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HAIRMAX LASER COMB
Face-to-Face With Rosacea
(press release from AAD)
FRANCISCO (March 5, 2006)*
Many individuals who are struggling with redness, pimples and visible blood
vessels on their face may incorrectly diagnose their condition as acne, sunburn
or sensitive skin. However, they probably have rosacea, a skin condition which
if not treated early, can continue to flare or begin to worsen. Therefore, it
is important to visit a dermatologist who can make the correct diagnosis and
recommend treatments and skin care products that will control the rosacea and
keep the skin healthy.
Speaking today at the 64th Annual Meeting of the American Academy of
Dermatology, dermatologist James Q. Del Rosso, D.O., clinical assistant
professor in the department of dermatology at the University of Nevada, Las
Vegas, spoke about the individualized treatment options that are helping
patients with rosacea manage their condition.
"Rosacea can have devastating effects on self-esteem because it is so noticeable
on the face," said Dr. Del Rosso. "When it affects teenagers and young adults,
it can cause feelings of isolation and self-consciousness. Adults with rosacea
often are caught unaware because they assume they would have outgrown skin
conditions. But rosacea treatments are more effective than ever, offering a
variety of therapies that are having successful results."
Rosacea is a chronic and often progressive skin disease that causes redness and
swelling on the face. As many as 14 million Americans have rosacea, most
between the ages of 30 and 50. Rosacea may begin as a tendency to flush or
blush easily, and progress to persistent redness in the center of the face that
may gradually affect the cheeks, forehead, chin and nose. As the disease
progresses, the redness becomes more severe and persistent, and small blood
vessels, acne-like pimples and nodules may become visible on the surface of the
skin. Rosacea can be exacerbated by exposure to extremes of hot and cold,
sunlight, emotional stress, hot beverages, alcohol, spicy foods and certain skin
"Since what triggers rosacea in one patient may not trigger it in another,
dermatologists often recommend that patients with rosacea keep a diary of
flushing episodes and note associated foods, products, activities, medications
or other triggering factors," said Dr. Del Rosso.
options such as metronidazole and azaleic acid can reduce redness, red or
pus-filled bumps and other symptoms associated with rosacea. With topical
medications, individuals are instructed to be consistent with the application of
the product and to be patient, as it may take four to eight weeks to see
Oral tetracycline antibiotics, such as doxycycline or minocycline, are the most
common oral medications used to treat rosacea. A new form of doxycycline,
called anti-inflammatory dose doxycycline, is currently under review by the U.S.
Food and Drug Administration (FDA) for the treatment of rosacea. This form of
doxycycline reduces inflammation without any "antibiotic effects," such as
antibiotic resistance. "Whether or not an oral antibiotic is recommended for
treating rosacea depends on how severe the case is," stated Dr. Del Rosso.
Glycolic acid peels often are used in conjunction with antibiotics to hasten the
control of rosacea. A series of peels are performed every two-to-four weeks and
may be used in combination with low concentration glycolic acid washes and
creams. Glycolic acid peels for rosacea are timed and generally take
three-to-five minutes. The peeled facial skin will be red for a few hours
following the treatment and makeup should be avoided during this time. While
topical or oral therapies do not remove the redness on the face or reduce the
appearance of dilated blood vessels associated with rosacea, vascular lasers and
intense pulsed light therapy are now being used to treat these symptoms.
Vascular lasers emit specific wavelengths of light targeted for the tiny visible
blood vessels just under the skin. Heat from the laserís energy builds in the
vessels, causing them to collapse. The newest generation of vascular lasers
does not produce any bruising, but may cause redness and minimal swelling that
lasts approximately 24-to-48 hours.
Intense pulsed light
therapy is used to treat the persistent redness caused by rosacea, destroying
the dilated blood vessels with multiple wavelengths of light.
Both treatments, laser and intense light, take 15-to-30 minutes and are
performed at six-to-12 week intervals. Patients may require several treatments
initially, and may return annually for treatment of new blood vessels.
In advanced cases of rosacea, rhinophyma may develop, a condition that occurs
when oil glands enlarge on the face and a bulbous, enlarged red nose and swollen
cheeks develop. This condition usually occurs in men over 40. The excess
tissue can be surgically removed using lasers, dermabrasion or electrosurgery to
sculpt the nose back down to a more normal shape and appearance. These
procedures may be performed on an outpatient basis using local anesthesia, and
healing generally takes seven-to-10 days.
Avoiding Flare Ups
modifications go hand-in-hand with medical care in the successful treatment of
rosacea," stated Dr. Del Rosso. "By making certain changes to their lifestyles,
patients often can avoid flare-ups that are due to increased blood flow to the
cheeks." Dr. Del Rosso recommends the following tips to avoid rosacea flare
- Steer clear of rubbing,
scrubbing or massaging the face, which can irritate the skin. Apply all
soaps, moisturizers, sunscreens and other products gently using the
- Do not use cosmetics,
soaps, moisturizers and other facial products that might contain ingredients
such as alcohol and fragrances, which irritate the skin.
- Use soap-free cleansers.
- Be careful not to get
hair spray on your face.
- Avoid hot drinks, spicy
foods and alcoholic beverages.
- Generously apply
sunscreen to all exposed skin using a Sun Protection Factor (SPF) of at least
15 that provides broad-spectrum protection from both ultraviolet A (UVA) and
ultraviolet B (UVB) rays and wear protective clothing: long-sleeved shirts,
pants and a wide-brimmed hat.
- Try not to become
overheated. Avoid hot baths and showers. Try to exercise where it is cool.
- Be sure to protect your
skin from extreme cold, which can irritate the skin.
"It is important for
individuals with rosacea to seek treatment early to avoid progression of the
condition and avoid any permanent scarring to the face," said Dr. Del Rosso.
"Today dermatologists offer a variety of treatment options that can achieve
successful results and fit into even the busiest lifestyle."
Headquartered in Schaumburg, Ill., the American
Academy of Dermatology (Academy), founded in 1938, is the largest, most
influential, and most representative of all dermatologic associations. With a
membership of more than 15,000 physicians worldwide, the Academy is committed
to: advancing the diagnosis and medical, surgical and cosmetic treatment of the
skin, hair and nails; advocating high standards in clinical practice, education,
and research in dermatology; and supporting and enhancing patient care for a
lifetime of healthier skin, hair and nails. For more information, contact the
Academy at 1-888-462-DERM (3376) or
Knowledge is Power.
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