CAUSES, SYMPTOMS, SKIN CARE WITH ROSACEA
Rosacea is a disease, so it requires consultation with a doctor and scrupulous observance of medical recommendations. The combination of therapy and proper skin care allows for the extension of remission periods and improvement of the patient’s quality of life. How to care for a complexion with rosacea? What to wash your face with rosacea? We answer these and similar questions in the article.
ROSACEA – SYMPTOMS, CAUSES AND COURSE
Rosacea is a chronic, inflammatory dermatosis that develops on the basis of vascular disorders, runs with periods of exacerbation and remission, rarely promising complete recovery. It affects 1.5-10% of the population, three times more often women than men. Rosacea is observed more often in people with fair complexion (I and II skin phototype according to the Fitzpatrick classification). The disease usually develops in people between the ages of 30 and 50.
Rosacea manifests itself in the form of pimples, papules, nodules, telangiectasia and permanent erythema, located in the area of the cheeks, nose and chin. Skin lesions typical of rosacea develop on the basis of vascular lesions. The capillaries fill with blood excessively, are brittle and therefore burst. Brittleness and excessive vascular permeability contribute to the penetration of inflammatory factors that intensify erythema. The lesions are preceded by prerosacea – symptoms typical for vascular skin.
The causes of rosacea are complex, the most important of which are:
– Vascular disorders, initially transient, then permanent erythema, telangiectasia, i.e. permanent dilation of the blood vessels of the papillary plexus of the skin. Blood vessels at the site of inflammation are characterized by increased blood flow.
– Disturbance of the immune response caused by factors of the external environment.
– Activity of free radicals.
– Influence of UV radiation.
– Influence of tissue enzymatic mechanisms.
– The action of microorganisms, including: infection with Demodex, Malassezia furfur yeast, Helicobacter pylori bacteria, parasitic diseases.
– Genetic factors.
– Excessive skin sensitivity.
Environmental factors that have a significant impact on the appearance and exacerbation of rosacea symptoms include: alcohol, cigarettes, hot and spicy food, the influence of certain medications, sudden temperature changes, strong wind, rooms with high air humidity and, on the contrary – very dry air, the influence of radiation sunlight, hormonal disorders, strong emotions, stress, inadequate skin care, intense physical exertion. The changes also intensify under the influence of hormonal factors. We observe exacerbation of changes in the perimenopausal period, during pregnancy and during the use of oral contraception.
Doctors distinguish four forms of the disease:
– telangiectatic-erythematous form – a characteristic symptom is a temporary or permanent erythema located symmetrically on both sides of the face. It is accompanied by telangiectasia and facial swelling, patients complain of burning and tightness.
– maculopapular form – characterized by the periodic presence of pimples and papules on the erythematous basis. This form of the disease often coexists with acne vulgaris, which makes its correct diagnosis even more difficult. Rosacea and acne vulgaris differ in that with rosacea we do not observe the presence of blackheads.
– hypertrophic – in this form of the disease, the already mentioned erythema, papules and telangiectasias are observed, and additionally, irregular skin thickening and a tendency to form tumors. The lesions are most often located on the nose, less often on the forehead and cheeks. This form of the disease is most often diagnosed in men.
– ocular – practically half of the patients suffer from the ocular form of rosacea. Its characteristic symptoms are burning skin around the eyes, watery eyes, photosensitivity, dryness, conjunctival irritation and redness, conjunctivitis, and the sensation of a foreign body in the eye. The patient requires constant care of both a dermatologist and an ophthalmologist.
Differentiation of rosacea is based on three diseases:
– lupus erythematosus – the occurrence of infiltrative changes with a significant thickening of the stratum corneum around the hair follicles is typical for the disease. On the other hand, there are no papular or pustular changes in lupus.
– acne vulgaris – associated with overactive sebaceous glands, characterized by the presence of papules, pimples, blackheads, purulent cysts. However, we do not observe vascular changes.
– disseminated facial lupoid – typical symptoms of this disease are the presence of nodules that change color under pressure, disintegrate and scar.
ROSACEA – CARE
How To Get Rid Of Rosacea? As already mentioned, rosacea is a chronic, recurrent dermatosis. Proper skin care restores the comfort of life and prevents exacerbation of symptoms.
Skin with rosacea, like sensitive skin, is prone to irritation, redness, stings, burning, and gives the impression of tightness. Caring for skin with rosacea is a big challenge, properly selected dermocosmetics will help you to cope with it. It develops on the basis of vascular skin, hence the use of active ingredients improving blood microcirculation, strengthening the walls of the vessels, constricting dilated capillaries and reducing redness. Skin with rosacea is also characterized by damage to the protective epidermal barrier, which results in hypersensitivity.
WHAT TO LOOK FOR IN DERMOCOSMETICS FOR ROSACEA SKIN?
– Do not use soap to wash the skin, but light, non-foaming face cleansing gels.
– Wash the skin with lukewarm water, never with hot water, drying the skin, avoid rubbing, rough towels, etc.
– Avoid hot baths, hot water, although it is not in contact with the skin of the face, may cause dilation of blood vessels and erythema.
– Absolutely avoid mechanical peels, replace them with enzyme peels.
– When applying a dermocosmetic for the first time, it is always worth making an allergy test.
– Remember about photoprotection. The sun and free radicals have their infamous part in the development of rosacea. Since infrared radiation and HEV radiation (high-energy blue light emitted by the screens of smartphones, TVs and laptops) generate even more free radicals than UV A + UV B radiation, choose dermocosmetics that provide broadband protection – against UV, IR and HEV. Remember that UV A radiation affects the skin with the same intensity throughout the year, also in winter. Day cream with UV filters is the basis of care.
– Use dermocosmetics with moisturizing, soothing, soothing and regenerating properties.
– In addition to day and night creams, it is worth including masks in your care. Hydrogel masks are especially effective, the application of which is very simple, does not require rubbing the skin or washing off residues.
– For skin makeup, choose fluids containing UV filters and active ingredients that care for the couperose skin.
– For make-up removal, choose micellar liquids designed for sensitive or couperose skin.
– With rosacea, cosmetic procedures requiring pressure, intense friction and exfoliation are prohibited – chemical peels with a high content of acids, microdermabrasion, mechanical exfoliation, skin warming and cooling treatments, sauna and solarium, face massage, except for lymphatic massage, the purpose of which is getting rid of metabolic by-products.
– It is worth eliminating spicy spices, alcohol, strong coffee from the diet – the correct diet and skin care are a system of connected vessels.
– Avoid factors exacerbating acne lesions.
WHAT TO LOOK FOR IN DERMOCOSMETICS FOR ROSACEA SKIN?
– Vitamin C – vitamin C deficiency results in a disruption of the collagen synthesis process, which contributes to a decrease in skin elasticity and firmness, deepening of wrinkles, as well as brittleness of capillaries, which leads to a tendency to bruise and micro-bruises.
– Vitamin K – associated by most of us with the blood clotting process. It accelerates the absorption of subcutaneous bruises, broken capillaries and redness. Used in the cream on blood vessels, it stimulates the activity of substances responsible for the blood coagulation process, thanks to which the damaged blood vessel is sealed faster, the outflow of blood cells is stopped, and thus the visibility of redness is reduced. Dermocosmetics with vitamin K improve the skin tone. Vitamin K is recommended for use on the skin with symptoms of paroxysmal erythema, the problem of telangiectasia, dark circles under the eyes, cyanosis, as well as a preparation that prepares the skin for aesthetic medicine treatments and a soothing agent after treatments.
– Soothing ingredients such as betaine, d-panthenol, allantoin, lime water. The lime water contained in CALM-ROSALGIN Night redness reducing cream has antiseptic, soothing and soothing properties. D-panthenol contained in PURI-ROSALGIN Soothing physiological face wash gel easily penetrates into the epidermis, moisturizes, soothes, protects and anti-itch.
– Olive wax contained in the LIPO-ROSALGIN multi-soothing face cream, due to its low molecular weight, easily penetrates into the skin, moisturizes the skin, creates an occlusive layer that prevents water loss.
– InnoTetrapeptideTM is a peptide that reduces the visibility of redness and dilated blood vessels caused by inflammatory reactions. It inhibits the release of interleukins responsible for inflammatory reactions, as well as the activity of collagenase that contributes to collagen degradation.
We have already said that skin with rosacea shows symptoms of both vascular and sensitive skin. Unfortunately, the necessity to wear masks does not have the best effect on the condition of sensitive, atopic and acne-prone skin. Moist environment under the mask, limited oxygen availability, favoring the growth of anaerobic bacteria, skin sweating under the mask, pressure and abrasions caused by poorly fitting personal protective equipment can lead to redness, itching, dryness, burning and similar unpleasant sensations.
At this extremely difficult time, skin with rosacea requires particularly careful care.