Rosacea Treatment

It is a chronic skin disease that especially affects the middle area of the face such as the nose, chin, forehead, and cheeks. It starts with flushing and burning attacks, afterwards causing acne, permanent redness, increase in capillaries, edema on the skin and swollen tissues.

Treatment Method

Although rosacea is difficult to cure completely, it is possible to keep it under control with treatment.

General precautions: The most important thing is to stay away from factors that increase clinical symptoms.

  • Use of sunscreen: One of the most important factors triggering the disease is the sun. Therefore, you should be serious about sun protection throughout your life. You should use a suitable sunscreen recommended by your dermatologist at intervals of 2-4 hours a day. You should also wear a sun-protective hat and glasses, wear appropriate clothing, and avoid exposure to the sun during peak hours.
  • Topical treatment: Creams and gels are generally used in mild cases. The most used ones are metronidazole (cream, gel, lotion), azelaic acid (cream, gel) and sodium sulfacetamide, sulfacetamide + sulfur. Other medications are tretinoin, benzoyl peroxide, erythromycin, clindamycin, tetracycline, 5% permethrin cream, tacrolimus and pimecrolimus.
  • Systemic Treatment: In severe cases, systemic treatment is applied alone or together with topical agents. The most preferred systemic agents are systemic antibiotics (minocycline, doxycycline, tetracycline, metronidazole, and azithromycin) and isotretinoin which is a vitamin A product.
  • Laser therapy: Various laser treatments such as Ndyag lasers, Q-switched NdYag, Picosecond Nd yag lasers and Intense Pulsed Light (IPL) systems can be effective, especially in the treatment of facial redness and capillary increases.
  • Surgical treatment: In severe cases with deformities especially in the nose and cheeks, methods such as surgery, cryotherapy, electrocauterization or dermabrasion can be applied.

Frequently Asked Questions

The exact cause of rosacea is unknown. Below are some suspected factors; Genetic predisposition: The effect of family history is 30-40%. However, there is still no clear evidence supporting genetic transmission. Infectious causes: The most accused infectious agents are Helicobacter pylori (H pylori) which is a bacteria found in the stomach and demodex mites which are found on the face. Environmental factors: Many environmental factors, such as ultraviolet light and changes in environmental temperature play a role in the onset or aggravation of rosacea lesions. Psychogenic factors: Especially intermittent episodes of burning and redness can be observed in relation with changes in the patient's mood and psychological stress. Innate immune system: Recently, an imbalance in the natural defense system of the skin has been declared.

Foods and beverages (hot and cold beverages and foods such as soup, tea, coffee, spicy foods, bitter, pickles, chocolate, alcohol...), weather conditions (sunlight, hot weather, cold weather, humidity, wind), psychological stress and excessive exercise, cleaning and personal care products (Hot bath and face irritating cleaning materials, cologne, tonic, rose water, wet wipes), medicines (Long-term use of topical corticosteroids on the face), systemic conditions (premenstrual, pregnancy, menopause, severe cough) and constipation).

Although there is no special diet for rosacea, you should stay away from foods and drinks that increase the redness of the face. You should also avoid cigarettes and other tobacco products.
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