Topical Rosacea Treatments
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Rosacea Skin Care Resolutions
Making and breaking new year's resolutions can be a humourless cliché, nevertheless the new year is as good a time as any to start, correct or refine the treatment of your rosacea.
The following rosacea skin care resolutions are realistic enough for year-long use and therefore don't have to become exercises in futility.
Treat Now, Not Later
Rosacea is a chronic disease. When left untreated it typically worsens and becomes more difficult to treat.
Resolve to address and manage symptoms as they occur and not in a piecemeal manner.
Recognize that time is not unlimited when it comes to getting things right with your skin.
Take Skin Care Seriously
For those with more-or-less normal and healthy skin the use of skin care products often contributes relatively little to their short-term appearance, however in rosacea everything that touches your skin matters.
Resolve to take less notice of brands and more about the ingredients their products contain.
Use Modern Sunscreen
Incidental sun exposure provokes and worsens symptoms in the majority of patients, yet the majority don't use sunscreen on a daily basis.
This is in part due to negative experiences with sunscreens (such as whitening, pasty texture and skin irritation) and the tenacious fallacy that only warm or hot sun can do harm.
Understand that the ultraviolet radiation which worsens rosacea is prevalent year-round, from sunrise to sunset, irrespective of season, cloud coverage or temperature, and that the damage it does is cumulative.
Throw out sunscreens you don't like and replace them with new, superior options.
Resolve to use a sunscreen specific to the needs of rosacea, preferably an antioxidant sunscreen, such as the SPF 20, 30 or 50 together with appropriate skin care and you won't experience irritation or a cosmetically unacceptable finish.
No More Sulfates
The majority of foaming facial cleansers (and shampoos) contain sulfates which function as detergents and surfactants.
The most prevalent is sodium laureth sulphate.
A small number of leave-on products such as moisturizers also contain sulfates.
Their purpose is to remove oils from the skin (and hair) and to make the skin more permeable.
A study at Bath University found that sodium laureth sulphate in a prescribed moisturizer made symptoms of eczema worse and caused a thinning of the skin.
Use an anti-inflammatory and hydrating cleansing product which protects and helps repair the skin's barrier while purifying it such as the Rosacea Anti-Inflammatory Foaming Cleanser or Rosacea Hydrating-Desensitizing Cleansing Emulsion.
Avoiding sulfates in shampoos can also help — see Can Your Shampoo Worsen Your Rosacea?
Spray With Facial Water
If you live in an area where the tap water contains harsh chemicals, spraying the skin after cleansing can remove these harmful impurities.
Use a facial mist when outdoors and during travel to prevent uncomplicated redness due to rising skin temperature and superficial dehydration from developing into a lengthy episode of flushing.
Repair Your Skin's Barrier
Keeping the skin's surface moist with moisturizer sometimes reduces its tendency to flare-up, but if you can make it less inherently prone to drying out you'll have a better chance of slowly recovering a normal flush response.
Repair your skin's barrier by avoiding ingredients which break it down — these are predominantly the sulfates in facial cleansers mentioned above — and by re-imparting ingredients which intimately bolster its strength — ceramides, cholesterol and phytosphingosines.
Careful cleansing technique is also important in improving skin barrier function — see What is The Best Way To Cleanse?
A healthy diet balanced in Omega 3 and 6 essential fatty acids and avoiding the use of chemical peels, microdermabrasion and other potentially harsh anti-aging measures outside of the recommendation of a dermatologist will also stop you from adversely affecting your skin's ability to keep irritants out.
Prevent Dark Marks and Spots
Effective treatments for this phenomena (known as hyperpigmentation) are notoriously slow and sometimes make the problem worse.
If you're prone to dark marks or spots make a point of preventing them from happening in the first place.
Add Rosacea Anti-Inflammatory Clearing Serum to your evening skin care 2-3 times a week or more. Patients report a progressive lessening of existing dark marks and prevention of new dark spots with the regular use of this product.
Although naturally present in everyone's facial skin, rosacea patients have been found to have higher concentrations of these mites than those without rosacea and treatment of the mites sometimes brings excellent results.
A variety of drugs and ingredients able to be used in skin care products, such as tea tree oil, have been suggested as options, however many of these are strong irritants.
Reformulated in late 2013, the Rosacea Anti-Inflammatory Foaming Cleanser now contains ingredients which have been suggested in the scientific literature as helping control demodex. Many patients have reported dramatic improvement over the original formula.
Armour With Antioxidants
Both topically and orally, antioxidants can help prevent inflammation, burning, stinging and redness, hold back the hands of time and are healthy for you overall.
Drink sugar-free green tea at room temperature or below or add a green tea supplement to water such as Dr. Brandt Antioxidant Water Booster.
The benefits of change take time to surface and accrue.
While positive skin care changes often bring rapid improvement their long-term benefits are less impressive if they're not sustained.
Staying the right course is the most deciding factor in whether or not your skin care resolutions are realised.
Further Information and References
Aqueous Cream Aggravates Eczema — BBC Health News.
Creams Used To Treat Eczema Could Make It Worse — Bath University.
Can Your Shampoo Worsen Your Rosacea? — Facebook.
Facial Mists for Rosacea — Facebook.
Green Tea and Red Light — Sommer AP, Zhu D. Photomed Laser Surg. 2009 Dec;27(6):969-71. doi: 10.1089/pho.2009.2547.
Topical Polyphenolic Antioxidants Reduce The Adverse Effects of Intense Pulsed Light Therapy. Freedman BM. Plastic Surgery Associates of Northern Virginia, McLean, Virginia 22102, USA.
Demodex Information and References
Rosacea May Be Caused by Mites — New Scientist.
Bacteria From Mites Might Be Responsible For Rosacea — Huffington Post Healthy Living.
Demodex Infestation Requires Immediate Aggressive Treatment — Primary Care Optometry News.
Potential role of Demodex mites and bacteria in the induction of rosacea — Jarmuda S1, O'Reilly N, Zaba R, Jakubowicz O, Szkaradkiewicz A, Kavanagh K. J Med Microbiol. 2012 Nov;61(Pt 11):1504-10. doi: 10.1099/jmm.0.048090-0. .
Method for treating rosacea using oral or topical ivermectin — William Robert McDaniel.
In vitro and in vivo killing of ocular Demodex by tea tree oil. Br J Ophthalmol. 2005 November; 89(11): 1468—1473.
Treatment of rosacea-like demodicidosis with oral ivermectin and topical permethrin cream. Forstinger C, Kittler H, Binder M.. J Am Acad Dermatol. 1999 Nov;41(5 Pt 1):775-7.
Evaluation of the efficacy of oral ivermectin in comparison with ivermectin—metronidazole combined therapy in the treatment of ocular and skin lesions of Demodex folliculorum — International Journal of Infectious Diseases.
Demodex Treatment Options — Eye World.
Reviewed: Tuesday, January 19, 2016.
Further Information: Rosacea Skin Care Resolutions : Travel and Smaller Sizes : Anti-Inflammatory Creams for Rosacea : Healing Rosacea Skin Care : Rosacea Flare-ups : A Protocol for "Confused" Skin : Skin Immunity References : Order of Application Including Metrogel (Metronidazole) : Preservatives in Skin Care and Skin Irritation : Lavender is Toxic to Skin Cells : Relatively Deleterious Properties and Ideas in Skin Care : Unfortunate Aspects of Mainstream Skin "Care" : (Non)Comedogenicity of Skin Care Ingredients in Rosacea Skin Care Products : Rosacea Skin Care Ingredients : Avoid Paraben Preservatives in Rosacea Skin Care : Rosacea Treatment Basic Daily Protocol — PDF :