How to treat rosacea?

rosacea treatment

Rosacea is often called adult acne. It’s most common in people who are fair-skinned. Rosacea usually appears after the age of 30.

What are the signs of rosacea? Some signs are frequent or constant flushing and redness of the skin. At the beginning of the disease, the flush appears and disappears. Later it becomes permanent with red cheeks, forehead and chin. Over the years, people with rosacea may have small red acne-like pimples. Unlike the skin with acne, people with Rosacea do not have comedones (Black and white points) and their pimples usually do not appear on the neck and back or chest.

In a study on 1066 patients with rosacea, it was found that these were the most common causes:



Hot weather


Strenuous exercise




Hot bath


Cold weather


Spicy food




Heat inside the home


Hot drinks


Cosmetic products


Certain medications


Corned Beef


Certain vegetables


Dairy products


If you have rosacea, these are the most effective treatments.

Topical creams. At least in some cases, the rosacea are due to a response to a parasite called Demodex. This parasite populates the sebaceous glands. Treatment gel that contains metronidazole or ivermectin may help in these cases.

Oral antibiotics, especially minocycline, can destroy p. acnes bacteria and reduce skin inflammation in rosacea.

Lasers or intense pulsed light devices (IPL) can collapse the enlarged blood vessels in the rosaceous skin and reduce skin redness. Photodynamic therapy (PDT) is one of the newest treatments for rosacea. In PDT, a substance called Amino Levulinic Acid (ALA) is applied to the skin. This material is selectively absorbed by the sebaceous glands and some of the superficial skin capillaries. After about an hour, the skin is exposed to blue light or red light. These special wavelengths of light trigger a chemical reaction in the skin, called a photodynamic reaction. The advantage of PDT for rosacea is that it doesn’t require expensive laser treatments, hospitalization or anesthesia. PDT has frequently good cosmetic results without the risk of hyper-pigmentation after treatment.

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