If you have bumps on your face that look like acne and your face looks flushed, you might have rosacea. Your doctor will prescribe medication and other therapies to help you control your symptoms, and there are also things you can do at home to improve your appearance and health.

How Rosacea is Diagnosed?

Rosacea is diagnosed without the use of a standardized examination. Instead, the doctor will examine your skin and take a history of your symptoms. Other disorders like psoriasis, eczema, and lupus can be ruled out with testing. These conditions may produce signs and symptoms that are similar to rosacea.

Your doctor may refer you to an eye specialist (ophthalmologist) for evaluation if your symptoms concern your eyes.

How can we Treat Rosacea?

The aim of rosacea treatment is to keep the signs and symptoms under control. This usually necessitates a mix of good skin care and prescription medications. The duration of your treatment is determined by the type and severity of your symptoms. The most common cause of rosacea flare-ups, which result in redness, is exposure to sunlight. Even if the redness is treated, you must also shield your skin from the sun.

Dermatologists recommend doing the following every day to protect your skin:

• Every day, use a broad-spectrum sunscreen with an SPF of 30 or higher. If your skin is irritated by your sunscreen, switch to one that only contains titanium dioxide, zinc oxide, or both.

• When you're outside during the day, wear a hat with a big brim.

• Seek out some shade.

• Avoid the sun during the midday hours.

Trigger Management

Triggers will make your face red even though you handle the redness. You will avoid this by determining what causes the rosacea and making adjustments to your lifestyle.

Skincare

Your skin care ingredients, as well as how you wash your face, may be causing the redness. Anyone with rosacea needs to take care of their skin gently.

Rosacea-friendly skin care includes the following:

1. Washing your face with a gentle cleanser.

2. Apply the cleanser to your face using just your fingertips.

3. Using lukewarm or cool water to rinse.

4. Using a clean towel, gently pat your face dry.

On rosacea-prone skin, avoid washcloths, toners, astringents, and deodorant soaps. This may exaggerate the appearance of redness.

 A dermatologist may prescribe skincare products that are gentle enough for you to use if other skin care products cause redness, burning, or stinging.

Medications

In recent years, new rosacea drugs have been developed. The type of drug prescribed by your doctor is determined by the signs and symptoms you're experiencing. To find a medication that works for you, you may need to try a variety of options or a combination of drugs.

Prescription drugs for rosacea include:

1.    Topical drugs that reduce redness

Your doctor may prescribe a cream or gel to apply to the infected skin if you have mild to moderate rosacea. Brimonidine (Mirvaso) and oxymetazoline (Rhofade) constrict blood vessels, which reduces redness. Within 12 hours of using the product, you should see results. Since the impact on the blood vessels is only temporary, the drug must be taken on a daily basis to sustain the benefits.

Other topical drugs have a lesser impact on redness but may assist with mild rosacea pimples. Azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others), and ivermectin are among these drugs (Soolantra). Improvements with azelaic acid and metronidazole usually take two to six weeks to show up. Ivermectin takes longer to boost skin than metronidazole, but it leads to a longer remission.

2.    Oral Antibiotics

For mild to extreme Rosacea with bumps and pimples, your doctor can prescribe an oral antibiotic such as doxycycline (Oracea, others).

3.    Oral Acne Medication

Your doctor may recommend isotretinoin if you have serious rosacea that hasn't responded to other treatments (Amnesteem, Claravis, others). It's a potent oral acne medication that also deals with rosacea's acne-like lesions. This medication should not be used during pregnancy because it can cause severe birth defects.

Therapies

Laser therapy and other light-based therapies can help to reduce the appearance of swollen blood vessels by reducing their redness. Treatments may be needed on a regular basis to preserve your skin's improved appearance.

Consult a Dermatologist

When it comes to rosacea redness, you have a few choices. A dermatologist will help you figure out which choices are right for you.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281021/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134688/

https://link.springer.com/article/10.1007/s40257-021-00595-7

https://link.springer.com/article/10.1007/s13555-020-00461-0

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