Rosacea Treatment
Rosacea Treatment
Rosacea disease is also called acne rosacea and rosacea....
What is Rosacea?
Rosacea disease is also called acne rosacea and rosacea. While rosacea initially manifests itself with temporary redness and burning attacks, especially in the midline of the face, forehead, nose, chin and cheeks, it is later seen as settled redness with small capillaries and may be accompanied by small acne. Unlike teenage acne, we see acne rosacea as a disease of middle ages, especially at the age of 30 and beyond. It is a disease of advanced age and is more common in women. We can see it more severely in men. It is especially seen more frequently in people with light skin and colored eyes. Rosacea disease loves this group.
What Causes Rosacea?
In rosacea, genetic predisposition is most emphasized. The risk of developing rosacea in family members of people with rosacea is around 30%-40%. However, the genetic predisposition is still not very clear. The individual predisposition of the person is most important here. Apart from this, environmental factors are secondly important. Vascular activities may be affected by environmental factors, especially sudden temperature changes, very hot environment, wind, and temperature changes, which may cause capillary increase. We know that infectious causes, especially helicobacter pylori and the parasite we call demodex, are observed more frequently in rosacea patients. In these patients, these microbes actually find an environment to multiply. Psychological reasons: We can see an exacerbation of rosacea, especially with stress.
Foods: It is the consumption of food, especially hot food. Drinking very hot tea or coffee, drinking hot beverages rather than drinking too much tea and coffee, consuming foods such as hot soup, tea and coffee, alcohol and spices, and such foods exacerbate rosacea.
Is Rosacea Treatment Possible?
Rosacea is a recurrent disease that manifests itself with chronic attacks. Rosacea has the possibility of recurring throughout life, starting from the age at which it occurs. We cannot completely eliminate the disease from the body, but we can control the disease. We can reduce the number of attacks, reduce the severity of attacks, and space the attacks out. And we can make the disease less severe and keep it under control. Starting early treatment for rosacea greatly increases the success of the treatment. If no treatment is applied, the redness will persist and progress, we can prevent the redness from settling with treatment. We can treat any redness that will increase. As we get older, when the redness becomes more severe, our treatment success rate is very low. It is possible to control the disease with treatment and not allow the disease to manifest itself. Rosacea treatment is possible, especially thanks to new technologies and laser treatments, we can get very good results in the increase in capillary vessels of rosacea.
What are the Rosacea Treatment Methods?
The most important step in the treatment of rosacea is always preventive treatment. It is necessary to stay away from factors that trigger rosacea. We can list general precautions as follows.

• It is necessary to develop the habit of using sunscreen regularly in summer and winter to protect yourself from the sun. It is necessary to reapply sunscreen at least every 3-4 hours during the day.
It is necessary to avoid alcohol, hot drinks, spicy food consumption, avoid sudden hot and cold changes, and avoid extremely hot environments such as saunas and extremely hot showers.
• General precautions are available in all stages of Rosacea. Apart from that, topical treatments, cream gel etc. are used in the treatment of rosacea.
(oral) treatments, antibiotics, antiparasitic drugs, retinoids and laser treatments.
Oral and topical treatments are sufficient for Papulopustular Rosacea. If there are no capillaries, treatments and precautions in the form of oral antibiotics and topical creams are sufficient in the form of Rosacea, where small pimples appear alone. However, in vascular rosacea, which we call erythema telangiactasia form, where the capillaries expand and the number of capillaries increases, the best treatment option consists of laser treatments. Laser treatments benefit these patients. Since rosacea is a chronic disease, there is always a tendency to relapse. It progresses in attacks. Our aim in rosacea treatment is to reduce these attacks as much as possible, to space the attacks out, to control the disease, and to prevent the capillaries from increasing. In practice, we often use laser treatment in capillary vascular treatment. We organize laser treatments in sessions once a month, depending on the density of the patient's capillaries and the status of the disease activity. We plan treatment in 3 sessions so that the patient can at least benefit from vascular treatment. After the disease is under control, laser treatments can be planned intermittently depending on the activity of the disease. With each laser treatment, the vascular structures become smaller and smaller, and we can gradually shrink the vessels with each treatment. Especially in practice, I use BB-Laser, which we call IPL (Intense Pulse Light) system, in the vascular treatment of rosacea. The advantage of this laser is that it is painless and after the procedure, there will be no crusting, scarring or any irritation of the skin that will affect the patient's social life. With laser treatment, we can treat both the surface capillaries and the deep capillaries in the skin. Thanks to the different filters in the device, we can easily reach the level we want. Capillary vascular treatments with BBL can reduce redness attacks, burning attacks and stinging attacks, and if the patient is prone to demodex (parasitic predisposition), we can also reduce the parasitism rate. BBL treatment is not performed in the summer months. Whenever possible, I recommend that our patients start the treatment in the autumn and winter months. We try to plan the treatment in a period when there is no active sun for at least 3 months in order to achieve the treatment. We do not perform the treatment in sunny times and summer months as there is a risk of stains.
What are the symptoms of Rosacea?
We can divide rosacea into 4 periods. In the first stage, when the disease first begins, its first symptom is the midline of the face, which we call the cheeks, nose, chin, forehead, sometimes neck and décolleté. It manifests itself with temporary burning attacks seen in these areas. Especially these burning attacks and rashes can manifest themselves in hot environments, stress and sudden hot and cold changes. In the second stage of rosacea, temporary burning attacks have become established. We see persistent redness on the cheeks, forehead and nose. Small capillaries are located. In the third stage of the disease, we can see that the redness on the cheeks, chin and nose increases, the capillary density increases even more, and these are accompanied by small pimples, which we call papulopustular lesions. In the fourth period, especially in men, we see a thickening of the skin in the nose, called rhinophyma, and the glands, which we call sebaceous oil glands, become evident and are manifested by growth and thickening in the nose. In addition to skin findings, rosacea patients may also be accompanied by eye symptoms. Eye complaints may also be observed in 1/3 of rosacea patients. In particular, symptoms such as burning and stinging attacks, stinging attacks, conjunctivitis, blepharitis and keratitis may be observed in the eyes. We definitely require an ophthalmologist consultation in patients diagnosed with rosacea. The diagnosis of rosacea is made clinically. In the diagnosis of rosacea, we cannot see any difference in laboratory findings or blood tests. The diagnosis of rosacea is made by history. In other words, when the patient comes to us for examination, we can make a diagnosis of rosacea by listening to the patient and based on his complaints.
Is Rosacea Contagious?
The most important factor in the mechanism of rosacea is the genetic predisposition of the person. Rosacea is not a contagious disease. You cannot transmit rosacea to someone else by touching, etc.
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