Hello and welcome! I'm going to talk about the skin condition Rosacea which seems to be a current common complaint with many patients and what can be done to to limit flare ups and achieve skin health. I will cover what medical grade skin products are available via the Medished and how they can be used. I will also touch on light therapy can can be incorporated at home to help ...so lets get started!
WHAT IS ROSACEA?
Let me first address what rosacea actually is... well It’s a chronic inflammatory skin condition that causes the breakdown of collagen. There are different levels of the condition however anyone with moderate/severe levels should seek a dermatologist referral via their GP. It tends to affect women more than men, and is more common in fair skin people, however that’s not to say that it doesn’t affect darker skin types. It makes the skin feel hot, tender, sensitive and irritated, and unfortunately there are lots of factors that contribute.
Actually targeting rosacea is a multifactorial process. The triggers can be sun, temperature extremes, spicy food, alcohol, stress, hot baths, blood pressure medication, oral topical steroids and alongside these triggers patients tend to be using INAPPROPRIATE skincare.
Rosacea is complex and chronic, caused by an impaired barrier function, gut imbalances, dysregulation of the immune system, micro-organisms in the skin and environmental triggers. Let me explore a couple of those. Those ‘micro-organisms’ are demodex mites, which live on many adults’ skin, feeding off oily sebum. When the skin changes due to age, stress or illness, the population of the mites increases. When they die, these mites release bacteria into the skin, which trigger an immune reaction, hence redness and inflammation of the skin. UV light triggers ROS-reactive oxidative species which deplete collagen. In my opinion patient education is key to tackling rosacea..and patients need to be aware of the triggers!
WHAT IS A HEALTHY SKIN BARRIER FUNCTION?
Patients with rosacea tend to have a compromised skin barrier. The role of the skin barrier is to keep water in and irritants out...in other words it prevents the penetration of harmful substances and excessive transepidermal water loss. Its key for skinhealth and its a physical, immunological and chemical barrier.
OBAGI and SKINBETTER SCIENCE SKINCARE
When patients arrive to see me at The Medished they tend to arrive with a bag of products that they have had a poor experience with. Once we've discussed lifestyle factors I generally tend to strip back all their products back and pop them on a simple protocol like the one pictured below by Obagi and then gradually introduce actives into their regime after 2/4 weeks.
Obagi Gentle Cleanser contains glycerin, oat amino acids and aloe gel, Obagi Hydrate contains hydromanil, shea, mango butter, avocado and glycerine. Obagi Sun Shield Matte 50 contains zinc oxide 10.5%, octinoxate 7.5% and homosalate 10%. I always recommend mineral SPF's for anyone with sensitive skins, as they reflect the UV rays like a mirror rather than absorb sunlight and dispense it as heat.
Finding an SPF that patients are happy with can be tricky..My TOP TIP is mineral SPF's only and knowing whats works best for you is my job!