Rosacea

Rosacea: Causes, Symptoms, and Treatment

At Aesthetics and Medical Lasers of Colorado, we specialize in a range of skin treatments, including solutions for rosacea, a common skin condition that affects millions worldwide. Often mistaken for acne or a rash, rosacea is a distinct skin issue requiring specific treatments to manage its symptoms effectively. In this article, we explore the causes, symptoms, and treatment options for rosacea, and how our advanced medical laser therapies can help.

What is Rosacea?

Rosacea is a chronic skin condition that primarily affects the face, causing redness, visible blood vessels, and sometimes small, pus-filled bumps. While most commonly seen in fair-skinned individuals, anyone can develop rosacea. The condition appears in cycles, with periods of flare-ups followed by remissions. Though incurable, effective treatments can control and reduce symptoms.

Causes of Rosacea

The exact cause of rosacea is unknown, but several factors may contribute to its development:

  • Genetics: Rosacea often runs in families, suggesting a genetic predisposition.
  • Immune System Response: An overactive immune response may trigger the inflammation seen in rosacea.
  • Environmental Triggers: Common triggers include sun exposure, spicy foods, alcohol, hot beverages, stress, and extreme weather conditions.
  • Mites and Bacteria: Elevated levels of certain skin mites or bacteria may contribute to inflammation.
  • Blood Vessel Abnormalities: Issues with facial blood vessels may lead to the persistent redness and flushing typical of rosacea.

Symptoms of Rosacea

Symptoms vary between individuals, but the most common include:

  1. Facial Redness: Persistent redness, especially on the cheeks, nose, forehead, and chin.
  2. Visible Blood Vessels: Tiny blood vessels become visible on the skin, giving a flushed appearance.
  3. Bumps and Pimples: Small, red bumps, often mistaken for acne.
  4. Eye Irritation: Rosacea can affect the eyes, causing them to appear watery or bloodshot (ocular rosacea).
  5. Thickened Skin: In severe cases, skin may thicken, particularly around the nose (rhinophyma).

Types of Rosacea

Rosacea can be classified into four main subtypes:

  1. Erythematotelangiectatic Rosacea (ETR): Redness, flushing, and visible blood vessels.
  2. Papulopustular Rosacea: Redness with acne-like breakouts.
  3. Phymatous Rosacea: Thickened skin, often around the nose.
  4. Ocular Rosacea: Affects the eyes, causing irritation, dryness, and swollen eyelids.

Treatment Options for Rosacea

While there is no cure, several treatments can effectively manage rosacea symptoms and reduce flare-ups. At Aesthetics and Medical Lasers of Colorado, we offer various medical and laser treatments tailored to each individual’s condition.

  1. Topical and Oral Medications
  • Topical creams and gels: Reduce redness and inflammation with ingredients like metronidazole, azelaic acid, and brimonidine.
  • Oral antibiotics: Prescribed for cases with significant bumps and pimples to reduce inflammation.
  • Isotretinoin: For severe cases, this acne medication may be used under supervision.
  1. Laser and Light-Based Treatments

We specialize in advanced laser treatments to target visible blood vessels and redness. Laser therapy offers long-lasting relief and is an excellent non-invasive solution.

  • Intense Pulsed Light (IPL) Therapy: Broad-spectrum light targets and reduces redness, visible blood vessels, and pigmentation issues. It is particularly effective for erythematotelangiectatic rosacea.
  • Vascular Lasers (e.g., Pulsed Dye Laser): Vascular lasers target and shrink the dilated blood vessels that cause persistent redness, offering highly effective results for reducing broken blood vessels and facial flushing.

How do light based treatments for Rosacea work?

Light-based treatments for rosacea work by targeting the underlying issues responsible for redness, visible blood vessels, and inflammation. Two common types of light-based therapies used for rosacea are Intense Pulsed Light (IPL) and vascular lasers (such as Pulsed Dye Laser). Here’s how each works:

Intense Pulsed Light (IPL) Therapy

How it works: IPL uses broad-spectrum light, which penetrates the skin in pulses to target dilated blood vessels beneath the surface. The light is absorbed by the red pigment (hemoglobin) in the blood vessels, causing them to heat up and collapse. This reduces the appearance of redness and visible blood vessels over time.

Effectiveness: IPL is particularly effective for erythematotelangiectatic rosacea (ETR), which is characterized by facial redness and visible blood vessels.

Vascular Lasers (e.g., Pulsed Dye Lasers)

How it works: Vascular lasers emit a specific wavelength of light that is absorbed by blood vessels. Similar to IPL, the laser targets hemoglobin in the blood vessels, but with more precision. The energy from the laser heats and shrinks the blood vessels, reducing their visibility and minimizing flushing and redness.

Effectiveness: Vascular lasers are effective for reducing persistent redness, visible blood vessels, and sometimes the inflammation associated with rosacea.

Benefits of Light-Based Treatments for Rosacea:

Non-invasive: These treatments are non-surgical, with minimal downtime.

Long-term results: Multiple sessions are typically required, but results can be long-lasting.

Customizable: Settings can be adjusted based on the severity of the condition and skin sensitivity.

Overall, light-based treatments help manage rosacea symptoms by reducing redness and visible blood vessels, making them a valuable option for individuals with more pronounced facial redness.

Are IPL results permanent?

IPL (Intense Pulsed Light) treatment results for rosacea are not permanent but can be long-lasting. Here’s why:

How Long IPL Results Last?

Reduction in redness and visible blood vessels: After a series of IPL treatments, many people experience significant improvements in facial redness and visible blood vessels. However, rosacea is a chronic condition, so while IPL can clear up symptoms for a long time, it does not cure the underlying condition.

Maintenance treatments: Over time, new blood vessels may form, and triggers (like sun exposure, stress, or diet) can cause rosacea symptoms to return. Most people require occasional maintenance sessions—often once or twice a year—to keep their results.

Factors Affecting Longevity

Severity of rosacea: People with more severe rosacea may need more frequent treatments to maintain results.

Lifestyle and triggers: Avoiding known triggers (such as sun exposure, alcohol, and spicy foods) and using sun protection can help prolong the benefits of IPL.

Skincare routine: Using gentle, rosacea-friendly skincare products can also help maintain improvements.

In summary, while IPL results are not permanent, they can significantly improve rosacea symptoms with long-lasting effects, especially when combined with ongoing maintenance and lifestyle management.

  1. Lifestyle and Dietary Adjustments

Managing triggers is crucial in controlling rosacea flare-ups. Some helpful tips include:

  • Sun protection: Use a broad-spectrum sunscreen with at least SPF 30.
  • Identify and avoid triggers: Keeping a flare-up diary can help identify specific triggers such as hot beverages, alcohol, or spicy foods.
  • Gentle skincare: Use mild, fragrance-free products to avoid irritation.

Why Choose US?

 At Aesthetics and Medical Lasers of Colorado, we pride ourselves with our expertise in the use of advanced energy-based modalities. Our team of skilled professionals will create customized treatment plans tailored to your unique skin requirements.

Managing rosacea can be challenging, but with the right approach, flare-ups can be controlled, and you can enjoy clearer and healthier skin.  Contact us today at 720 818 0533 to book your appointment and explore your treatment options.