Rosacea: Treatment Options and Skin Care Tips - Dermatology

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Alcoholic skin, related care and treatment issues?


Question 1: Is it necessary to treat early-stage rosacea? If I use a specialized skincare product for rosacea, such as "Zhen Shui DDF," and maintain a normal lifestyle while avoiding external irritants like hot baths, hot drinks, and spicy foods, will my rosacea worsen in the future? Is there a chance it could progress to stages 2 or 3, or will it remain at the early stage?
Question 2: If I take tetracycline to control my early-stage rosacea, will it remain under control at this initial stage, or could it still progress to stages 2 or 3? Does taking the medication only reduce the frequency of flare-ups, or will it help keep my condition at the early stage and prevent progression to stages 2 or 3?
Question 3: My skin is very dry due to rosacea, especially in winter.
Because of the dryness, I am experiencing inflammation and small wounds.
What type of moisturizer should I use for better hydration? Should I consider non-steroidal medications as well?
Question 4: Does taking tetracycline prevent the proliferation of facial microvessels, or does it merely delay the timeline for vascular proliferation? If I develop stage 2 rosacea in 10 years, will taking tetracycline extend that timeline to 20 years, or will I remain at the early stage?
Question 5: If I undergo sympathetic nerve resection, what are the potential side effects? Will there be scarring on my face? After a successful surgery, will the blood vessels stop proliferating, or will my face still be less prone to flushing? What is the cost of sympathetic nerve resection?
Question 6: Is traditional Chinese medicine more effective than Western medicine for treating rosacea? Are there any side effects associated with Chinese herbal medications? How does it compare to tetracycline in terms of treatment efficacy?
Question 7: Are there cases of individuals who have successfully controlled their rosacea and significantly improved their condition to the point of having almost no visible symptoms? I hope the doctor can provide detailed information, as I do not want to become unattractive, which could lead to depression and be a lasting source of pain for me.
Thank you for your help.
Currently, I have early-stage rosacea, with redness and visible blood vessels around my nose and chin, and my cheeks are prone to redness.
If the weather is stable, my cheeks are less red, and there are currently no visible blood vessels.
I am also a carrier of hepatitis B.
I wonder if this is related to my rosacea.

Early-stage redness: This stage primarily involves redness in the skin around the cheeks and nose due to triggers such as sun exposure, hot drinks, and alcohol.
Sometimes, these areas may also exhibit fine telangiectasia.
Patients often report having sensitive skin, as their skin reacts with redness to any skincare or cosmetic products.
This can lead to confusion with allergic eczema during diagnosis.

Stage 2 papular phase: In this stage, in addition to redness, red papules and pustules begin to appear, which can easily be mistaken for acne.

Stage 3 tumor phase: This stage is characterized by the formation of localized tumors due to fibrosis of the subcutaneous tissue, similar to the character in the movie "Roxanne," where the nose becomes increasingly enlarged due to tumor formation.

Xiao Hai, 20~29 year old female. Ask Date: 2006/11/07

Dr. Huang Ruiyun reply Dermatology


1.
Not necessarily.
2.
It is possible.
3.
Skincare products containing PHA (lactobionic acid, lactone-type gluconic acid).
Medications require a doctor's prescription.
4.
Increased microvascular dilation is not necessarily rosacea; it can occur slightly with age.
If you constantly check the mirror to see if there’s an extra blood vessel, you will eventually drive yourself crazy.
5.
Personally, I do not recommend it.
6.
Traditional Chinese medicine is not my area of expertise, so I cannot provide an answer.
7.
Long-term battle.
If financially feasible, consider consulting a large medical aesthetic center equipped with lasers (primarily newer dye lasers) and intense pulsed light treatments, such as X-Keng Hospital in Taipei or Taoyuan, etc.

Reply Date: 2006/11/07

More Info


Understanding rosacea and its treatment options is crucial for managing this chronic skin condition effectively. Rosacea is characterized by facial redness, visible blood vessels, and sometimes acne-like bumps. It can significantly impact a person's self-esteem and quality of life, making it essential to address both the physical symptoms and the psychological effects.


Question 1: Is Treatment Necessary for Early-Stage Rosacea?
While some individuals may choose to manage their rosacea through lifestyle changes and topical products, it is generally advisable to seek treatment, especially in the early stages. Using specialized skincare products designed for rosacea, like the one you mentioned (臻水ddf), can help soothe the skin. However, avoiding triggers such as hot water, spicy foods, and alcohol is also crucial. Without proper treatment, there is a risk that rosacea may progress to more severe stages, which can be more challenging to manage. Early intervention can help maintain the condition at a milder level.


Question 2: Can Tetracycline Control Early-Stage Rosacea?
Tetracycline, an antibiotic, can be effective in managing rosacea symptoms, particularly in reducing inflammation and controlling bacterial growth. While it may help keep the condition stable, it does not guarantee that rosacea will not progress to later stages. The medication can reduce the frequency and severity of flare-ups, but it is essential to continue monitoring your skin's condition and consult with a dermatologist regularly. The goal is to manage symptoms and prevent progression rather than solely relying on medication.


Question 3: What Moisturizers Should I Use for Dry Skin Due to Rosacea?
For individuals with rosacea, especially during winter when skin tends to be drier, it is vital to choose moisturizers that are gentle and hydrating. Look for products that contain ingredients like hyaluronic acid, glycerin, and ceramides, which help retain moisture without irritating the skin. Avoid products with fragrances, alcohol, or harsh exfoliants, as these can exacerbate redness and irritation. Non-steroidal topical treatments, such as those containing niacinamide or azelaic acid, can also be beneficial for calming inflammation and improving the skin barrier.


Question 4: Does Tetracycline Prevent the Growth of Blood Vessels?
Tetracycline primarily works by reducing inflammation and controlling bacterial growth, but it does not directly prevent the formation of new blood vessels. It may help delay the progression of rosacea symptoms, but it is not a permanent solution. The timeline for progression varies among individuals, and while tetracycline can help manage symptoms, it is essential to maintain a comprehensive skincare routine and avoid known triggers to minimize the risk of worsening the condition.


Question 5: What Are the Risks of Sympathetic Nerve Resection?
Sympathetic nerve resection is a surgical procedure that may help reduce facial flushing and redness by cutting the nerves that trigger blood vessel dilation. However, it carries risks, including scarring, changes in skin sensation, and potential complications related to surgery. While it may provide relief from symptoms, it is not guaranteed to prevent the progression of rosacea. Consulting with a qualified surgeon and discussing the potential benefits and risks is crucial before considering this option.


Question 6: How Does Traditional Chinese Medicine Compare to Western Treatments?
Traditional Chinese Medicine (TCM) offers alternative approaches to managing rosacea, focusing on holistic treatment and addressing underlying imbalances in the body. While some individuals may find relief through TCM, it is essential to consult with a qualified practitioner to ensure safety and efficacy. Comparing TCM to tetracycline, the latter is a well-researched option with established effectiveness for rosacea. However, individual responses to treatment can vary, and some may prefer a combined approach.


Question 7: Are There Cases of Complete Recovery from Rosacea?
While rosacea is a chronic condition, many individuals successfully manage their symptoms and experience significant improvement. Factors such as lifestyle changes, effective skincare routines, and medical treatments can contribute to better outcomes. However, complete resolution may not be possible for everyone, and ongoing management is often necessary. Psychological support and counseling can also be beneficial for those struggling with self-esteem issues related to their skin condition.

In conclusion, managing rosacea requires a multifaceted approach that includes medical treatment, lifestyle modifications, and proper skincare. Regular consultations with a dermatologist can help tailor a treatment plan that addresses your specific needs and concerns. Remember, you are not alone in this journey, and there are effective strategies to help you maintain healthy skin and improve your quality of life.

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