Rosacea
Rosacea is a form of acne and is the result of sebaceous glands that gradually enlarge with age and the result is increased sebum production. Sebum is the oily secretion of the sebaceous glands.
What are the signs and symptoms of Rosacea?
There are a number of symptoms and presentations of rosacea. There is redness and visible small blood vessels on the skin surface. The skin is oily and there is a history of acne. There are changes in skin texture, particularly regions of thickened glabrous (hairless and smooth) skin with enlarged pores. Skin becomes very sensitive. Rosacea can involve the surfaces of the eyes, eyelids and scalp (conjunctivitis, pustules and dandruff). There can also be greater incidence of post-inflammatory hyperpigmentation.
What are the causes of Rosacea?
Rosacea has genetic causes and usually occurs in families of fair-skinned northern Europeans, Hormonal changes can usually cause flare ups of rosacea, especially above the age of 30 years and can affect women during the menopause. Life style factors that can trigger flare ups of rosacea include alcohol, spicy foods, hot temperatures, sun exposure and physical exertion.
What are the treatment options for oily skin in Rosacea?
Treatment of the sebaceous gland enlargement and hyperactivity will result in a reduction in sebum production, help improve inflammation of the skin and also help prevent future breakouts of papules, cysts and nodules. Treatment options available at Rejuvence Clinic include Aerolase Neo Elite, Sylfirm X and Dermalux LED Phototherapy. Combination with oral Vitamin A (for more aggressive treatment of severe cases) has been shown to be very effective.
Aerolase NEO Elite at Rejuvence Clinic
The Aerolase Neo Elite utilises a 1064 nm wavelength laser, which is highly effective for a variety of skin conditions. This wavelength is ideal for deep penetration, targeting structures such as blood vessels, melanin, and hair follicles without damaging the surrounding skin. One of the defining features of the Neo Elite is its 650-microsecond pulse duration, which allows for fast and highly precise energy delivery. This ultra-short pulse duration minimises thermal damage to the surrounding tissues while still providing enough energy to effectively treat target areas.
The Aerolase Neo Elite is a non-ablative laser. This means laser treatments with this device do not remove the epidermis (top layer of the skin) but still causes energy to be transferred to the deeper layers of skin triggering the production of collagen and elastin as well impacting blood vessels and hair follicles. Combination of all these effects means the Neo Elite can be used in a variety of skin types and for a variety of conditions safely and effectively.
Neo Elite for Rosacea
The Aerolase Neo Elite has been found to be very effective in the treatment of rosacea by reducing the erythema (redness) associated with this condition. Following treatment with Neo there is often a temporary mild redness. A recent published study using Neo Elite for the treatment of rosacea in a cohort of patients, reported no adverse effects, such as hypopigmentation, hyperpigmentation, or bruising. All patients reported significant improvement and high satisfaction following the treatments. The 650-microsecond 1064nm Nd:YAG laser is a safe and effective treatment for rosacea-associated erythema and telangiectasias (small visible blood vessels) in all skin types including skin of color.
Aerolase NEO Elite at Rejuvence Clinic
The Aerolase Neo Elite utilises a 1064 nm wavelength laser, which is highly effective for a variety of skin conditions. This wavelength is ideal for deep penetration, targeting structures such as blood vessels, melanin, and hair follicles without damaging the surrounding skin. One of the defining features of the Neo Elite is its 650-microsecond pulse duration, which allows for fast and highly precise energy delivery. This ultra-short pulse duration minimises thermal damage to the surrounding tissues while still providing enough energy to effectively treat target areas.
The Aerolase Neo Elite is a non-ablative laser. This means laser treatments with this device do not remove the epidermis (top layer of the skin) but still causes energy to be transferred to the deeper layers of skin triggering the production of collagen and elastin as well impacting blood vessels and hair follicles. Combination of all these effects means the Neo Elite can be used in a variety of skin types and for a variety of conditions safely and effectively.
Neo Elite for Rosacea
The Aerolase Neo Elite has been found to be very effective in the treatment of rosacea by reducing the erythema (redness) associated with this condition. Following treatment with Neo there is often a temporary mild redness. A recent published study using Neo Elite for the treatment of rosacea in a cohort of patients, reported no adverse effects, such as hypopigmentation, hyperpigmentation, or bruising. All patients reported significant improvement and high satisfaction following the treatments. The 650-microsecond 1064nm Nd:YAG laser is a safe and effective treatment for rosacea-associated erythema and telangiectasias (small visible blood vessels) in all skin types including skin of color.
©Photos courtesy of Aerolase. Individual results may vary.
Sylfirm X for Rosacea & Redness
Sylfirm X is a microneedling device with needles that emit Radio Frequency Energy. It is very similar to Morpheus 8. The difference, however, is that Sylfirm X uses a Pulsed as well as a Continuous wavelength for the radio frequency. This means it can be used in the treatment of rosacea and redness – a condition often associated with increased vasculature as well as overactive sebaceous glands. The pulsed radio frequency wavelength setting enables Sylfirm X to target the redness associated with Rosacea without causing damage to adjacent tissues that may subsequently making the condition worse. Sylfirm X is generally well tolerated with a very short downtime. Treatment would require more than one session with significant results often evident after 3 sessions.
Rejuvence Philosophy
At Rejuvence we always endeavour to provide evidence based treatment options for our clients that have been shown through clinical trials to yield positive results. We are here to listen to our clients. We acknowledge that our clients are the experts of their own face and skin. Together with our clients we aim to provide a bespoke service and tailor bespoke treatment programs that we are confident will provide positive results.
For effective improvement in skin sensitivity it is necessary to restore the skin barrier function using skin health restoration principles for correction and stabilisation. Treatment with ZO skin care regime or the Obagi Nu-Derm skin care program is very effective.
Post-inflammatory hyperpigmentation is the darkening of regions of the skin that are subject to inflammation due to acne or rosacea and leave behind scarring. Bleaching of these regions of discolouration is possible with the use of bleaching agents such as topical hydroquinone. The process of evening out skin tone can be achieved with a blending approach. This involves the use of a combination of hydroquinone and tretinoin.
Preparation of the skin using cleansers designed for oily skin followed by mechanical exfoliation with scrubbing once daily. Use of products containing benzoyl peroxide are necessary. Retinoids much as tretinoin or retinol can also have a positive influence on reducing sebum production. Alpha-hydroxy acids is effective for epidermal exfoliation and renewal.
For the improvement of skin texture and colour the use of chemical peels, after adequate skin preparation, as well as multiple sessions of Dermalux LED phototherapy have been shown to yield excellent results. In addition integration of tretinoin in any skin care program will usually provide good results.
