5 this is

0.25 the same applies if you're using

something that's all

1% concentration if you mix it in equal

amounts with a benign moisturizer you

get half the actual amount and if you

mix it accordingly you can actually

titrate it right down to something like

20% of the activity so you don't have

any redness burning stinging or

attachment flakiness increase the dose

you know send that was increased by that

application increase the concentration

then go from there remember everyone has

a threshold right so you've got to find

yours with rosacea skincare you can't

afford to actually tried products

because sooner or later your threshold a

little decrease and you will get

rip-roaring rosacea

so this applies to everything I'm just

giving an example with it with written

but it also applies with some things

like vitamin C or ascorbic acid just as

a background rule most dermatologists

would not advise the score big asses or

anything the Civic in rosacea frame the

skin the reason being is that with these

formulations of good formulations of

ascorbic acid the pH is somewhere

between 2 to 2.5 and that's very

irritating when your skin so ahead of

that most of the mythologies would go

let's use a bun in b3 some niacin amide

because that can be inflammatory so

that's the first with vitamin b3

secondly we probably advise retinol but

in the very low concentration and

thirdly if you must you can try some

ascorbic acid but there are far more

effective treatments out there if you're

trying to manage your rotation skin guys

I hope that is helpful for you as a

dermatologist most of what I see is

laser orientated yes sir

when I treat rosacea it's with laser

however these fundamentals yeah in

regards to skincare cannot be ignored

because they actually build a foundation

upon which your rosacea will improve

guys thanks for that attention okay look

if you have rosacea please chime your

thoughts in regards to what works well

for you it's an interactive channel

which means the more conversation we can

have the more we can help I guess

patients in general thanks for that guys

see you next week