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Rosacea: Making Skin Sense With Dr. Obagi

by StyleList Staff (Subscribe to StyleList Staff's posts)
Posted Feb 16th 2011 at 10:00AM  
30 Comments
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Woman with red skin

Manage and eliminate symptoms of rosacea with these expert tips. Photo: Alamy

Celebrity dermatologist Dr. Zein Obagi helps us make sense of our skin, tackling all the issues lying between us and complexion perfection. This week, Dr. Obagi gives a rundown on rosacea.

There are few sensations more publicly uncomfortable than blushing, the telltale sign of embarrassment. Now imagine if you experienced this pesky flush of color every day. For the estimated 16 million Americans who suffer from rosacea, daily redness is a reality.

The chronic skin condition, categorized as inflammation of the cheeks, nose, chin, forehead or eyelids, may appear as redness, prominent spiderlike blood vessels, swelling or skin eruptions similar to acne. Rosacea can strike at any time, but is most likely to surface around age 30.

While there's no cure for rosacea, the good news is you can manage and even eliminate redness and irritation with the right combination of prevention, treatment and protection.

Prevention: For those prone to rosacea, a few simple lifestyle changes can yield noticeable results. Alcohol, caffeine and spicy foods are all charged with aggravating rosacea, as well as steam and extreme temperatures on both ends of the thermometer. Start by eliminating one aggressor at a time so you can clearly pinpoint how each change affects your skin. Luckily, everyone has different triggers so chances are you won't need to abstain from the entire list.

Treatment: Since there isn't a cure for rosacea, I always remind my patients that, while I can successfully treat symptoms (ruddiness, broken blood vessels and bumps), I can't eliminate the condition all together. Improving the overall quality of skin, however, is a great way to reduce the problems associated with rosacea. The best treatment for rosacea is a program of skin care creams that will strengthen skin, unclog the pores and enable skin to renew itself. That's why I recommend a skin-strengthening product such as ZO Skin Health's Radical Night Repair. It increases cell turnover, which forces the damaged surface cells to slough off, allowing the new healthy cells to emerge.

Protection: Some studies suggest that those with rosacea are at particularly high risk for sun damage. To ensure your sun-sensitive skin is sufficiently protected from UVA and UVB rays, choose an oil-free noncomedogenic sunscreen rated SPF 30 or higher and slather it on every morning regardless of the season or temperature.

To ask the good doctor a question or suggest a topic to tackle in a future column, leave a comment below. And check out his Web site, ZoSkinHealth.com for more skin-care information.

Learn how to have healthy (and beautiful) skin at every age!
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Filed under: Beauty, Skin & Body
Tags: dermatologist, Dr. Obagi, Dr. Zein Obagi, Dr.Obagi, expert advice, healthy beautiful you, HealthyBeautifulYou, redness, rosacea, skin, skin care, Skin Sense, Zein Obagi
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READER COMMENTS

(30)Add A Comment

Andy, 2-19-2011, 4:54PM

2.5 stars vote downvote upReport
Andy

re: your 'rosacea' column
my dermatologist prescribes a cortisone cream twice a day and a sulfur cream before bed
since i am only 55, i am concerned about long-term safety of such creams used every day----------------is there any danger?

Reply »

aapple1955, 2-19-2011, 6:57PM

2 stars vote downvote upReport
aapple1955

I am always red. Http://www.wrinklescaresite.info I try to keep my skin moisturized all the time and "cool".

»

Cinni, 2-19-2011, 4:55PM

3 stars vote downvote upReport
Cinni

No! No! No! I went to the ZO Skin Heatlth's Radical Night Repair link and the it lists 4 types of people that are not recommended for using this product. The first one is people with sensitive skin that is easily irritated. Umm...isn't this one of the biggest problems with rosacea besides redness? Don't put bad info out there and possibly (more than likely) make the problem worse.

Reply »

Pam J, 2-19-2011, 5:25PM

2 stars vote downvote upReport
Pam J

I developed Rosacea a couple of years ago. Very annoying little disorder. I tried a product that Clinque has - it's for reddening skin (like Rosacea). I bought the whole package and it seems to help somewhat. I don't have many flare ups, so maybe the products work.

Reply »

KellyinCali, 2-19-2011, 5:53PM

2 stars vote downvote upReport
KellyinCali

I was diagnosed at about age 45, but had it probably starting around 42. I gave up on trying to fight it with creams and had my dermatologist use a laser treatment. Not cheap, but has lasted a long time. I'm now about to turn 51 and have a couple of spots I am probably going to go have touched up. The things that bothers me about this condition is that is it considered cosmetic, so none of the treatments are covered by insurance. What forced me to finally go see my doctor was the pain I was experiencing while driving and the sun beating through the window. It can be a painful condition.

Reply »

Brenda, 2-19-2011, 5:57PM

2.5 stars vote downvote upReport
Brenda

I really did not like the way this information was used for this person to sell her product. People with rosacea need to ask for their doctor for the correct product for their skin. They can also ask for a referral to a dermatologist for the correct treatment.

Reply »

Hank Odum, 2-19-2011, 6:30PM

2 stars vote downvote upReport
Hank Odum

What do you think of also using minocycline? or are you an anti-drug prescriber. Respectfully, Hank

Reply »

hank, 4-01-2011, 11:32PM

2 stars vote downvote upReport
hank

Hank, I used that for over 5 years. The first few were okay. But after that, a real change in my health occurred. Google it online..there are lawsuits out there. IT can cause real damage to your health. I stopped it when my lower teeth turned blue and my legs developed Blue blotches that are or look like severe bruising. The warning label never said anything about the bluing symptoms. However, I am 46 and had been on antibiotics for over 20 years...always tetracycline, then the last five years Minocycline. I eventually gained 30 lbs, messed up my eyes, and gave me brain fog. I learned many rosacea symptoms are simply from yeast overgrowth in the system. Cleanse your body of yeast. There is a product out there called Yeast Defense and another NOW vitamins makes called Candida Clear. They are herbs designed to rid your body of yeast. Also take a very strong acidophilus supplement, odorless garlic, and add cider vinegar to your water to drink. Within a month...no more rosacea or acne... a small relapse of symptoms after 90 days, but I stayed the course. Now 1.5 years later, no drugs, just my cleanse supplements, and topical clindamycin. I wish all dermatologists could tell patients about the Yeast causing much of this disease, but they don't operate that way. Good Luck..but stay away from Minocycline..it is a dangerous drug, and can cause Chron's disease, irritable bowel syndrome, and other things.

»

Squiggles, 2-19-2011, 6:40PM

2.5 stars vote downvote upReport
Squiggles

Yeah, sure. Buy the stuff that doctor sells...what a crock!

Reply »

whereisvic, 2-19-2011, 6:52PM

2.5 stars vote downvote upReport
whereisvic

I have been using Metrocream for about 20 years with great success (no new broken blood vessels since I started using it daily). I would not use a steroid (cortisone)cream for extended periods because it thickens the skin.

Reply »

MIA, 2-19-2011, 7:02PM

2.5 stars vote downvote upReport
MIA

MY DERM. SUGGESTED WASH WITH CETAPHIL GENTLE CLEANSER & PRESCRIBED METROGEL 1% - MY SKIN LOOKS GREAT AND KEEPS ROSACEA UNDER CONTROL.

METROGEL 1% VERY EXPENSIVE, BUT LASTS A LONG TIME.

Reply »

James Beal, 2-19-2011, 7:25PM

2 stars vote downvote upReport
James Beal

Rosacea is much more common since 1995 and the international use of microwave communication systems. As a health stress, Microwave is a great cause of this affliction (and other immune system problems), first noticed in Sweden and gradually spreading, through wireless phones,wi-fi routers in homes, and computers. Keep in mind that microwave and lower frequencies are just lower frequecies in the electromagnetic spectrum, like sunshine. Women especially suseptable. If you have rosacea, at least try a few days staying a distance from wi-fi routers, cell phones, wireless home phones and see what happens...see actual videos of this situation at www.magdahavas.com

Reply »

hearte, 2-19-2011, 7:49PM

2 stars vote downvote upReport
hearte

If you have rosacea try the baby quasar. It is a home light therapy device that worked for me when nothing else did. The up front cost is around 400.00 but it is all you need and has a five year warranty. It is sold on many website, shop around and good luck

Reply »

Jerome, 2-19-2011, 7:56PM

2 stars vote downvote upReport
Jerome

Kiehl's centella regenerating cream has controlled my rosacea. I put it on every night in effected areas and it has never come back!

Reply »

Jane, 2-19-2011, 8:05PM

2 stars vote downvote upReport
Jane

Salycilate intolerance will cause rosacea. Salycilates are not just in aspirin, Pepto, etc, they are in most foods, some higher than others.
Look up salycilate intolerance online. My step daughter is very fair skinned and she has it, she checked out food intolerances and made some diet tweeks and she looks a lot better, feels better and she lost weight too.

Reply »

June, 2-19-2011, 8:08PM

2 stars vote downvote upReport
June

Lyrica as prescribed for post herpetic neuralgia has removed all signs of rosea from my face. Your doctor will not believe this but if you check with my dermatologist you will find that he too now believes it works.

Reply »

patohar, 5-05-2011, 2:28PM

2 stars vote downvote upReport
patohar

Which rosaceas symptoms did lyrica cure? i m interestin in this drug.

»

Jackie, 2-19-2011, 8:24PM

2 stars vote downvote upReport
Jackie

I've had it for a long time ... I've tried metrogel (too drying) metrocream (was better) and a few other topical prescriptions. Didn't seem to improve anything but it didn't make it worse (well the metrogel did). I've also tried the Aveeno moisturizer/spf,for redness - works nice and is much cheaper. I've had the best success with First Aid Beauty products, when I use it, it really does calm the redness. It's pricy ($25 to $45) but it last a long time. It is too bad that the more long term solutions (laser resurfacing/IPL's) aren't covered by insurance. After all this IS a medical condition and it shouldn't be considered "cosmetic" ... I'm not asking for lypo or something, just to not have my face burn from the redness.

Reply »

Stefanie, 2-19-2011, 10:34PM

2 stars vote downvote upReport
Stefanie

The Metrogel really irrated my skin terribly. Many things offered to treat my rosacea, actually made it worse. Presently I am using the Clindamycin Lotion and taking a antibiotic by mouth called Docycline. These are the only two things that have helped my skin and I also use an Emollient Cream on top of the Clindamycin Lotion, because I have dry and sensitive skin as well. The Emollient Cream is by Mary Kay. I need the oiliness because of the severely dry skin. I do not have the pimples. Just the painful, burning redness. And yes, it sure can hurt. Especially when driving in the car and the sun hits my face.

Reply »

atryans, 2-19-2011, 10:40PM

2 stars vote downvote upReport
atryans

If this is inflammation of blood vessels, you might try using the same nutrition suggested for that. Inflammation is also a component of chronic diseases, such as heart disease and strokes. Fish oils can have anti inflammatory benefits. Maintaining a diet high in omega-3 fatty acids (naturally available in foods like fish oil and flaxseed oil) and low in omega-6 fatty acids (found in foods like red meat and dairy products) may help lower inflammation. Curcumin (a compound found in the curry spice turmeric) can overpower pro-inflammatory proteins called cytokines. investigators found ginger may reduce inflammation more effectively than non-steroidal anti-inflammatory drugs (such as aspirin). Monica Reinagel's book "The Inflammation-Free Diet Plan" explains how the foods you eat can make make inflammation worse or reduce inflammation to improve your health risks. Naturally reduce inflammation by focusing on proteolytic enzymes. Proteolytic enzymes ingested on an empty stomach can retain up to 40% of their activity, and proteolytic enzymes appear to have an affinity to accumulate at sites of inflammation. There are impressive European studies that showed marked reductions in healing times of patients who used proteolytic enzymes

Reply »

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