Rosacea

Rosacea is a chronic skin condition associated with the presence of Demodex mites on the face. It manifests with multiple symptoms due to the complexity of its underlying causes.
It is often confused with other skin conditions such as Haber syndrome, mastocytosis, and lupus erythematosus, which have similar symptoms. Therefore, it is vital for patients with rosacea to consult a specialized dermatologist.
At Optimum Dermatology, each case is treated individually, emphasizing accurate diagnosis and timely treatment. The therapy aims to reduce flare-ups and keep the disease in remission through specialized approaches.

  • Precise investigation of persistent rosacea causes
  • Detection of Demodex mites on the face via detailed microscopic examination
  • Dermoscopy and advanced digital skin analysis
  • Personalized and effective treatments without side effects
  • Targeted treatment protocols based on symptoms, severity, and patient needs

Treatment of Rosacea with Advanced LASER and Pulsed Light

We use advanced vascular and pulsed lasers for the safe and effective treatment of rosacea. Sessions are painless, using light selectively absorbed without affecting surrounding tissue.
The number of treatments depends on the results of the dermo-analysis, with the typical recommendation being 2-4 sessions for optimal results.
The top PDL VBeam Perfecta laser targets the elimination of telangiectasias causing the permanent redness of rosacea, combats inflammation, and in rhinophyma treatment, reduces tissue swelling.
Fractional CO2 lasers stimulate collagen production and target microscopic blood vessels beneath the skin surface. Laser energy breaks down and blocks these vessels, reducing redness. In cases of excessive tissue or deformity such as rhinophyma, the CO2 laser achieves effective reshaping.
High-protection sunscreen use is essential throughout recovery. Lasers can be combined with topical or systemic treatments to maintain remission, significantly improving patients’ quality of life and appearance.

Phototherapy and Rosacea: An Advanced Approach

Phototherapy is combined with lasers to maximize therapeutic effectiveness. It is considered ideal to reduce the need for systemic treatments, limiting side effects.
This provides a modern and comprehensive solution for rosacea management and control. Using state-of-the-art devices such as Omnilux and Dermalux, clean light is emitted at specific wavelengths:

  • Red light (633 nm): Provides anti-inflammatory effects and reduces sebum production.
  • Blue light (415 nm): Provides antibacterial effect, neutralizing Demodex folliculorum mites and bacteria they carry.

It has been shown that approximately 10 sessions significantly reduce symptoms such as redness, burning, and itching, with ongoing improvement after just 5 sessions.

  • Applicable to mild to severe disease forms.
  • Maintains rosacea in remission.
  • Reduces discoloration and rejuvenates skin.
  • Soothes redness.
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Additional Treatments

Topical acaricides or systemic antibiotics and isotretinoin may also be recommended, tailored to patient needs. The goal is to eliminate mites and induce disease remission.

Frequently Asked Questions

  1. What is Rosacea?
    Rosacea is a chronic dermatological condition mainly affecting the face, causing redness, inflammation, papules (small red bumps), pustules, and in severe cases, thickening of the skin on the nose (rhinophyma). It mostly occurs in adults, especially fair-skinned women, but can also affect men with more severe symptoms.
  2. What are the symptoms of Rosacea?
  • Redness in the central face (cheeks, nose, forehead, chin).
  • Telangiectasias (visible blood vessels under the skin).
  • Papules and pustules, often with burning or itching sensations.
  • Eye irritation (ocular rosacea): tearing, dryness, redness.
  • Nose swelling (rhinophyma) in advanced cases.
  1. What causes Rosacea?
  • Increased vascular reactivity.
  • Inflammatory skin processes.
  • Microorganisms such as Demodex
  • Environmental factors: sun, temperature, wind.
  • Foods like spicy foods, coffee, alcohol.
  1. What are the types of Rosacea?
  • Erythematotelangiectatic: redness and telangiectasias.
  • Papulopustular: papules and pustules with redness.
  • Rhinophyma: swelling and thickening of the nose.
  • Ocular rosacea: eye symptoms before or after skin manifestations.
  1. Is Rosacea contagious?
    Rosacea is not infectious. Antibiotics are mainly used for their anti-inflammatory effects rather than their antibacterial.
  2. Can regular acne coexist with Rosacea?
    Regular acne and rosacea are different diseases but can coexist. Regular acne is related to pore blockage and occurs on various body parts, while rosacea affects the face and involves vascular issues.
  3. How does menopause affect Rosacea?
    Hot flashes during menopause can worsen or trigger rosacea. Studies show postmenopausal women with rosacea have a higher likelihood of migraines.
  4. Is there a link between Rosacea and allergies?
    Allergies may cause flushing that worsens rosacea. Avoiding known allergens is important for control.
  5. What skincare products are suitable for Rosacea-prone skin?
    People with rosacea should avoid irritating products containing alcohol, fragrances, or salicylic acid. Sunscreens protecting against the full spectrum of UV radiation are crucial. Choose sunscreens with SPF 15 or higher and prefer physical blockers like zinc oxide or titanium dioxide.
  6. How can I control disease flare-ups?
    Prevention is key. Identify and avoid triggers such as certain foods (chocolate, tomatoes, spicy foods), extreme temperatures, alcohol, and skincare products with alcohol or fragrances. Stress and medications like steroids can also worsen rosacea.
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