Redness Between the Eyebrows: Is It Rosacea or Steroid Cream? - Dermatology

More Info

---

The redness between your eyebrows could indeed be attributed to several factors, including the use of topical steroid creams like the one you mentioned (喜膚, or "Xifu"). This cream is often prescribed for conditions like seborrheic dermatitis, but it can also lead to side effects such as skin thinning and increased redness, especially with prolonged use.
On the other hand, the redness you are experiencing could also be a manifestation of rosacea, a chronic inflammatory skin condition that often affects the central part of the face, including the cheeks, nose, and forehead. Rosacea can present with persistent redness, flushing, visible blood vessels, and sometimes acne-like breakouts. The fact that you mentioned having some redness on your cheeks as well could suggest that rosacea is a contributing factor.

It is important to differentiate between the two conditions because the management strategies differ significantly. If the redness is primarily due to the steroid cream, discontinuing its use may help alleviate the symptoms, but this should be done under the guidance of a healthcare professional to avoid rebound flare-ups. On the other hand, if rosacea is the underlying issue, then a different treatment approach would be necessary, which may include topical medications such as metronidazole or azelaic acid, oral antibiotics, or laser therapy to reduce redness and visible blood vessels.

In your case, since you have a history of seborrheic dermatitis and now have been diagnosed with rosacea, it is plausible that both factors are contributing to the redness between your eyebrows. The use of the steroid cream may have exacerbated the rosacea symptoms, leading to increased redness.
To manage your symptoms effectively, consider the following steps:
1. Consult a Dermatologist: It is crucial to have a thorough evaluation by a dermatologist who can assess your skin condition accurately. They may perform a physical examination and possibly recommend a skin biopsy if necessary to rule out other conditions.

2. Review Your Current Medications: Discuss with your dermatologist the use of the steroid cream. They may suggest tapering off the cream or switching to a non-steroidal treatment for seborrheic dermatitis.

3. Rosacea Management: If rosacea is confirmed, your dermatologist may prescribe specific treatments aimed at controlling the condition. Lifestyle modifications, such as avoiding known triggers (like spicy foods, alcohol, and extreme temperatures), can also be beneficial.

4. Gentle Skin Care: Use gentle, non-irritating skin care products. Avoid harsh scrubs or exfoliants that can aggravate redness. Look for products labeled as hypoallergenic or formulated for sensitive skin.

5. Sun Protection: Protect your skin from sun exposure, as UV rays can worsen rosacea. Use a broad-spectrum sunscreen with an SPF of 30 or higher daily.

6. Monitor Symptoms: Keep a diary of your symptoms and any potential triggers. This can help you and your dermatologist identify patterns and adjust your treatment plan accordingly.

In conclusion, the redness between your eyebrows could be due to a combination of factors, including the use of steroid cream and underlying rosacea. A comprehensive evaluation by a dermatologist is essential to determine the exact cause and appropriate treatment plan. Avoid self-diagnosing and self-treating, as this could lead to further complications.