Rosacea and Treatments

Rosacea is a chronic skin disorder that most commonly affects the skin on the face, causing redness and tiny acne-like bumps on the cheeks, forehead and chin in some cases. Although it is less common, rosacea can appear on your chest, ears, neck and other parts of the body. Although rosacea is most common in fair-skinned people between the ages of 30 to 50, rosacea can affect people of all skin colors and ages.

There is no cure for rosacea and symptoms can be rather in consistent. Fortunately, there are treatments that can help keep rosacea symptoms in check and keep them manageable. Our very own Darryl Smith, PA-C is well versed in treating rosacea patients. He was more than happy to share his expertise on how rosacea sufferers can avoid common triggers that lead to flare ups and debunk a few myths associated with this particular skin disease!

Who is most at risk for dealing with rosacea and its related discomfort?

Typically, people who have existing skin issues or sensitive skin are prone to develop rosacea later in life. Some people who have a delayed onset of rosacea may think that they are experiencing mild adult acne because of the way the symptoms can present.

What are some of the most common rosacea triggers and what small advice can you offer to help patients avoid flare-ups?

Some of the more common triggers for rosacea are sweating due to exercise, drinking alcoholic beverages (even in moderation), hotter temperatures, sun exposure and even spicy foods. During the colder months, being out in the cold (especially in the wind) and then coming back in to a warm house can trigger a flare-up as well.

What are the more common treatments?

One of the tried and true treatments is Metrogel (metronidazole) which reduces inflammation in the treatment areas. There are many sulphur based face washes that can also be used to help patients manage rosacea. For more severe cases, I recommend a low-dose daily antibiotic such as doxycycline which can help reduce inflammation. Many patients are very happy with a good face wash, a low dose antibiotic and daily zinc sunscreen. I’ve found that a minimal regimen is something that patients can manage really well.

How long does it take to see results from rosacea treatments and do some treatment options take longer to show results?

I typically put patients on a one-month treatment trial and ask them to come back to see how their skin is doing with treatment. Patients should notice a difference in their rosacea symptoms within 2-3 weeks. I like to stress to patients the importance of wearing a daily zinc sunscreen to keep the sun from turning your skin red and causing inflammation during that time.

Are there any interesting facts or misunderstandings about rosacea that you might want to share with your patients?

Patients are usually surprised to find out that there is evidence that the Demodex Mite may be partially responsible for triggering rosacea in patients. It may sound unsavory for some patients to learn about how a microscopic bug is causing their skin issue, however there are treatments to help. Ivermectin, an FDA approved medication which also treats scabies, can eradicate the mites and relieve the inflammation they cause.

If you are struggling to keep your rosacea symptoms in check or if you would like to see if you are a good candidate for rosacea treatments, schedule a consultation with one of our skilled providers. Rosacea doesn’t have to rule your life anymore, treatments are available to help you manage symptoms and have a happier relationship with your skin! Do you have a rosacea story that you would like to share with us? We would love to hear from you! Send your story or photos to:

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