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Hey guys i’m dr. mona gu hara and welcome back to another episode of dear derm today we’re going to talk all about rosacea so rest assured that i see rosacea patients every single day it is super super common so you are not alone but sometimes you may not think it’s rosacea and patients come in and they say doctor kihara i really sensitive skin when actually
That’s not what’s going on but that doesn’t mean we’re not going to talk about it today i’m deer derm we’re gonna dig in a little bit deeper and talk about the different kinds of rosacea and what skincare routine would be optimal for you if you think you have it rosacea is an inflammatory skin condition that a lot of people associate with redness on the face but
It can actually present itself in many different ways so let’s get into that a little bit more so there’s four different things that i kind of talk about my patience with and people can have any variation of that first trigger-based flushing so hotter spicy food red wine changes of emotion changes of temperature i hate to use the word both hormonal flushing and
The face gets a little bit pink in the cheeks and then the flushing goes back down second is textural changes on the skin so acne bumps enlarged pores dryness easily irritated any of those things where the texture of your skin is noticeably different may actually be a component of rosacea and what’s interesting is you actually may see these textural changes which
Kind of look like pimples around your chin nose and eyes third you may see broken capillaries little tiny broken blood vessels in the skin that actually leave the skin looking a little bit pink and red and somebody may think for example you’ve been sunburned or have a little blush on when actually you don’t and then lastly ocular rosacea or rosacea around the eye
That leaves the eye watery feeling a little bit gritty like you want to dig something out of there each one of these components of rosacea has a nuance treatment that your dermatologist may talk to you about that being said anyone with rosacea really should consider using a very gentle skin care routine on a daily basis when i talk to patients about what they
Should be using on their face in the context of rosacea the first would start with a very gentle hydrating cleanser no harsh soaps nothing that’s foaming nothing that’s drying because what that’s gonna do is it’s just gonna stoke the fire creating more redness second when it comes to exfoliation i recommend using a beta hydroxy acid like salicylic acid instead
Of an alpha hydroxy acid like glycolic acid why because it’s a little less irritating and also it can help minimize the enlarged pores which often come along with the textural changes of rosacea moisturization is essential because patients with rosacea may note that they have particularly dry skin so i recommend looking for creams and lotions that have components
Like ceramides glycerin and hyaluronic acid lastly and probably most importantly is sun protection and ultraviolet protection because we know that uv light and heat can be a very big trigger for rosacea flares so i recommend to my patients that they never leave the house before applying a broad-spectrum spf 30 or higher if you’re interested in collagen building or
Fading down fine lines here are some of the ingredients that i like the cuchillo is a plant-based ingredient that’s been used in many other parts of the world to bring out radiance and glow and increase collagen production and it’s extremely gentle on the skin also i really like a vitamin a derivative called ret and aldehyde which helps to build collagen but is a
Lot less inflammatory than other retinoids so here are some of the things that i recommend avoiding when you’re applying makeup i wouldn’t use the harsh bristly brushes this is a great place for the makeup sponge to blend in your foundation or to put on your concealer because they’re a lot less irritating to the skin and may not bring out that redness that can
Be triggered by irritation on the skin i also recommend avoiding mechanical cleansing brushes and mechanical exfoliants because they can actually make you have more broken capillaries on the skin so i would just steer clear of those altogether and then the last thing i would say is just be overall very careful of what you’re putting on the skin it kind of takes
Some examination before you buy a product just because it says natural or organic or plant-based doesn’t mean it’s great for the skin and it actually may be pro-inflammatory so here are some specific product lines that i like for rosacea for sunscreen i like the elta md line they have a wonderful product called alta clear that you can put on each morning before
You leave the house and as the clear and the name connotes it blends in easily with any skin routine but it also has this little magic gem of niacinamide in it that helps to reduce inflammation so that’s one of my fan favorites when it comes to rosacea products i also like this line called a vent which is in general which is very gentle on the skin for those of
You interested in collagen production and decreasing fine line this product here which is active ingredient is retinaldehyde is a gem just use a pea-sized amount over the entire face to get your desired result now one of the tips and tricks i tell my patients is actually just to apply it to the periphery of the face not the central face because the outside of your
Face is where you’ll have the least amount of inflammation from rosacea but most of those pesky little lines another product line i love which is from spain is called isdon’t you can find it locally here in the us and this in particular this line in particular called mell atonic is infused with the coochie all that plant-based derivative that we talked about and
It’s very gentle i really love this because it’s a serum base and i can and i like that it’s clear as you can see and i like that i could use it in the morning or at night giving me a little bit more flexibility in my routine so i actually use this on a regular basis because i myself had of a smidge of rosacea that’s trigger based for my feet so when i get out of
The shower my face is a little flushed and i just put on my mellow tonic now that you have the general skincare routine for rosacea let’s talk about the specific treatments that i may recommend to my patients so first for trigger-based flushing and i know this is superduper annoying what i usually recommend to avoid the triggers the second component of rosacea
That we talked about which is the textural changes or the acne bumps that may occur around the mouth the nose or the eyes eye there are a lot of options for this there could be topical or oral antibiotics that can come in the form of creams or pills and those can significantly help to reduce those irritated inflamed papules that occur and many times that is what
Causes the most anxiety in cases of patients who have rosacea third for the broken capillaries on the face thank god for lasers because they really help to reduce and get rid of those little teeny-weeny capillaries that are creating the red and pink hue to the cheeks and lastly ocular rosacea which actually can be the trickiest one to treat and can come on and off
For years your dermatologist may give you an oral antibiotic to subside some of the inflammation or even recommend gentle cleansers to place along the eyelid to get rid of some aback grit so i hope from this episode that you learned that there are different components to rosacea but also a lot of different treatment options so definitely get in to your dermatologist
And definitely check out some of the products we recommended today thank you so much for watching this episode of dear derm don’t forget to subscribe to well and good and leave any comments below you
Transcribed from video
A Dermatologist's Guide To Rosacea Skin Care | Dear Derm | Well+Good By Well+Good