Tag Archive: Rosacea

5 Best Rosacea Skincare Tips – A Dermatologist’s Guide

January 25, 2021
Rosacea Skincare Tips, iintroducing Dermatologist Talks: Science of Beauty

Dr. Teo Wan Lin is the host of a beauty podcast- Dermatologist Talks: Science of Beauty, which covers the latest in skincare active ingredients, dermatology news and beauty technology. Listen to her podcast here.

In this Conscious Beauty blog series which ties in with the launch of my podcast- Dermatologist Talks: Science of Beauty- I will be sharing about skincare tips in common dermatological conditions.  Do you suffer from facial redness or flushing? Facial erythema can be caused by acne, rosacea, eczema and even autoimmune diseases like lupus. Most commonly, facial redness is due to rosacea. It is a disorder where the skin’s blood vessels are abnormally active leading to persistent skin inflammation. This article will focus on dermatologist rosacea skincare tips, medical therapies, as well as the role that a rosacea skincare routine has to play in treatment. 

Rosacea Symptoms, Signs and Diagnosis

Rosacea is a dermatological condition characterised by the tendency of one’s skin to become flushed or red. This can happen in the presence of certain triggers or when the disease is advanced, it may present as persistent redness. It is a condition affecting many in Singapore. It can also be fully treated by a dermatologist.

How does the skin look like? Firstly, there is persistent flushing, which presents as redness on the face.  In skin of color, the redness may not be obvious. However the individual over time develops skin textural changes, which can become disfiguring. Irregular skin texture, enlarged pores and eventual skin thickening are medium to long term complications of untreated rosacea.

In general, onset of the skin inflammation occurs when one is between 30 to 50 and tends to affect fair skinned individuals from a Celtic or Scandinavian ancestry. It is also seen commonly in Chinese people in Singapore. 

Rosacea is diagnosed visually, examining the skin around the nose and eyes, and from asking more questions. Before giving you a diagnosis, your dermatologist would have to rule out other medical conditions that can look like rosacea. Medical tests can help to rule out conditions like lupus and allergic skin reactions. 

  • Family history: It is more likely for you to get rosacea if you have a family member who also has rosacea. It is possible that people inherit the gene for rosacea. 
  • Immune system: Research has found that many people who have acne-like rosacea, or papulopustular rosacea, react to a bacterium called bacillus oleronius. This reaction causes their immune system to overreact. 
  • Intestinal bug: H Pylori is a bug that causes infections in the intestine. This bug is also common in those with rosacea. There is a hypothesis about the Helicobacter pylori bacteria colonizing the gut of rosacea patients, which explains why treatment with metronidazole can be effective in treatment.
  • Skin mite: Demodex is a mite that lives around the nose and cheek areas on the skin. This is where rosacea often appears. Studies have found that people with rosacea have large numbers of this mite on their skin. 
  • Processing of protein: The protein cathelicidin usually protects the skin from infection. How the body processes this protein may determine whether a person gets rosacea.

Topical treatment can include brimonidine, metronidazole and azelaic acid. However, these have irritating side effects.There is increasing evidence to support the use of cosmeceuticals, which do not have side effects, for the adjunct treatment of rosacea. At TWL Specialist Skin & Laser Centre, our dermatologist uses cosmeceuticals for the treatment of mild to moderate rosacea, in combination with  oral treatment where necessary. Anti-inflammatory oral antibiotics may be required for papulopustular subtypes i.e. tetracycline, erythromycin, to reduce skin inflammation. In severe papulopustular variants, isotretinoin may be required. Light therapies and lasers may be of value as adjunct treatments. 

Rosacea Skincare Tip #1 Respect the Skin Barrier When Cleansing and Moisturising 

We’re going to talk about the role of the skin barrier in rosacea. 

The skin barrier is best thought of as the physical “wall” that separates the external and our internal cell environment. An intact skin barrier protects from external allergens and environmental damage. An individual with rosacea may have associated eczema, making face redness worse. This can be pre-existing childhood eczema or due to external factors such as harsh drying skincare. 

When you suffer from a dermatological condition like rosacea, it is important to have it treated by an accredited skin specialist. Your rosacea skincare routine affects skin barrier function. When it is intact, there is less inflammation and facial redness will improve.

In your rosacea skincare routine, gentle cleansers are recommended. For foaming cleansers-these can be amino- acid based or formulated with lower SLS (sodium laureth sulfate) content. SLS- free cleansers usually contain alternatives like ammonium-laureth sulfate. Laureth sulfates can all strip the skin of moisture. SLS-alternative foaming cleansers can be natural emulsifiers, such as soy-based or honey. Medical-grade honey is purified and retains bioactive properties. It is a broad-spectrum anti-microbial. It inhibits bacteria, fungi and also moisturises the skin.

The function of gentle cleansers for rosacea can be two-fold. First by emulsifying the dirt, oil and grime in a lather which is then rinsed off. Second, the best cleanser leaves a beneficial residual effect on skin. It continues to act after the cleanser is washed off. This is possible with medical-grade honey cleansers that have a natural humectant property, trapping water under the skin’s surface. This reduces trans-epidermal water loss (TEWL).

If you wear makeup, double-cleansing is recommended. The type of cleanser to remove makeup has to effectively dissolve oil-soluble makeup pigments. An oil cleanser or a oil-in-water cleanser (usually formulated as a milk cleanser) will be gentler on your skin then a micellar formulation. 

Rosacea Cleansing Tips Explained by a Dermatologist

Gentle skincare is key. The goal of a rosacea skincare routine is to maintain integrity of skin barrier while avoiding agents that cause inflammation/flushing. Non-soap cleansers with synthetic detergents (pH 4.0-6.5) are better tolerated than traditional soaps (pH >6.5). Avoid harsh topicals such as toners, exfoliating agents and astringents. In erythematotelangiectatic rosacea and facial erythema (flushing), telangiectasia, eczema-like features such as skin sensitivity (burning or stinging sensation), dryness and scaling can be present. The redness can also affect other areas e.g. scalp, ears, neck and chest. 

Repair the skin barrier while undergoing rosacea treatment. Facial redness can be caused or worsened due to facial eczema. If you have itch, swelling and skin flaking, you may have dermatitis, which can co-exist with other dermatological conditions. 

The Best Type of Moisturiser for Sensitive Skin

Moisturisers in your rosacea skincare routine should target barrier repair. The best moisturiser for sensitive skin and rosacea is one with ceramides.  Ceramide-dominant moisturisers with an optimal lipid ratio help to replenish dehydrated skin. The gold standard moisturiser is formulated as a Prescription Emollient Device with additional anti-inflammatory ingredients. Hyaluronic acid and polyglutamic acid are additional hydrating molecules that do not leave a greasy feel in a tropical climate like Singapore. Polyglutamic acid is more effective than hyaluronic acid in attracting water molecules, but can be more expensive.

Rosacea Skincare Tip #2 Anti-Oxidants Target Inflammation

Inflammation occurs in rosacea. In papulopustular rosacea, inflammatory papules and pustules are present in addition to persistent face redness. Phymatous rosacea is a subtype of rosacea that shows thickened and coarse skin. Enlarged pores (dilated hair follicles on facial skin) may be a sign of rosacea, due to tissue overgrowth. Irregular skin texture can be due to nodules. These changes can get worse as one ages. Cosmeceutical skincare containing anti-oxidants fight inflammation in a healthy skincare regimen.

Importantly, skin inflammation in rosacea should be treated medically. This is because the end stage of persistent inflammation is a condition known as rhinophyma. Rhinophyma is disfiguring and surgical methods, including fractional CO2 laser resurfacing, may be required treatment when the disease is advanced.  

Dermocosmetics are the latest development in cosmetic dermatology. There is evidence supporting botanical anti-inflammatories in skincare formulations. 

As a rosacea skincare tip, active ingredients such as Gingko Biiloba, Camellia Sinensis, Aloe Vera, and Allantoin are beneficial in treatment. Gingko Biloba works for redness because of active terpenoids.  Gingko reduces blood vessel hyperactivity through its anti-inflammatory effect. Polyphenols are powerful antioxidants that fight free radicals. Green tea known as camellia sinensis is a source of polyphenols that are anti-inflammatory. It has been shown to reduce UVB-induced inflammation. Bioactives in aloe vera include aloin, aloe emodin, aletinic acid, choline and choline salicylate which are anti-inflammatory. It can also balance the skin microbiome.  Allantoin is a derivative of glyoxylic acid from the comfrey plant. It is a humectant and attracts moisture, restoring barrier function in patients with facial redness.

Common Misdiagnoses of Rosacea 

Acne rosacea is the commonest subtype seen in dermatologist offices. It commonly occurs over the nose, forehead, cheeks and chin. An accredited dermatologist will be able to correctly diagnose, based on clinical examination, as well as symptoms derived from history taking. It mimics acne and can be mistaken for pimples. It is also possible for early rosacea to be misdiagnosed as facial eczema coexisting with acne, because of the background redness. The papule-pustular variant can appear with acne-like bumps, cysts, or nodules.  The facial redness is due to visible blood vessels, also known as telangiectasia.

The flushing and skin swelling can look like sensitive skin or eczema.  It also mimics the enlarged pores of oily skin-types, when in fact the thickened skin is due to rosacea. Flaking, redness and red bumps around the mouth can be due to perioral dermatitis. It can affect the eyes, resulting in blepharitis, where one develops red and irritated eyes. This can be confused with findings of ocular rosacea- dryness, irritation and a foreign body sensation. Other dermatological conditions that can mimic rosacea include seborrheic dermatitis, lupus erythematosus, polycythaemia rubra vera and carcinoid syndrome which are less common. Steroid-induced acne may be a consideration if there is a history of using steroid creams on the face. 

Rosacea Skincare Tip #3 Sunprotection 

While it has multifactorial origins, lifestyle factors affect rosacea significantly. Sun exposure, consumption of alcohol, emotions, spicy foods, medications, menopausal hot flushes, exercise and stress can trigger flare ups. 

Sun protection is an essential component of a rosacea skincare routine. It is critical in treatment of all facial redness which is photosensitive. The cheeks are the most affected. As it is now covered by a face mask in a post-COVID19 world, sunblock may not be a practical measure of photoprotection. I have suggested in my research paper on maskne that UPF50+ biofunctional textiles be used as primary photoprotection with a face mask design. This means there is no need for reapplication.

However, as a rosace skincare tip, sunblock can also cause facial stinging in rosacea patients. A UPF50+ textile provides maximum broad spectrum UV-protection without any risk of skin irritation. For uncovered areas like the forehead, neck and upper chest, a broad-spectrum sunscreen is necessary. To prevent stinging, look for a sunscreen that is dermatologist-recommended. Also, UV-blocking ingredients such as titanium oxide and zinc oxide function as physical blockers are less sensitising. Look for additional protective ingredients such as dimethicone, cyclomethicone to prevent irritation from sunscreen ingredients.

Dermatologist’s Tip: Top Rosacea triggers

Various environmental or lifestyle factors can exacerbate rosacea. Heat, sunlight, stress, hot or cold weather, exercise, alcohol, spicy foods and certain skin care products. Emotions can also increase the frequency of disease flares. To reduce flushing after encounter with stimuli, applying cool compresses and transferring to cool environments may be helpful. Cold therapy can be harnessed for its anti-inflammatory effects. 

Rosacea Skincare Tip #4 Cosmetic camouflage 

The use of cosmetic products such as green colour correcting concealers can help. Cosmetic camouflage is a recognised intervention as part of rosacea treatment.  Green-tinted concealers or foundation helps to camouflage facial redness. This can be followed by a flesh-coloured facial foundation to achieve a natural look. I develop a line of color-correcting concealers in my skincare makeup line that helps with concealing.

Dermatologist’s Tip: Best Concealer for Rosacea? It’s Green 

Based on color science, green neutralises red, a color on the opposite end of the colour wheel. Cosmetic camouflage is an important part of rosacea treatment. It can alleviate psychosocial distress. Patients suffer significant embarrassment from episodes of facial redness. This perpetuates a cycle that makes the chronic condition more stressful. 

Rosacea Skincare Tip #5 A daily skincare ritual can help with your skin and also boost your mood 

Stress is a major trigger factor for rosacea. Some scientific ways to reduce psychological stress include cognitive reframing and mindfulness activities. Adopting a daily skincare ritual is beneficial mentally and physically for rosacea treatment. We have discussed the essential steps in a skincare regimen for sensitive, reactive skin. This maintains a healthy skin barrier, restores the skin microbiome and provides anti-oxidants to help protect. However, the additional value of a daily skincare ritual is that it improves psychological well being.

Self-care is a concept that allows the mind to re-charge together with the body. As a rosacea skincare tip, having a bed-time ritual for example, is healthy for sleep hygiene. Starting your work day with a ritual, can make you more productive. I created the 360 Conscious Mask Bar as a complete self-care concept with anti-inflammatory benefits for rosacea, sensitive/reactive skin patients. Cold therapy/ cryotherapy can be relaxing and soothing both physically and psychologically. 

Conscious Beauty 

Conscious Beauty by Dr.TWL Dermaceuticals stars model-actress Sara Malakul Lane, international burlesque performer Sukki Singapora and dermatologist at TWL Specialist Skin & Laser Centre Dr. Teo Wan Lin. Feminine beauty as a modern tale told by the girls themselves, through the lens of fashion model-turned photographer Sabrina Sikora.
E-book version only. 100% of proceeds received from CONSCIOUS BEAUTY will go to charitable causes supported by Dr.TWL Dermaceuticals – Action for AIDS Singapore and the United Nations World Food Programme. Available on Amazon Kindle, and the Dr. TWL Dermaceuticals website.

“Your healing journey towards beauty, begins with your consciousness of the inner world,” Dr. Teo Wan Lin

Dr. Teo Wan Lin is an accredited dermatologist practising at TWL Specialist Skin & Laser Centre. An expert in dermocosmetics for skin diseases, the skin microbiome and biofunctional textiles, her work has been published in top dermatology journals. Her additional research interest is in the brain-skin connection which emphasises psychological wellbeing in sufferers of chronic skin disorders. In her journey of helping dermatology patients for over a decade in practice, she strongly believes that true beauty has to begin from the inside rather than from the external. 

Top 5 Harmful Chemicals in Your Makeup and Other Beauty Products

October 15, 2019

Skin irritation? Breakouts? Allergies? Think it may be due to bad diet and unhealthy lifestyle? Or maybe because of your dirty beddings or perhaps pollution? All of that may be possible contributors to your unlikely skin concerns but have you ever wondered that maybe the problem could be in the makeup that you use?

 

 

Makeup is all fun and games until you learn about the risk it comes with using them. If using makeup products is part of your daily routine, then it is important to know about what you put on your skin! Did you know that the average woman ingests about 6 tons of lipstick in her lifetime? You may not notice because you don’t literally eat your lipstick, but every time lipstick gets unto your teeth, or whenever it transfers on to your food when you eat, the main thing is it’s now down your tummy! So before anything else, it’s now time to question on whether or not the products that you use are safe for you.

You may be reading the ingredient list of your makeup products but do you think that’s all it is? Some companies hide “certain substances” or mask it under deceptive titles. Others may have listed them, but what’s lacking is that there is not enough information on the potential harm it may cause for their consumers.

 Certain ingredients used in the production of makeup and cosmetics can cause more harm than benefits and these can cause problems that may put your health at serious risk. Issues related to the use of products with these harmful ingredients may associate with skin allergies, cancer, weakened immunity, and more.

“For patients who suffer from sensitive skin and allergies, it’s often a vicious cycle with makeup products which are used for concealing the skin imperfections, and the same preservatives and ingredients in these products cause an exacerbation of the underlying skin condition,” says accredited dermatologist Dr. Teo Wan Lin.

How about for those without skin problems? Dr. Teo says, “Makeup is in direct contact with skin, and as skincare can deliver benefits to skin via topical absorption, makeup can also be used as a means to improve the health of the skin when it is incorporated with cosmeceutical active ingredients as an anti-ageing formula— while at the same time offering concealing of imperfections, which can improve individuals’ self-esteem. For products applied to mucosal areas such as the eyes and lips, it’s worthwhile to switch to pure mineral colorants in cosmeceutical bases because these are sensitive areas that are prone to irritation, and have thinner skin that will cause any harmful substances to be directly absorbed.”

 We have listed down below the Top 5 harmful chemicals that are used in the production, preservation, and manufacturing of makeup products that you may be using everyday. Guess what, these ingredients don’t have to be present in your makeup— if you switch to mineral makeup for the eyes and lips!

 

 1. Phthalates

 This chemical is most commonly found in perfumes, colour cosmetics, nail polish, and hair care products. Phthalates are linked to endocrine disruption, developmental and reproductive toxicity, and cancer. Phthalates may be labeled as phthalate, DEP, DBP, DEHP and “fragrance”. Some companies intentionally exclude this on their ingredients list. Products that list “fragrance” on the label should be avoided to prevent possible exposure to phthalates.

References:

http://www.safecosmetics.org/get-the-facts/chemicals-of-concern/phthalates/

 

2. Paraben

Paraben…paraben… One of the most famous ingredients for makeup. Though you may not know much about this chemical, you’ve probably heard about this already because you may have previously encountered the term “paraben-free” on some beauty products and wonder what does it mean. Parabens are preservatives used in a wide variety of personal care products and foods to prevent the growth of microbes. Parabens are not water soluble and can penetrate the skin. As a result, repeated application of a product or multiple products containing parabens could mean almost continuous exposure. These endocrine-disrupting chemicals can be absorbed through skin, blood and the digestive system.

Effect of Paraben: causes endocrine dysfunction, interferes with male reproductive functions, and can lead to rapid skin ageing and DNA damage.

 Paraben may be labeled as ethylparaben, butylparaben, methylparaben, propylparaben, isobutylparaben, isopropylparaben, and other ingredients ending in –paraben.

References:

http://www.safecosmetics.org/get-the-facts/chemicals-of-concern/parabens/

 

3. Lead

Lead has continuously been a very controversial component of lipstick. But did you know that it is often used in makeup foundation and whitening toothpaste as well? High levels of lead may pose a very serious risk on our health and studies have shown that there is no safe amount of lead exposure as though even at small amounts, lead can be very dangerous. Medical experts are clear that any level of lead exposure is unhealthy. The FDA or Food and Drug Administration has been determined to limit the usage of lead in lipstick and in a variety of other cosmetics. Read here.

 Exposure to lead has been linked to a host of health concerns:

  • Neurotoxicity: It has been linked to learning, language and behavioral problems.
  • Reduced fertility in both men and women
  • Hormonal changes and menstrual irregularities
  • Delayed onset of puberty in girls and development of testes in boys.

References:

http://www.safecosmetics.org/get-the-facts/regulations/us-laws/lead-in-lipstick/

 

4. Asbestos

 Talc is used as an ingredient in face powders, blush, and eyeshadows. The incorporation of asbestos in talc is due to poor regulations involving cosmetic-grade talc, which is also known as talcum powder. Talc and asbestos are minerals that form together. That means talc mined for commercial uses can be contaminated with asbestos — a known cause of lung cancer and mesothelioma. Before purchasing any product that has talc, make sure it is labeled as asbestos-free. Health concerns of asbestos may include skin irritation, cancer, organ system toxicity.

References:

https://www.asbestos.com/products/makeup/

http://www.safecosmetics.org/get-the-facts/chemicals-of-concern/talc/

 

5. Butylated Compounds (BHA, BHT)

 Mainly used for preservation of our beauty products and personal care products such as moisturizer, lip products, hair products, makeup, sunscreen, antiperspirant/deodorant, fragrance, creams. Butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT) are chemicals are linked to several health concerns including endocrine disruption and organ-system toxicity.

Don’t get fooled by this because butylated compounds are also used as preservatives in food like meats, sausage, poultry, baked goods, beer, etc.

References:

http://www.safecosmetics.org/get-the-facts/chemicals-of-concern/butylated-compounds/

 

We have no control over the ingredients or manufacturing of the mass market makeup available in the market, but is that where custom blend mineral makeup can perhaps fill a need? “Custom blend mineral makeup has its advantages especially for eye and lip makeup because pure minerals are utilised. The eyelid and lip area are high-risk locations and naturally have thinner and more sensitive type of skin—known as mucosal skin. “ says Dr. Teo, who remarks that she has been seeing an increasing number of patients in her practice with eyelid and lip eczema, often triggered by makeup products such as mascara, eyelash extensions and lipsticks.

Especially if the sources are clearly labelled and audited, the risk of manufacturing contamination for sensitive products such as lipsticks and eye shadows, which is of the highest concerns to regulatory authorities like the FDA and HSA as well, due to the risk of ingestion and absorption, is eliminated. “When produced in smaller batches, custom blended mineral makeup is preservative free and avoids the problems of lead contamination in mass market manufacturing, which is important in lip products because of the lead content which is inevitably ingested.” Dr. Teo says.

How does one avoid getting these toxic chemicals incorporated into your daily routine? Also, isn’t it time that skincare is infused into makeup, since both are applied for long hours on the skin? Head over here to get your hands on cosmeceutical make-up.

Dr. TWL Dream Concealer™

ACTIVE INGREDIENTS

[Pigment]

100% Mineral Pigments Without Bulking Agents

Bismuth Oxychloride(BMO)/Talc-free

FDA Eye/Lip Approved

[Cosmeceutical Base]

Oligopeptides [Lifting][Repair]

Niacinamide [Brightening]

LARECEA™ Extract [Regeneration]

PEACH Covers dark circles on light skin 

ORANGE Cancels dark circles brown spots on medium to deep skin 

PALE PURPLE Conceal brown spots on light skin dullness 

PURPLE Brightens/Neutralizes dull yellow on medium skin 

PINK Brightens/Neutralizes dull yellow on light skin 

BLUE Neutralizes sallowness & hyperpigmentation on fair skin 

YELLOW Cancels purple/blue tones Corrects mild redness 

GREEN Neutralizes redness/pimples 

Rosacea – Treatments for 4 Types of Facial Redness recommended by a Skin Expert

June 11, 2018

If you experience persistent redness on your face, you may be suffering from rosacea. It is a common inflammatory skin condition that impacts a large portion of the fair-skinned population. The skin condition is more prevalent in women between 30 and 50 years of age, but there can be manifestations of the condition across all age groups and in men.

Although it may be more common in people with fair skin, blue eyes and Celtic ascendance, rosacea is not uncommon in Asian populations. The itchy, stinging skin condition is often mistaken for eczema, leading to non-precise treatments that may exacerbate the condition.

Constant facial redness is the most common sign of rosacea and resembles a frequent flush or sunburn that does not go away. Such redness may be accompanied by a tingling heat or warmth that comes and goes.

Types of Rosacea

Rosacea can be classified into 4 clinical subtypes: erthematotelangiectatic, papulopustular, phymatous and ocular. Most subtypes have characteristics of flushing and telangiectasia, where small blood vessels are prominent and visible. Patients are often diagnosed with more than one rosacea subtype and experience increased sensitivity of the facial skin such as burning, stinging or itchy sensations.

Erythematotelangiectatic rosacea is characterised by redness and flushing in the centre of the face, with telangiectasia present in most patients. The skin may be very sensitive and swollen.Telangiectasias are visible small, broken or widened blood vessels. Erythematotelangiectatic rosacea is the most common subtype and has a tendency to flush or blush more easily than other people.

Papulopustular rosacea is marked by bumps and pimples that result from chronic inflammation. Redness is also visible in this subtype, while telangiectasias may not be as evident here. This subtype may have acne-like breakouts and oily skin, but it must be differentiated from acne as the treatment required differs.

Phymatous rosacea is uncommon in women and develops over years. Marked by thickened skin and irregular skin surface, it has a bumpy texture. This subtype is rare, as the patient often has symptoms of another rosacea subtype first. The skin may thicken on the nose, chin, forehead, cheeks and ears, and pores appear large.

Patients with ocular rosacea may feel a burning sting around the eyes and experience crusty discharge on the lashes or eyelids. For this subtype, rosacea is affecting mostly the eye. The eyes may be more sensitive to light. Eyelids can be swollen and styes can be frequent. Patients having this condition may also have a watery or bloodshot appearance and may not have their vision as well as before.

Causes of Rosacea

According to Dr Teo Wan Lin, an accredited dermatologist at TWL Specialist Skin and Laser Centre, she said:  “There is an underlying genetic predisposition for patients with rosacea, individuals with a family history of rosacea are more likely to develop the condition. While studies on the cause of rosacea remain unclear, it is proposed that underlying features are inflammation and vascular reactivity, leading to erythema (redness) and presence of papules and pustules.”

Certain triggers can stimulate an immune response, such as alcohol consumption, spices, hormones, stress, UV radiation, microbes, extreme weathers, humidity and certain cosmetics.

In the pathogenesis of rosacea, it is proposed that a microbial organism called Demodex Folliculoru incites a flare by triggering an immune response in patients. In simpler terms, patients with the condition do not react well to certain triggers as they incite an exaggerated immune response. The immune system then releases an overproduction of factors, leading to inflammation and vascular dilation.

Treating Rosacea

Treatment begins with a proper diagnosis, including identifying the subtype. Most therapies focus on suppressing the symptoms and targeting inflammation.

Lifestyle interventions include using high-factor sunscreens, patient education, dietary changes and avoiding irritants and triggers. Photoprotection has always been an important step, but for patients with rosacea, it becomes even more crucial as photoprotection may prevent a flare triggered by sun exposure.

A gentle skin care regimen is recommended to maintain skin hydration and barrier function. These 2 factors are fundamental in improving the symptoms experienced by patients. In our dermatologist’s office, a Hyaluronic Acid serum and a ceramide-based Multi-CERAM moisturiser are often recommended to respectively hydrate and repair skin barrier function. Clinical practice has shown marked improvements in cases with a strong focus on hydration and repair of the skin barrier. This helps to suppress the exaggerated inflammatory response in patients, which contributes to the facial redness observed.

Topical treatment options to inhibit the inflammatory pathways that are involved in rosacea include azelaic acid, erythromycin and metronidazole. Depending on the severity of the condition and the patient’s skin sensitivity, the medium of the topicals may be lotion, cream, gel or foam.

Short-term oral antibacterials such as tetracyclines and macrolides may also be prescribed when topical therapies fail to control the disease. For persistent cases of facial redness, oral isotretinoin may also be required. Laser, light-based therapies and surgical interventions are also treatment options for certain patients.

In addition, as the psychosocial impact of the condition can greatly influence individuals, cover-up or colour-correcting powders can be recommended to mitigate the effect.

Conclusion

Rosacea or SunBurnt Dermatologist Singapore

Rosacea is a medical condition that is often under-diagnosed and under-treated, even though the condition potentially has a great psychosocial impact on the affected individual. As the common initial symptoms are often mistaken for something else, such as sunburn, the condition may go undiagnosed for most patients.

A proper diagnosis along with precise treatments can significantly improve the patient’s quality of life. If symptoms of persistent facial redness appear, it is recommended to consult an accredited dermatologist for advice and proper management, to keep the condition at bay.

© 2018 TWL Specialist Skin and Laser Centre. All rights reserved.

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Meet with Dr. Teo Wan Lin, an accredited dermatologist at TWL Specialist Skin & Laser Centre, for a thorough consultation to determine the most suitable treatment for your skin.

To book an appointment with Dr. Teo, call us at +65 6355 0522, or email appt@twlskin.com. Alternatively, you may fill up our contact form here.