What Is Rosacea?
Rozasea is a chronic skin disease, also known among the public as "rose disease", which usually manifests itself in the face area with prominent rashes, capillaries, burning sensation, and sometimes acne-like inflamed lesions. It is most often seen in people with light skin and sensitive skin. As the disease progresses, changes in facial permanent redness, vascularisation, and skin tissue may occur.
Rose disease occurs along with genetic predisposition due to environmental and immune system factors. Sun rays, extreme hot and cold weather conditions, spicy foods, alcohol consumption, stress, hard skin care products, and some medications can trigger or worsen rozasea attacks.
The exact cause of Rozasea's disease is not fully known, but it is thought to be associated with vascular enlargement, deterioration of the skin barrier, excessive response of the immune system, and some microorganisms. It is suggested that microscopic mites, particularly the percent-placed Demodex folliculorum, may increase rozasea symptoms.
When left untreated, rozasea may progress over time to become permanent. Therefore, early diagnosis and correct treatment methods are quite important.
What Are the Types of Rosacea?
Eritematothelialangiectatic rozasea (ETR): characterised by significant redness, burning sensation, and capillaries dilation.
Papulopustular rosacea: manifests itself with inflamed swellings and rashes resembling acne.
Fimatous rozasea: The skin thickens, becomes lumpy, and usually becomes prominent in the nose. Named "rinofima", which develops in the nasal area, this creates a swollen and firm appearance in the nose.
Ocular rozasea: Affects the eyes, causing dryness, burning, stinging sensation, and redness around the eye.
Rose Disease symptoms can worsen over time and become permanent when untreated. Therefore, it is very important to have an early diagnosis and to create the appropriate treatment plan.
What Is Rosacea Treatment?
Rozasea, i.e. rose disease treatment, is planned depending on the stage and severity of the disease. The main goal in treatment is to reduce redness and inflammation of the skin, control capillaries enlargements, and strengthen the skin barrier. Although there is no definitive treatment, it is possible to relieve symptoms and keep the attacks under control.
Topical Treatments: The first step in the treatment of rozasea are creams and gels that help reduce redness and inflammation.
Metronidazole: It is used to treat inflammatory rozasea thanks to its antibacterial and anti-inflammatory effects.
Azelaic Acid: Reduces inflammation of the skin and helps to equalise redness and skin tone.
Ivermectin: A drug that is effective against Demodex mites and is recommended in cases of inflamed rozasea.
Brimonidin: It narrows the blood vessels, temporarily reducing the rash.
Oral Antibiotics: Oral antibiotics are used in middle and severe forms of rozasea, especially in patients with papulopustular rozasea.
Doxycycline: has antibacterial and anti-inflammatory properties, long-term use may be required.
Minocycline and Tetracycline: are other antibiotics used to reduce inflammation in the skin.
Isotretinoin: In severe cases, it can be used in low doses, especially for patients who do not respond to other treatments.
Laser and Light Treatments: Advanced methods used to reduce capillaries and redness.
BBL (Broad Band Light): BBL is a powerful source of IPL (intensive pulsed light) which reduces redness by targeting veins. It reduces the density of the demodex in the skin and improves skin quality.
Vascular Laser Treatment: It is applied to shrink enlarged vessels and equalise skin tone.
Products Strengthening the Skin Barrier: Moisturisers developed for sensitive skin help protect skin. In addition, some mesotherapy applied to the skin is also effective for both improving skin quality and strengthening the barrier.
Creams containing seramide: restores moisture balance by repairing the skin barrier.
Niacinamide: a vitamin that strengthens the skin barrier and reduces redness.
Sunscreen Use: Rozasea patients are required to use a sunscreen containing SPF 50+ every day. Since sun exposure can increase redness, regular sun protection is an important part of treatment.
How Are Rosacea and Facial Redness Treated?
How to apply Rozasea and red face treatments can vary depending on the type, severity, and personal skin structure of the disease. Each treatment method is applied with specific steps and points to be considered.
Topical Treatments:
Metronidazole: Usually in the morning and evening, it is applied in a thin layer to the cleaned skin. This treatment is used to reduce redness and inflammation.
Azelaic Acid: In the evening, the skin is applied directly on the lesions after they have been cleaned. Azelaic acid helps to equalise skin tone and reduces inflammation.
Ivermectin: Used to inhibit the overgrowth of Demodex mites in the skin. Again, after the skin is cleaned, it is rubbed directly into the affected areas in the form of a thin layer.
Oral Antibiotics:
Doxycycline: an antibiotic used in cases of severe rozasea. It is usually taken once or twice a day with food. Long-term use may be required.
Minocycline: Used to reduce inflammation in the skin and is usually taken with food in the morning. The duration and dose of treatment is determined by the specialist.
Tetracycline: It has similar effects to doxycycline and minosiklin, has antibacterial and anti-inflammatory properties.
Laser and Light Treatments:
BBL : BBL is an intensive pulsed light (IPL) therapy. By targeting capillaries, it reduces redness and vascular enlargement. It reduces the number of demodexes and improves skin quality and tightness. During the application, the head of the device is contacted by the skin and the light energy targets the veins. It may need to be done in a few sessions.
Vascular Laser Treatment: Used to shrink enlarged vessels. By targeting the veins under the skin, it narrows the veins and reduces redness. This procedure is also performed in sessions.
Mesotherapy: Skin boosters that improve hydration and support blood vessels and surrounding tissue can help control rosacea by repairing the skin barrier.
Products That Support the Skin Barrier:
Seramide-containing moisturisers: These moisturisers that strengthen the skin barrier prevent moisture loss in the skin and help protect the skin. It should be applied regularly to the cleansed skin, morning and evening.
Niacinamide: A vitamin that reduces redness and strengthens the skin barrier. Usually in cream form, it is applied to the cleaned skin once or twice a day.
Apart from this, cosmetics containing TTO (tea tree oil) or Sulphur, which reduce demodoxy, are used in rosacea control as well as sedatives and restorative dermocosmetics, which have active substances that reduce skin burn and redness.
Sunscreen Use: The skin of Rozasea patients is more sensitive and sensitive to the sun. Therefore, mineral-based sunscreen containing SPF 50+ should be used every day. Sunscreen should be applied to the entire face area in a thin layer at least 30 minutes before going out, after the skin is cleaned in the morning.
What Is Treatment for Visible Facial Blood Vessels?
The capillaries are small blood vessels under the skin and can often be seen in red, blue, or purple. When these veins expand, they become closer to the surface of the skin and become visible. The capillaries usually become apparent in areas such as the face, legs, and arms. It is common especially in the facial area, in areas such as the nose, cheeks, and chin. The capillaries can become apparent over time and can be associated with skin problems such as the red face, i.e. rozasea. Capillary vascular treatment consists of procedures for the reduction or destruction of these vessels.
What Treatments Are Available for Visible Facial Blood Vessels?
Capillary vascular treatment involves various methods used to reduce the appearance of small vessels in the skin. The purpose of these treatment methods is to narrow or destroy the vessels. Each treatment is administered by selecting the most suitable one for a particular type of capillary problem.
Treatment of BBL. BBL (broad band light) is intensive pulsed light (IPL) therapy. This treatment uses red and blue light pulses to target capillaries. BBL heats up the blood vessels under the skin so that the veins shrink and their visibility decreases. This process is often used for veins in the face area and results in several sessions. A few minutes of practice can be done each session.
Laser Treatment (Vascular Laser): Laser treatment narrows the vessels by targeting the vessels under the skin. Often Nd:YAG laser and PDL are used. The veins under the skin heat up with laser light, which leads to the destruction of the veins. Laser treatment is particularly effective for large capillaries and usually requires multiple sessions.
Sclerotherapy: This treatment is done by injecting a special solution into the veins. The solution causes it to disappear by pasting the veins. Sclerotherapy is especially suitable for capillaries in the legs.
What Is the Differential Diagnosis of Facial Redness?
The red face is a condition that manifests itself with redness in the skin, burning sensation, tension, and sometimes acne-like lesions. One of the most common causes is rozasea disease. The red face is usually identified by redness in the face area, especially in areas such as the nose, cheeks, and chin. Red face splitter diagnosis is an assessment to determine whether the red face is caused by a skin disease such as rozasea or a different problem. This process is done by examining the overall appearance of the skin, the patient's history, lifestyle factors and clinical tests.
What Is Facial Redness Treatment?
Red face treatment is done by targeting the underlying causes. If the red face is caused by an illness such as rozasea, treatment usually involves medications, skin care recommendations, and methods such as laser/BBL treatment.