A common skin concern that is seen at dermatological practices includes that of rosacea. This condition presents as papules, swelling, and redness of the face that appears to be blushing. Rosacea is a constant problem in the center area of the face and may spread to the forehead, nose, chin, and cheeks. Over time, patients may notice pimples and blood vessels which appear in or around this area.
As this condition begins to develop, it may be noticed as redness that comes and goes. Some patients may just experience flushing of the skin that is short-term. However, as the condition worsens, the redness may not go away and the normal coloring may be gone. Patients may notice the pimples and enlarged blood vessels that are chronically noticeable. This is when patients should consider seeking advice and examination through a quality dermatologist.
Approximately half of the patients who have rosacea may also have ocular rosacea, which is the involvement of the eye. Patients may feel burning, itching, and grittiness in the eyes which may be bothersome. Without treatment, ocular rosacea can result in serious eye problems.
The presence of Rosacea on the face appears as red bumps, sometimes with pus, accompanied with redness that is persistent and long-lasting. Patients may also see tiny blood vessels on the surface of their skin. In more severe cases—especially in men—rosacea can develop into a condition known as rhinophyma in which the oil glands become enlarged and cause puffiness of the cheeks and a reddened, bulbous nose with thick bumps.
Who is at Risk?
Fair-skinned adults between 30-60 years of age are at the peak of developing rosacea. It is believed that it may be linked to menopause, so women are more prone to this condition as they age.
Tips for Patients with Rosacea
Treatment of Rosacea
- Avoid facial products such as cosmetics which contain alcohol. This includes ensuring hairsprays do not make contact with the skin of the face.
- Avoid extreme changes in temperature. Keep the skin from overheating and exercise in cool environments to keep from aggravating the symptoms.
- Avoid scrubbing, rubbing, or massaging of the face.
- Avoid triggers, which may include hot drinks, spicy foods, alcoholic beverages, and drinks with high levels of caffeine which may cause flushing of the face.
- Keep a diary of flushing episodes and any foods, medications, activities, or products which may be associated with them.
- Protect the skin with broad spectrum sunscreen with an SPF of 30 or higher, applied every three hours when out in the sun. Limit sunlight exposure and use hats and shade to protect the skin of the face.
Many patients with this condition are not familiar with it and may not recognize it in the earlier stages. Identification is important with a dermatologist rather than self-diagnosis and treatment at home with over-the-counter products. Many of these products may worsen the condition.
Instead, dermatologists will often recommend several types of treatments based on the needs of the patient and the severity of his or her condition. Treatment options may include:
- Lotions, gels, and creams
- Medicated pads and washes
- Benzoil peroxide, antibiotics, or retinoids
- Cortisone creams for redness
- Oral antibiotics for faster results
- Laser therapies
- Intense pulsed light treatments
- Cosmetics for covering areas of redness
We put academic qualifications, many years of combined experience, and training in a variety of special interest areas to work for your healthy, radiant skin. Our providers – Drs. Schachter, Hanna, Curtis, Abdulla, Pollack, and Taradash – welcome new patients for treatment at the Dermatology on Bloor practice on Park Road in Toronto. Our team is here to serve your needs