A closer look at Rosacea

What is Rosacea:

Rosacea is a long-term chronic, inflammatory skin condition that mainly affects the face. Rosacea normally appears on the central region of the face, mainly the forehead, cheeks, chin, and the lower half of the nose. It is more commonly seen in women and lighter skin people. When it appears in men there symptoms often appear much worse. It is often mistaken for acne, eczema, or a skin allergy.


Types of Rosacea:

There are four types of Rosacea:

  1. erythematotelangiectatic rosacea (ETR), is associated with facial redness, flushing, and visible blood vessels.
  2. Papulopustular (or acne) rosacea, is associated with acne-like breakouts, and often affects middle-aged women.
  3. Rhinophyma is a very rare form of Rosacea and is often associated with the thickening of the skin on the tip of the nose. Rhinophyma is very often associated with another type of Rosacea. This type of Rosacea normally affects men.
  4. Ocular rosacea, this type of rosacea symptoms are centered on the eye area.


Stages of Rosacea:

Rosacea only appears on the face and scalp. With Rosacea there are four stages present:

  1. Pre-rosacea phase (phase 1): In this stage, the skin on the cheeks and nose becomes flushed, and has a stinging sensation. This stage has longer periods than normal.
  2. Vascular phase (phase 2): Also commonly called Telangiectasia. The skin will be swollen with a red appearance. Small blood vessels will be visible just below the surface of the skin.
  3. Inflammatory phase (phase 3):  Very often small pimples will develop on the skin surface, sometimes they will be filled with some pus.
  4. Late phase (phase 4):  This phase does not always occur in everyone. In some people, the skin around the nose occasionally thickens, making it look red and bulbous (called rhinophyma).

Symptoms of Rosacea:

Typical signs and symptoms of rosacea include

  • facial flushing,
  • blushing,
  • skin redness (erythema),
  • burning,
  • red bumps and pustules,
  • small cysts,
  • thickening of the facial tissue, especially the nose.
  • Eye problems, swollen red eyelids-rosacea keratitis.
  • Dry, rough scaly skin
  • Tiny Broken Blood Vessels
  • Yellow-orange patches


Symptoms for the different types of Rosacea:

Signs of rosacea ETR:

  • Flushing and redness in the center of your face
  • Visibly broken blood vessels
  • Swollen skin
  • Sensitive skin
  • Stinging and burning skin
  • Dry, rough, and scaly skin

Signs of acne rosacea:

  • Acne-like breakouts and very red skin
  • Oily skin
  • Sensitive skin
  • Broken blood vessels that are visible
  • Raised patches of skin

Signs of thickening skin:

  • Bumpy skin texture
  • Thick skin on the nose
  • Thick skin on chin, forehead, cheeks, and ears
  • Large pores
  • Visibly broken blood vessels

Signs of ocular rosacea:

  • Bloodshot and watery eyes
  • Eyes that feel gritty
  • Burning or stinging sensation in the eyes
  • Dry, itchy eyes
  • Eyes that are sensitive to light
  • Cysts on eyes
  • Diminished vision
  • Broken blood vessels on eyelids

Causes/ Triggers for Rosacea:

There are not any know causes for rosacea but there are certain things that can trigger it and make it worse:

  • Eating spicy foods
  • Eating items that contain the compound cinnamaldehyde, such as cinnamon, chocolate, tomatoes, and citrus
  • Drinking hot coffee or tea
  • Having the intestinal bacteria Helicobacter pylori
  • A skin mite called Demodex and the bacterium it carries, Bacillus oleronius
  • The presence of cathelicidin (a protein that protects the skin from infection)
  • Alcohol
  • Cheese
  • Emotional stress,
  • Cold or hot weather
  • Exercise
  • Wind
  • Hot baths.
  • Smoking

Treatments for Rosacea:

  • Avoid any triggers
  • Topical Antibiotics
  • Laser Therapy
  • Control Stress
  • Use a good Sun Protection
  • Use Good Skincare regime
  • In practice treatment

Essel in practice treatment:

  • Aesthet Enzymatic Keratopeel is a natural way to mild biological peeling and renewal of cells without skin irritation. Aesthet Enzymatic Keratopeel selectively eliminates dead skin cells by a gentle enzymatic peeling to smooth the skin surface and promote cell renewal. Aesthet Enzymatic Keratopeel is a safe type of enzymatic exfoliation that does not require harsh conditions such as abrasion and a highly acidic pH and therefore is suitable for all skin types, including sensitive and fragile skin. Helps with the moisture/hydration in the skin to help alleviate any dryness associated with the Rosacea.
  • Essel Mesoskin Treatment:
  1. Cleanse: Maxi cleanse to remove any make-up. Then perform a second cleanse using the Aesthet Foaming Cleanser
  2. Mix: Recovery Serum and Stem Cell serum and preform MesoSkin Treatment.
  3. Apply Wrinkle Relaxant to the skin. If Acne Rosacea is present you can apply Blemish free gel to the affected areas.
  4. Treatment can be combined with Keratopeel.
  5. Treatment can be done every 2-4 weeks.

Essel Homecare Products: