Rosacea / High cheek Colour / Skin Flushing

Rosacea is not medically dangerous. It is not curable, but can usually be controlled with treatment. It may be persistent and chronic. It can cause significant psychological, social and occupational problems if left untreated. There is some evidence linking Demodex mites to some forms of rosacea possibly due to the bacterium found in the mites. Rosacea is a chronic skin condition involving inflammation of the cheeks, nose, chin, forehead, or eyelids. It may appear as redness, a tendency to flush or blush, prominent spider-like blood vessels, swelling, milia or pustular skin eruptions similar to acne (rosacea is not related to acne).

There is no known cure for rosacea. The goal is to identify and avoid possible triggers, and thus reduce flare-ups. By keeping a symptom diary to identify the specific triggers you may have, you may be able to see a pattern of what makes rosacea worse. Use this information to avoid future flare-ups.

  • Avoid sun exposure. Use sunscreen every day.
  • Avoid prolonged exertion in hot weather.
  • Try to reduce stress.
  • Limit spicy foods, alcohol, food additives and hot beverages.

Triggers vary from person to person. Other triggers may include wind, hot baths, cold weather, specific skin products, exercise, or other factors.

Antibiotics taken by mouth (such as tetracycline, minocycline, or doxycycline) or applied to the skin (such as metronidazole) may control skin eruptions. This is not a quick fix or short term treatment. Other medications (isoretinol or Accutane), which are similar to vitamin A, are stronger alternatives. Rosacea will not improve with over-the-counter acne treatment.

In more severe cases, laser surgery or IPL may help reduce the redness and visible blood vessels. IPL and laser feel like an elastic band snapping against the face. Typically the Side effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering, and purpura (a laser bruise), in the treated area—these usually do not last more than a few days.

Permanent side effectsare rare. Surgical reduction of enlarged nose tissue may also improve your appearance. Several sessions are typically required for satisfactory results, and touch-up sessions may later be needed as the underlying disease process is still present

Ocular rosacea symptoms may include a foreign body sensation, burning or stinging, dryness, itching of the eyes, light sensitivity and blurred vision. A history of having styes is a strong indication, as well as having "dry eye" or blepharitis.

Treatment for mild to moderate ocular rosacea may include artificial tears, oral antibiotics and the daily cleansing of the eyelashes with baby shampoo on a wet washcloth. More severe cases should be examined by an eye specialist, who may prescribe ophthalmic treatments, as potential corneal complications may involve the loss of visual acuity.