Rosacea

What is Rosacea?

Rosacea (Acne Rosacea) is a skin condition which affects one in ten people. While it shares some characteristics of acne, there are some key differences between the two conditions.

Unlike acne, greasy skin and blackheads are not typical symptoms of Rosacea, nor do the symptoms clear after puberty. Rosacea often affects the central areas of the face including the nose and cheeks. The condition is more prevalent in women than men, though some symptoms, such as rhinophyma -  a condition in which the sebaceous glands around the nose become inflamed - may appear more severe in men.

There are four main types of rosacea.

Erythematotelangiectatic rosacea is characterised by flushing, redness of the skin and blood vessels becoming visible.

Papulopustular rosacea causes breakouts similar to acne. The skin often appears red and swollen.

Phymatous rosacea thickens the skin and causes it to have a bumpy texture.

Ocular rosacea affects the skin around the eyes. Eyelids appear swollen and may cause a sty-like lump. Eyes can also be red and irritated.

Rosacea can also specifically affect the eyes. Known as Ocular Rosacea, this condition can cause redness and inflammation around the eyes, irritation of the eyelids and the appearance of bloodshot eyes. This form of Rosacea could also be a precursor to the condition appearing across the middle third of the face, such as the cheeks and nose.

Some may mistake the blotchy redness of the skin as acne or sunburn.

Common symptoms include:

• Flushes
• Spots (papules and pustules)
• Persistent redness in the face
• Dry and rough skin
• Sensitive skin - irritation, itching, burning, stinging pains
• Swelling of the face
• Inflammation of the eyelids

While the condition can leave you feeling uncomfortable and embarrassed, there are a variety of medications which can relieve the physical and visible symptoms effectively. 

What causes Rosacea?

There is much speculation in the medical field as to what exactly causes Rosacea. While no definitive cause of the condition has been determined, there are a variety of potential factors which could cause Rosacea.

Peptides, blood vessels, bacteria, mites, and genetics are all possible causes of Rosacea. It is thought that sensitivity in the skin, which causes blood vessels to dilate, may be the leading cause of the condition, but more research is required to determine this.

Some people with the condition may find that certain triggers can exacerbate their symptoms, though these may not directly cause the condition in the first place. Commonly reported triggers include:

• Stress
• Exposure to sunlight
• Seasonal weather changes
• Alcohol
• Smoking
• Diet
• Strenuous exercise
• Humidity
• The menopause
• Other health conditions and medications

Though there are ways in which those with Rosacea can mitigate the risks of making their condition worse. These can include avoiding potential triggers, reducing stress levels or using products intended for sensitive skin types.

Treatments for Rosacea

Rozex

Rozex is a topical gel or cream which contains metronidazole. It is applied to the surface of the affected skin to fight the bacterial infection and reduce inflammation.

Finacea

Finacea is a topical gel which contains azelaic acid. This treatment works by stopping the growth of cells within the hair follicles, which cause inflammation and irritation.

Efracea

Efracea contains doxycycline, which belongs to the tetracycline class of antibiotics. Once ingested, the antibiotic treats the infection in the skin's pores to relieve inflammation and redness.

Metrogel

Metrogel is a topical gel which is applied to the areas of the skin which are affected by Rosacea. It contains an antibiotic which kills the infection within the follicles and reduces the inflammation and red appearance of the skin as a result.

Soolantra

When applied daily, Soolantra is an effective treatment for rosacea. The active ingredient of this medicine is called ivermectin and belongs to a group of substances called avermectins.

Using make-up to cover up the visible symptoms

Women particularly may benefit from using cosmetics to hide their symptoms. When choosing make-up products, choosing those that will not aggravate your skin is important. Look out for products intended for sensitive skin.

When applying cosmetic products such as concealers, foundation and mineral powders to the face, use an antibacterial brush instead of a sponge. You may also apply the products with your fingers but this can spread unnecessary oil from your fingers to your face.

Shaving

For men, rosacea can pose a particular obstacle to shaving. Avoiding anything that may irritate the skin and worsen rosacea symptoms is important.

Opt for an electric razor to reduce the chances of skin irritation.

Avoid shaving creams, lotions and aftershave products which may irritate your skin. Instead, use shaving products which are suitable for sensitive skin types and use a moisturiser or balm after shaving to soothe the skin.

Resources

More about Rosacea from the NHS

The British Skin Foundation - Rosacea

How does Rosacea affect you?

How to get rid of Rosacea permanently