MANAGEMENT OF ROSACEA
Вставка
- Опубліковано 30 чер 2024
- Do you know that mites are thought to be a contributing factor in Rosacea?
Hi friends! 🤗
In this video, we explore what Rosacea is, how to classify it as well as the specific treatments we offer under the NHS in the UK.
Timestamps ⌛
0:00 Introduction
0:37 What is Rosacea?
1:50 Classification of Rosacea
4:30 General management of Rosacea
6:39 Management of erythematotelangiectatic rosacea (vascular)
8:51 Management of papulopustular rosacea (inflammatory)
11:01 Management of phymatous rosacea (rhinophyma)
11:32 Management of ocular rosacea
12:47 Final thoughts
Resources 📚
www.bad.org.uk/shared/get-fil...
www.skinhealthinfo.org.uk
www.rosacea.org
www.changingfaces.org.uk
Images 🖼️
DermNet
creativecommons.org/licenses/...
Dermatology Coaching 👨⚕️
theskinmedic.gumroad.com/l/rjtax
Dermatology Mock Interviews 🤩
theskinmedic.gumroad.com/l/dcvsv
Free weekly newsletter 🗞️
theskinmedic.substack.com
Hi, I am Chris, a Dermatology trainee working in the West of Scotland, United Kingdom. I make videos about Dermatology, Medicine and my journey towards becoming a dermatologist. If you have any suggestions/comments on what videos I should make, please leave them down below or email me at theskinmedicuk@hotmail.com
The content seen in this video is provided only for educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please speak to your local healthcare professional for specific medical advice.
Finally someone talked about the psychological effects ❤
Stay strong ppl
Applying a tiny bit of 'horsepaste' ivermectin works. Cheaper than prescription cream, but same active ingredient.
If its mites as your cause, this works.
I have the type of rosacea and have a gell for outbreaks. Lately I had an outbreak for 3 months . Even the gel would not work. I found that rosacea is an inflammation, so I took turmeric capsules and drank green tea as well as using the green tea bag and apply the liquid in the tea bag by rubbing it o. My face. Within a few days it was visually clearing also Honey is also a natural anti inflammatory and promotes healing but I found green tea worked great and fast
How u use greentea
@@Rainbow-fn9xu green tea tea bags. Make a cup of hot water and place a tea bag in the water. Use a cotton ball and dip into the tea gently apply to face
@@ritabrady4033 please what kind of green tea ma is it Lipton please help me ma
@@tinagold1505 id imagine just green tea bags as standard. I want to try this I have the mild rosacea acne like spots on the cheeks that won’t budge.. 4 days if metrodizole gel and they r still there.. I am thinking to try the turmeric & green tea combo as this poster spoke of, did you have any luck????
Interesting. Will try.
As a long-term sufferer this advice is super helpful. So many things trigger it for me - sun, cold, wind, spicy food, alcohol, exercise. I'm going to try some over-the-counter azelaic acid cream. Thank you!
As an esthetian who suffers rosacea, I recommend the Paula's choice azelaic acid 10%! If you're super sensitive, it will take a few days to a week for skin to adjust to the ingredient but this one is the least drying I've tried on the market
I just discoverer I have rosacea. There are 2 causes: microbial and insulin related. Skin conditions are often related to high insulin. You don't need to be fat either to have high insulin.
An all hands approach works. Low carb diet, use sulfur facemasks, use IPL and red light therapy, use anti redness moisturizers and washes, use azelaic acid, and try metrogel or ivermectin cream. No perfumes, use mineral sunscreens.
Just 2 weeks of this regime and my skin looks better now than it did when I was 20.
Chris, i agree with the other comments. You have given me more info than my doctor. Appreciated. Subscribed.
I’m 11 day into a no sugar no carb, organic meat and vegetable diet only. In the last 3 days my skin has never been worse. Let’s hope it’s just mites dying off…
Thank you so much for this info! It’s made me realise that my rosacea has started very close to when I decided to introduce carbs into my diet. Thank you!
@@leboned3076I really feel for you! How did you go?
@@user-eo9sw8xe3m It continued to get worse and worse. So after 3.5 weeks i gave up because it was the worst it had ever been. I have tried pretty much everything you can imagine and the only thing that works is no alcohol, lots of exercise for weeks on end.
thats a lot more information about rosacea than even my dermatologist gave me. thanks a lot, well done.
You know that feeling when someone gives you a hug that you didn't know you needed. That's how your comments at the end of this video made me feel. I appreciate your content..
CLOVE OIL!!! I had a red spot on my cheek that grew. Docs tried topical meds that didn’t work. Then I thought back to how it started. I got it after I let a bearded landscaper borrow my phone. That made me wonder if it was parasites or mites in my skin. I decided to use Clove Oil. I applied it and after the second night my red area started flaking. After applying the Clove Oil every night for 5-7 days, that area had shed several layers of skin and revealed new beautiful skin. Apply the Clove Oil to the red areas only. I used it straight out of the bottle but if it’s too strong, add a little rosehip oil or other mild oil to tone down the strength.
Hey please help me . Will this clove oil work on my rosacea???? My both cheeks are red all the time 😢 please reply😢😢🙏🙏🙏🙏🥺
@@HappySingh-pp7zt I’m so sorry you have rosacea. Around 25 years ago a man borrowed my phone at the office where I worked. I noticed he sweat all over it so I wiped off my phone then went back to using it. A week later i noticed a red spot on my cheek where the phone used to touch my face. That spot grew the size of a quarter and for 3-4 years I thought it was allergies… One dermatologist said it was a fungus and prescribed a topical cream but that didn’t work. Later, a different dermatologist said it was rosacea and gave me a cream called i think Fenacia??? But that didn’t work. I then talked to friends who were into holistic healing and that made me wonder if it was skin mites, buried under the skin. I applied clove oil right on that spot one night. It burned like crazy but that burning sensation faded away. The next morning my skin in that area looked a little dry so I gently exfoliated with a buff puff. Then I applied more clove oil that night. After the 3rd or 4th morning I noticed a thick very flaky patch of dry skin over that area, and only that area. I peeled it off to notice little holes where my pores were. I applied clove oil again that night. The next morning my pores were closed and skin looked smooth. That was the last I saw of that red patch. I really think I must’ve gotten some kind of skin mites from that man who borrowed my phone. Maybe you can try clove oil on a very small section of your skin for a few days and see what happens. I pray you will be healed.🙏🏽✝️❤️
Thank you some much for the video, keep helping people, you're awesome!
I have been dealing with this for over 13 years. Tried everything you can possibly imagine! Just few months ago I was having a flare up and applied 👁️verMctin gel (if you know what I mean) 6 days later my face was clear and I no longer needed adding the gel. My skin is beautiful since!!!
I heard that worked.
Where did you get your Ivermectin cream, Dr.?
Thank you Doc! I have it but it's never bothered me. I've learned to live with it. It flares up in summer. Not so noticeable in winter. My dad has it too. I started getting Rosacea when I was in my 40s. I tried to explain to some co-workers in Japan it is a skin disease and they seemed to not believe me. It's very common among the English, Irish, Scottish, Welsh and Scandinavian people.
You’re going to be an excellent doctor.
Thank you, Dr. Chris! That was helpful to learn about the classification of rosaces types
Thank you . As a frustrated long suffering rosacea patient, you covered a lot of information.
Thank you doctor for the info. You have a very clear beautiful skin.
I’m Scottish and I can sometimes hear a wee Scottish twang in your accent ❤ great info ! I suffer from mild rosacea mostly with thread veins on my cheeks . I’m now more informed and ready to treat. Many thanks and I’m jealous of your beautiful clear skin! ❤
How is your skin doing lately?
Thank you so much doctor, such a great explanation👌
Thank you very much for all this info! God bless you 🙏🏻
You are so welcome!
Very informative 👏🏻
He knows his stuff!!! Thanks doc
Thank you for this great video!
The best video I've ever seen on rosacea! Informative, thorough, and easy to understand. Love your presentation style. Thank you.
Thanks for your excellent advice
Thank you. Yes. Well done.😊
Thank you Doc, this was really helpful to me as a younger rosacea sufferer. It has been really hard for me to deal with my skin condition :( I wish there was a cure.
P.S - You have a really nice reassuring and calming presence.
I have had rosacea for 40 years lately I found blue light works wonders to tame the inflammation
I find red light therapy and IPL (i use the hand held ones for hair removal) work really well. Blue caused me to have more melasma
Really helpful, thank you
Thank you! This is very helpful.
great video thank you !
You look very young to be a Doctor. Thank you for this video. You clearly know your stuff.
Amazing!
Thank you for this informative video.
Dear Dr, you have gorgeous skin! I have rosacea for the last forty years. I have the spider veins on my cheeks. Nothing helps, but thank you for trying to help us.
It's a gut autoimmune issue
Try IPL. It will shrink the red blood vessels
@@kingjames007 Could you explain that, please?
Thankyou this makes sense 🙏
Thanks a lot for your very informative video👍👍👍👍👍👍👍👍👍👍
You are welcome!
Your skin is beautiful!
If I may share:
I have tried nearly all otc, Rx, etc. etc.. The only prescription that cleared my face up was Claravis (Accutane). I was desperate on an unfathomable level (perhaps some of you are, as well).
Additionally, the only long-term ‘cure’ I have found to work, is fasting (18 hours fast, 6-hour eating window), a plant-based diet; and - to the contrary, cold-water swimming. Sodium sulfacetamide with green tea and aloe vera helped immensely
Which type of Rosacea u got?
I'm South East Asian. I've had Rosacea for more than 10 years.
Now I'm suffering from Rosacea outbreak for more than one month. The cause is from heat and sun exposure. The doctor prescribed Onreltea but it makes the outbreak worse after a week of using it.
On my daily routine, I use Noritate at night, Eucerin Dry skin 5% Urea and Alumier Sheer Hydration sunscreen for daytime.
The outbreak destroy my summer, I can't nor don't want to go outside 😢.
Thank you for your informative video ❤
Thank you very much for the insights 😌☺️☺️☺️
You are so welcome
Great video
sunlight, wine, coffee, spicy foods - 4 of my favorite things.
You can still drink coffee, its the heat from coffee that triggers it. You can find many flavors of cold brews that are delish- give u the caffeine wout the trigger of inflamation
Thank you 🙏
I have a very mild case. I'm controlling with a rich diet in fish, veggies, and fruits. My triggers are spice foods (only if I eat them often) and sun. I avoid the sun. (I live in S. Florida 😅) I manage it. Now face moisturizer bothers me by iching. I used IT gel, which was great but vanished. My dermatologist advised me to go to Clinique, but I didn't like it.
Very informative thank you
Thank you so much
Hello 👋 from kalama Washington USA. Thank you for sharing this information.
You are so welcome!
I’m suffering bad at the moment. It seems to happen if I’m out in the cold and then go into the warmth
Wow, this video helped me so much!
Thank you
Tomatoes- V8, oranges anything w citric acid triggers my rosacea- heat and Sun make worse and stress. Keep a clean gut. I use Cetaphil face cleanser morning and evening pat dry and apply Metrogel. Important to use all fragrance free products
Your skin looks so clear!
Hi
Thanks for information i gott vaskular rosacea för almost one year ago efter a short time of hormon treatment for menopaus which now i stopp taken them i had a few doctor visist but They really dont care and now my skin is stil untreated i dont live in uk.
I am working in healt care branch and i have to wear both mask and sheild during day which i fel my skin gets very hot under this cover. Besides of hormons i think even this was anothere factor for me to develope rosacea.
Thanks if you can answer me about effect of masks and sheild on face and even treatment
My nurapothy burning inside out triggers rocasea tiny little bumps redness ...what do you advise for repeated rocasea from burning nurapothy ? Thank u
Thank you for this video ! I have rosacea since 2 years. I’m pregnant (38 weeks) and my rosacea is worst now.. do you know if pregnancy can affect the rosacea ?
I’ve try acelaïque acide, the antibiotic creme « Rosex » and clindamicide but not working on me …
Sorry for my english i’m french 😇
Hello! Pregnancy itself can definitely trigger rosacea. Unfortunately, treatment options are fairly limited in pregnancy as there isn't much data showing their safety profile regarding pregnancy. It depends on your subtype and discussing with your healthcare professionals about the various treatments. In the UK, there is a website that gives you a good summary of what can/cannot be used in pregnancy.
www.medicinesinpregnancy.org
Correction it can affect all people to include people with darker skin, representation matters so while giving information DO NOT leave out people with non pale skin.
Regarding Rosacea and the theory it is caused or worsened by demodex mites I‘d like to know your opinion on a certain skincare product called Demoderm. Main active substances are sulfor and zinc. It also contains menthol. This skincare product is supposed to detox the skin and doing so it is said it can lead to an intense worsening of the skin in the beginning as part of the detox process. The skin is supposed to heal itself eventuall so that - according to the Demoderm-thoery - the skin doesn‘t need any skincare at all and should regulate itself. During that detox period it is said, that Demoderm is drying out the sebum in the skin so demodex mites would basically starve and die and the skin can recover. The pores on Rosacea-skin are referred to as Demodex-pores.
I‘d really like to know your opinion on these theories because I can‘t find any statement by a dermatologist, not on Google nor on UA-cam and I would like to know if Demoderm is worth a try. Many Thanks!
Hey brother do u think moisturizer, oil base moisturizer and facial oils can trigger the redness??
I found i have stage 1 rosecea and my skin get trigger by oils and oil base products .
I would avoid them if you find that they are triggering your rosacea. There’s no right or wrong in this as some people find them useful in calming the skin down. Just make sure you look at the ingredient list to make sure there are no irritating products.
I’m assuming I have some kind of rosacea , I have burning skin tightness stinging pain when I apply water to wash my face . Waiting on dermatologist appointment can’t come soon enough
I live in the US and I have a mild form of inflammatory rosacea and the dermatologist prescribed me sodium sulfacetamide and sulfur cleanser and metronidazole cream the problem is I use the cleanser but not the cream so much and also environmental and reluctance to reduce my coffee intake does not help much it really affects me emotionally but I try to manage
I am on prescription azelic acid for 6 months. Some improvement but it didn't go away.
Hello , how’s your skin condition now ?
I have this and it seems to get worse when I don't shave for a couple of days, I itch the stubble and it then turns red, I will be trying to eradicate the mites first, then look at my diet.
My Rosacea coincided with the start of a kind of statin, although the doctors play down the medication side effects, does say it can cause facial rash. So, who is to say my Rosacea rash sometimes turning into the inflamed and painful rash on my face hasn't been a side effect of this medication. ☹
Mine too! Thanks for highlighting this played-down side effect! Incidentally, I tried taking plant based sterols to control cholesterol and they 'coincidentally' seem to have had a similar effect. I found a night cream from Boots that contains niacinamide and it helps with the redness and bumps - look it up, it's listed as a potential rosacea treatment (not cure). However there are now cosmetic face creams/cleansers that also contain niacinamide (e.l.f. is one). I have stopped the statin and the plant sterols (I didn't take them at the same time!) and am trying lifestyle and diet changes to control both conditions. Rosacea is also triggered by stress, so if you're stressed by the discomfort and disfiguring effects of rosacea then that can only make things worse! Doctors in the UK are licensed and to keep their licenses must prescribe at levels set by an overseeing medical body - sorry I don't know which - so they are also in a bit of a bind about what they can prescribe/recommend. I hope you find some relief soon.
There’s a tons of different kind of toners in the market including hydrating and PH balancing ones , not necessarily with actives .
Hi doctor, I am from India and I am suffering from rosacea. Can I use aveeno body wash and its moisturizer on face?
Neem oil
I think I have the second type, but I have some red stripes bellow the sideburns, and the neck right bellow/behind the ears. The only triggers I see are stress and too much exercise, like a long bike ride or something.
ı have too the second type
Sugar for me is a huge trigger. I can almost cure it if I stop eating carbs.
Ive just read something on google about sugar being a trigger and im going to try very very hard to cut this out and see if it works but it will be very hard
@@stanceworks7995how did it go?
Thanks for the video! Could you suggest me a moisturizer for atopic and rosacea skin? Thank you very much
I use whipped beef tallow moisturiser from Fierce nature UK it’s helped my skin a lot
@@James.527 Thank you so much for answering me, you're too kind. Thank you very much!
@@caterinag.9538 no problem!
Really informative video thank you. I’m not sure if I have rosacea or eczema as my face is itchy and flaky as well as red. Can anyone tell me if rosacea is itchy ?
Rosacea can be highly itchy and even painful. But as the doctor said it is necessary to get properly diagnosed as rosacea can often be confused with acne types.
Same, i have very dry and dull skin now and textured, it burns mostly after i wash and apply lotion. It used to get very flushed back when i used to go to class during the day but there is no redness on skin now, just some red ance marks like thing. I never had acne so i am.not sure what that is. I am struggling to figure out if i have dermatitis, rosacea or just allergic reaction
Dear Dr
I have fungal acnel since 6months I feel
How can l get
please hele me
I got them on my eye lashes.
I’ve had rosacea, lately it’s gotten bad, my skin looked like red leather with a little of those bumps. My sister gave me a colloidal silver in a spray bottle. I have been using it daily for last week. My skin is really clear right now. It kills viruses or bacteria. So maybe this killed those mites.
hala duzgunmu cildiniz rozasea ortadan tamamen kalktimi cevap verirseniz cok memnun olurum
I dont have capillary lines showing. My cheeks just have big pores and permanent redness
Hi Doctor i have rosacea and i have under eye too im scare that might spread
My dermatologist gave me rozex but noticed it makes skin tight after i apply it
Why does my rosacea look / feel better after a day in sun ?
Hi! I was wondering which one should i get for papulopustural acne? I used azelaic acid to reduce my redness. However, the bumps are still visible and the redness doesnt completely diminished.
Can I use both rozex and soolantra or is it best to only choose one? If it’s better to choose one, which one do you suggest for bumps? I hope you reply me in advance. Need your help, thank you! 🙏🏻
Choose one or the other. Not both at the same time
Which Azelaic acid do u use? The face Theory 15% lumizela serum is my holy grail and gets rid of my pustules and redness also look into korean skincare with centella, the cosrx pure fit cica serum gets rid of my rosacea overnight but its hard to get ahold of
Hello sir.. i am from pakistan ...i wish i could consulted you.watched ur video i badly need ur advice...as i am suffering from rosacea for 14 years...my rosacea got worse when left oral medication.. i got pimples redness bumps on my nose n chin...i am recent at isotretinoin tablets but it had just control the symptoms but results are not satisfactory..my doctor recommended me co2 fractional laser... But i have heard alot about IPL laser....could u pls plsssss guide me i badly need ur advice pls??
use neem oil apply on small area for few day may be it will help u
Soolantra was the only treatment that helped me. But now cannot find it in drug stores (Estonia, Turkey) 😒
Türkiye de var mı
I know you're just trying to inform people, but you didn't touch on gut health at all, instead you're making it sound like this condition just appears and stays due to some magic. Well, no. It mainly seems to be coming from gut issues, but dermatologists refuse to see the whole picture. They're sloppily patching a symptom, not treating the cause.
Thank you and love your accent.
Thank you! 😃
Early exposure to mites is the most likely cause of an overpopulation. We get them from our mother and father primarily in childhood then the right conditions cause an explosion of mites in the teen years. One comment about using Vaseline is interesting. I had a pharmacist tell me Vaseline keeps the mites from moving so reproduction becomes difficult.
What if I have no identifying cause and it’s just always like that, but I wouldn’t notice it if I didn’t look in the mirror.
how come, I have rosacea with no bumps?
Maybe your skin barrier has weakened and need to repair your skin barrier by moisturising and that’s why it’s purely just redness?
You can definitely here a Scottish twang in your accent ❤
Haha thank you!
I'm on Ivermectine 1% for demodex mites and rubox for eritema
How was it?
judging by the title I gathered you knew what you were talking about
I'm 15 year old and i have Rocasea can i use that kinda product
Yes you can. But always check with your healthcare professional :)
Topicals only treat symptoms. Tetracyclines are gut disrupters. They do not solve the root of the problem which is systemic inflammation caused by diet. Your inflammation is manifesting through the skin. What you're putting inside your body is more impactful than what you're putting on your body. For anyone with auto-immune conditions such as skin ailments, try the following:
1. Remove all grains (not just gluten), dairy, and processed foods from your diet.
2. Avoid vegetable/seed oils. The only oils you should be consuming are extra virgin olive, coconut, or avocado.
3. Limit nuts and other sources of omega 6 polyunsaturated fats.
4. Adopting a low-carb lifestyle. Doesn't necessarily have to be keto, but insulin exacerbates all auto-immune conditions.
5. Intermittent fasting.
How come dermatologist say to me … You have rocsesoa but we have nooooo idea what it comes from !!
下单了甲硝锉和壬二酸凝胶试试😂
I stay away from mayonnaise, alcohol, all spices and eggs. Meat, pork and fish is fine.
Can we surgery about that
My rosacea is much less intense in the summer when I spend a ton of time outside like when i go camping or at the beach… go figure!
Is there any difference between Asian and Caucasian skin in terms of treatment?
I have no symptoms at all that I know of but with that said I still am not willing to accept living my life with these demodex mites. The only reason why we tolerate living with them is because we can't see them or feel them. An example of this would be scabies. We can't see them but we can feel them so we don't tolerate them.
I need to know how to get rid of these mites and how to keep them off me. No one can tell me this.
I try ever the nothing works 😭
Is Papulopustular Acne the same as Papulopustular Rosacea?
It is actually different! Acne and rosacea are both inflammatory skin conditions but their pathophysiology and treatments differ!
How long Finacea 15% need to start working?
It does take a good few months before you see a difference. I generally tell my patients to wait for at least a month.
thank you . Can I use the gel in the morning and differin at night?
Seems you havent answer and I can’t wait to try this combo (separately) , I started using both gels on my sensitive and reactive skin . No improvements yes but also no crazy irritation , may b just the more dryness and I’m still breaking out
i suffer from acnea rosacea and its gone terrible from when its started till now its started at age 18 im 21 now and its miserable not eating tgat stuff i like even eating antinflamatroy foods triggers my face and antibiotics makes its worse
I would start looking on earth clinic - they have a list of amazing remedies.
Have a look at histamine intolerance, see if you have the symptoms. Only antibiotic that ever helped me was a low dose 40mg doxycycline (the one typically used for rosacea). That cleared mine up and I start roaccutane soon to see if I can keep it away. (Both rosacea and hormonal blemishes)
I am too tired. I'm very afraid. I feel exhausted.😞😞😞
Thank you for mentioning it's about improving the quality of life so we don't have to be religious about avoiding certain things.
Soo many specialists (in any fields) don't get it. Like, I'm not gonna avoid sports just because my rosacea doesn't like it, I'm not gonna awoid swimming pools cuz 'there's a possibility of getting an infection on your feet', etc.🙄
yeah thats how i feel i cant quit sports and theres no fucking cure for this bs. I eat extremly clean for this sickness yet my face flairs up taking antibiotics makes its worse because it kills the good bacteria on your gut.
@@enilizsantiago2317 I've been taking a supplement with a bunch of stuff promoting healthy blood circulation (diosmine, rutoside, hespedrine, niacine, vitamin c and k, etc.) and it seems to help. It's my second month of taking it and I can see that my skin doesn't blush as much when I'm being active or when I'm out and it's freezing... You can look into foods naturally rich in these substances or search for a supplement available in your country :)