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Portlands Best Kept Secret
"All Natural, Organic, Eco-Friendly, & Cruelty-Free!"........... 503-230-8952
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Rosacea Abnormal skin pigmentation
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LED Light sessions Repairing (decreases fine lines & evens out
pigmentation) - Restores radiance to dull, tired looking
skin.
- Decreases fine lines and
wrinkles.
- Diminishes freckles, age spots and
redness, evens out pigmentation.
- Minimizes pores.
- Detoxes Skin, enhances ability to retain
moisture.
- Deeply moisturizes, improves supportive
structure.
- Reverses harm caused by exposure to
sun.
- Improves appearance of sun weathered
skin.
Vitalizing
(Reduces pore size, Re-hydrates) - Improves skin tone, smoothies texture,
leaves a softer complexion.
- Reduces pore size.
- Strengthens elasticity and tolerance to
external stress factor.
- Re-hydrates skin and enhances moisture
retention.
- Removes impurities.
Led light therapy treatments |

Fig.1 Rosacea showing a red nose with pustules and papules around the nose

Fig.2 Rosacea showing red nose with dilated blood vessels

Fig.3 Rosacea affecting the nose - rhinophyma
- A common disorder affecting facial skin.
- Initially carries both a vascular and an inflammatory component
- Inflammatory: Papules, pustules
- Vascular: Erythema, telangiectasia, flushing
Distribution
- Symmetrical localization on the face; may be asymmetrical
- Nose, cheeks, forehead, chin
- May involve a variety of ocular lesions
Etiology
- Unknown
- Age - thirty to fifty years at onset (most common);
may occur from adolescence to late adult life - Females predominate, but severity is greater in males
- Greater incidence in fair skinned people
Clinical Picture
- Flushing - periodic reddening of the face (erythema)
- Inflammatory lesions - papules, pustules
- Edema may be present
- Telangiectosia may be added with time
- Ocular rosacea - accompanies vascular cutaneous rosacea
- Comedones are characteristically absent
- Diagnosis is made on a clinical basis
- Rhinophyma is a late finding
Early Clues To Rosacea
- Recurrent flushing, blushing;
may last several minutes - several hours - Stinging in the malar areas, forehead, ears
- Facial edema may be present
Rosasea Often Progresses In The Following Steps
- Pre-rosasea ===> Flushing and blushing
- Vascular Rosasea ===> Erythema and telangiectasia
- Inflammatory Rosacea ===> Papules and pustules
- Late Rosacea ===> Rhinophyma
Facial Flushing
- Is a prominent feature of rosacea
- Is usually the initial manifestation of the disease
- Worsens during inflammatory outbreaks
- Patients should avoid activities and aggravating
factors which induce flushing
Rhinophyma
- Enlargement of the nose
- More common in males
- Skin thickens
- Enlarged follicles
- Hyperplasia of sebaceous glands, connective tissue
Pathogenesis: Theories Proposed
- Demodex folliculorum
- Psychogenic stress
- Endocrine abnormalities
- Focal infection
- Vascular disorder
- Diet
Vascular Disorders
- Leaky vessels
- Insufficient blood flow
- "Pooling effect"
- Connective tissue dystrophy -
leads to dilation of blood vessels
Rosacea - Aggravating Factors
- Hot liquids
- Sun exposure, wind exposure
- Spicy foods
- Extreme temperatures
- Alcoholic beverages
- Stress and other psychological factors
- Prolonged use of topical fluorinated corticosteroids
Differential Diagnosis
- Acne vulgaris
- Seborrheic dermatitis
- Perioral dermatitis
- Lupus erythematosus
- Carcinoid syndrome
- Some may exist
Course Of Rosacea
- Chronic, progressive disease
- Periodic exacerbations and remissions common
- May slowly increase in extent
- Inflammatory ocular complications may occur
- Long-term therapy may be required
Topical Steroids - Are Best Avoided
- Can cause rebound erythema
- Can worsen the condition in long run, although
may effect impressive short-term improvement - If used, should be low potency for short time period
Methods Of Treatment
- Oral antibiotics - tetracycline and others
- Topical formulations - metronidazol topical gel and others
- Many patients will do well with topical therapy alone.
For some patients, the addition for oral tetracycline for several weeks
may accelerate initial response to therapy. Lifestyle changes are also
an important aspect of the overall treatment plan. Avoidance of situations
and factors that aggravate rosacea should be emphasized.
Answers To Common Patient Questions Question: I have very sensitive skin due to my rosacea. How can I clean my face without causing additional irritation?
Answer:
Only very mild soaps or cleansers should be used on the face. Avoid
products containing alcohol or witch hazel. A mild cleanser such as
Cetaphil Gentle Cleansing Lotion is recommended.
Question : What about cosmetic use? Can I continue to wear cosmetics?
Answer:
Yes, but use of high quality mosturizers and oil-free cosmetic products
are recommended. Sunscreens of SPF 15 or higher should be used when
prolonged sun exposure is expected. To reduce the redness or a rosacea
flare, a green-based concealer may be used.
Question: Can anything make rosacea worse?
Answer:
Certain things are known to aggravate rosacea. These include hot
liquids, alcohol, spicy foods, extremes of temperature and stress.
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