What is rosacea and how do you treat it

[Mess]

What is rosacea?​

Rosacea is an inflammatory disorder, understood to stem from an abnormal innate immune response system. While not categorised as an autoimmune disorder, it does involve the immune system. Categorised by erythema (redness) and papulopustules (bumps/spots), it stands as a detriment to cosmetic value. A common trigger for flare-ups is due to the Demodex folliculorum (facial mites), which is believed to trigger an immune response that is dysregulated and can appear to be allergic. Demodex mites also carry a bacterium called 'Bacillus Oleronius'. People with rosacea tend to have an overreactive immune response to these bacteria.

Don't forget that it's also genetic, particularly common in areas of north-western Europe, or anywhere the majority fair-skinned population is deprived.

There are four subtypes of Rosacea: Erythematotelangiectatic, Papulopustular, Phymatous, and Ocular.​

Erythematotelangiectatic Rosacea​

Diagnosis of Erythematotelangiectatic Rosacea:

Persistent redness on the face
Small blood vessels beneath the skin surface may become enlarged and visible
Often flare up and disappear abruptly

Treatment for Erythematotelangiectatic Rosacea:

Always use sunscreen, preferably with zinc oxide
Use medicated topical creams or serums, preferably Brimonidine
Consider Erbium YAG or pulsed-dye laser ​

Papulopustular Rosacea​

Diagnosis of Papulopustular Rosacea:

Persistent central facial erythema
Transient, central facial papules or pustules
Marked by bumps and pimples

Treatment for Papulopustular Rosacea:

An oral antibiotic, preferably Doxycycline
Topical cream, preferably soolantra (or 0.5% Ivermectin)
Aloe vera has been shown to have medicinal benefits
​

Phymatous Rosacea​

Diagnosis of Phymatous Rosacea:

Thickened skin
Irregular surface nodularity inside the body
Enlargement of integumental regions (primarily the nose)

Treatment for Phymatous Rosacea:

Oral Accutane and Doxycycline
CO2 lasers to treat rhinophyma
Minimise heat/sun exposure
​

Ocular Rosacea​

Diagnosis of Ocular Rosacea:

Burning, stinging, itchy eyes
Ocular photosensitivity
Periorbital edema

Treatment for Ocular Rosacea:

Topical Cyclosporine
Warm compress at home
Not a whole lot you can do for this one

​

KPRF OR ROSACEA?​

Keratosis Pilaris Rubra Faceii is very commonly misdiagnosed as rosacea. The patient is given completely useless medication and is left wondering what they should do. I'll link a test below to help determine whether you're suffering from KPRF or rosacea.

​

My experience with Rosacea​

My rosacea first appeared around the age of 12. I was confused, but brushed it off as irritation from my dry skin (I'll make a thread in the near future as to how I've completely reversed my dry skin). I don't have any pictures (to my knowledge) of my early-day rosacea, so I'll share a picture of my midface from when I was 14.

As you can see, I was suffering from Papulopustular Rosacea (if you took anything away from my thread). It was very irritating. It itched, it was dry, and it was very visible. *Also fungal acne.

It started affecting my confidence more than I expected. I’d avoid direct eye contact and constantly worry about flare-ups. Every product I tried either did nothing or made things worse.
I started concentrating on my omega-3s, water intake and adapted a simple skincare routine (salycilic acid -> benzyol peroxide -> hyaluronic acid nightly).
​

This is me now, similar angle. 5-6 months difference (15).​

​

​

Mess drops the mic and walks out of the room.



(Copy and paste from my thread on .com)

@BigBallsLarry
@Gomez
@SlayerJonas
@Orka
@Gengar ​

 

[Gomez]

i would post some opposite of Dnr but i don't have any gifs or videos saved

 

[KeepCopingLads]

What is rosacea?​

Rosacea is an inflammatory disorder, understood to stem from an abnormal innate immune response system. While not categorised as an autoimmune disorder, it does involve the immune system. Categorised by erythema (redness) and papulopustules (bumps/spots), it stands as a detriment to cosmetic value. A common trigger for flare-ups is due to the Demodex folliculorum (facial mites), which is believed to trigger an immune response that is dysregulated and can appear to be allergic. Demodex mites also carry a bacterium called 'Bacillus Oleronius'. People with rosacea tend to have an overreactive immune response to these bacteria.

View attachment 4092157

Don't forget that it's also genetic, particularly common in areas of north-western Europe, or anywhere the majority fair-skinned population is deprived.

There are four subtypes of Rosacea: Erythematotelangiectatic, Papulopustular, Phymatous, and Ocular.​

Erythematotelangiectatic Rosacea​

Diagnosis of Erythematotelangiectatic Rosacea:

Persistent redness on the face
Small blood vessels beneath the skin surface may become enlarged and visible
Often flare up and disappear abruptly

View attachment 4092165

Treatment for Erythematotelangiectatic Rosacea:

Always use sunscreen, preferably with zinc oxide
Use medicated topical creams or serums, preferably Brimonidine
Consider Erbium YAG or pulsed-dye laser ​

Papulopustular Rosacea​

Diagnosis of Papulopustular Rosacea:

Persistent central facial erythema
Transient, central facial papules or pustules
Marked by bumps and pimples

View attachment 4092175

Treatment for Papulopustular Rosacea:

An oral antibiotic, preferably Doxycycline
Topical cream, preferably soolantra (or 0.5% Ivermectin)
Aloe vera has been shown to have medicinal benefits
​

Phymatous Rosacea​

Diagnosis of Phymatous Rosacea:

Thickened skin
Irregular surface nodularity inside the body
Enlargement of integumental regions (primarily the nose)

View attachment 4092176

Treatment for Phymatous Rosacea:

Oral Accutane and Doxycycline
CO2 lasers to treat rhinophyma
Minimise heat/sun exposure
​

Ocular Rosacea​

Diagnosis of Ocular Rosacea:

Burning, stinging, itchy eyes
Ocular photosensitivity
Periorbital edema

View attachment 4092181

Treatment for Ocular Rosacea:

Topical Cyclosporine
Warm compress at home
Not a whole lot you can do for this one

​

KPRF OR ROSACEA?​

Keratosis Pilaris Rubra Faceii is very commonly misdiagnosed as rosacea. The patient is given completely useless medication and is left wondering what they should do. I'll link a test below to help determine whether you're suffering from KPRF or rosacea.

​

My experience with Rosacea​

My rosacea first appeared around the age of 12. I was confused, but brushed it off as irritation from my dry skin (I'll make a thread in the near future as to how I've completely reversed my dry skin). I don't have any pictures (to my knowledge) of my early-day rosacea, so I'll share a picture of my midface from when I was 14.

View attachment 4092186

As you can see, I was suffering from Papulopustular Rosacea (if you took anything away from my thread). It was very irritating. It itched, it was dry, and it was very visible. *Also fungal acne.

It started affecting my confidence more than I expected. I’d avoid direct eye contact and constantly worry about flare-ups. Every product I tried either did nothing or made things worse.
I started concentrating on my omega-3s, water intake and adapted a simple skincare routine (salycilic acid -> benzyol peroxide -> hyaluronic acid nightly).
​

This is me now, similar angle. 5-6 months difference (15).​

​

View attachment 4092188View attachment 4092189​

Mess drops the mic and walks out of the room.



(Copy and paste from my thread on .com)

@BigBallsLarry
@Gomez
@SlayerJonas
@Orka
@Gengar ​

good thread, how to fix kpr? i think i have that instead of rosacea

 

[Mess]

good thread, how to fix kpr? i think i have that instead of rosacea

Either let age sort it out (will fade, not go fully away), or get some laser work done (needs done every few months).

 

[KeepCopingLads]

Either let age sort it out (will fade, not go fully away), or get some laser work done (needs done every few months).

yh its so over for me, i had it all my life

 

[Mess]

yh its so over for me, i had it all my life

There will be scientific development within the coming years to combat it. The leading theory is that the hairs in the area are ingrowing and that causes the inflammation. Sounds like a simple fix in theory.

 

[KeepCopingLads]

There will be scientific development within the coming years to combat it. The leading theory is that the hairs in the area are ingrowing and that causes the inflammation. Sounds like a simple fix in theory.

i think theres some inflammation that causes the blood vessels to widen than normal, but im no scientist so idk
i guess my best bet now is a ''primal diet'' with no ''inflammatory foods'' so i'll see if that does the trick

 

[SlayerJonas]

Decent thread, pinning

i think theres some inflammation that causes the blood vessels to widen than normal, but im no scientist so idk
i guess my best bet now is a ''primal diet'' with no ''inflammatory foods'' so i'll see if that does the trick

No it won't do the trick, diet does fuck all. Just stick to the basics and try to eat as healthy as possible, diet is not the fucking solution to every problem on earth

 

[KeepCopingLads]

No it won't do the trick, diet does fuck all.

let me cope in peace

 

[SlayerJonas]

let me cope in peace

Why don't you "cope" by using the medications OP recommended?

I get it, looksmaxing is tiresome for some people, but you can't run away from problems as they'll keep haunting you.

 

[KeepCopingLads]

Why don't you "cope" by using the medications OP recommended?

because i apparently dont have rosacea, but kpr

There will be scientific development within the coming years to combat it. The leading theory is that the hairs in the area are ingrowing and that causes the inflammation. Sounds like a simple fix in theory.

 

[KeepCopingLads]

I get it, looksmaxing is tiresome for some people, but you can't run away from problems

sad that people actually do this

 

[KeepCopingLads]

Why don't you "cope" by using the medications OP recommended?

The patient is given completely useless medication and is left wondering what they should do.

 

[Mess]

@KeepCopingLads Yeah, dermatologists commonly diagnose kprf as rosacea and the patients get given useless medication. In my opinion, just save up for laserwork.

 

[Copercel]

What is rosacea?​

Rosacea is an inflammatory disorder, understood to stem from an abnormal innate immune response system. While not categorised as an autoimmune disorder, it does involve the immune system. Categorised by erythema (redness) and papulopustules (bumps/spots), it stands as a detriment to cosmetic value. A common trigger for flare-ups is due to the Demodex folliculorum (facial mites), which is believed to trigger an immune response that is dysregulated and can appear to be allergic. Demodex mites also carry a bacterium called 'Bacillus Oleronius'. People with rosacea tend to have an overreactive immune response to these bacteria.

View attachment 4092157

Don't forget that it's also genetic, particularly common in areas of north-western Europe, or anywhere the majority fair-skinned population is deprived.

There are four subtypes of Rosacea: Erythematotelangiectatic, Papulopustular, Phymatous, and Ocular.​

Erythematotelangiectatic Rosacea​

Diagnosis of Erythematotelangiectatic Rosacea:

Persistent redness on the face
Small blood vessels beneath the skin surface may become enlarged and visible
Often flare up and disappear abruptly

View attachment 4092165

Treatment for Erythematotelangiectatic Rosacea:

Always use sunscreen, preferably with zinc oxide
Use medicated topical creams or serums, preferably Brimonidine
Consider Erbium YAG or pulsed-dye laser ​

Papulopustular Rosacea​

Diagnosis of Papulopustular Rosacea:

Persistent central facial erythema
Transient, central facial papules or pustules
Marked by bumps and pimples

View attachment 4092175

Treatment for Papulopustular Rosacea:

An oral antibiotic, preferably Doxycycline
Topical cream, preferably soolantra (or 0.5% Ivermectin)
Aloe vera has been shown to have medicinal benefits
​

Phymatous Rosacea​

Diagnosis of Phymatous Rosacea:

Thickened skin
Irregular surface nodularity inside the body
Enlargement of integumental regions (primarily the nose)

View attachment 4092176

Treatment for Phymatous Rosacea:

Oral Accutane and Doxycycline
CO2 lasers to treat rhinophyma
Minimise heat/sun exposure
​

Ocular Rosacea​

Diagnosis of Ocular Rosacea:

Burning, stinging, itchy eyes
Ocular photosensitivity
Periorbital edema

View attachment 4092181

Treatment for Ocular Rosacea:

Topical Cyclosporine
Warm compress at home
Not a whole lot you can do for this one

​

KPRF OR ROSACEA?​

Keratosis Pilaris Rubra Faceii is very commonly misdiagnosed as rosacea. The patient is given completely useless medication and is left wondering what they should do. I'll link a test below to help determine whether you're suffering from KPRF or rosacea.

​

My experience with Rosacea​

My rosacea first appeared around the age of 12. I was confused, but brushed it off as irritation from my dry skin (I'll make a thread in the near future as to how I've completely reversed my dry skin). I don't have any pictures (to my knowledge) of my early-day rosacea, so I'll share a picture of my midface from when I was 14.

View attachment 4092186

As you can see, I was suffering from Papulopustular Rosacea (if you took anything away from my thread). It was very irritating. It itched, it was dry, and it was very visible. *Also fungal acne.

It started affecting my confidence more than I expected. I’d avoid direct eye contact and constantly worry about flare-ups. Every product I tried either did nothing or made things worse.
I started concentrating on my omega-3s, water intake and adapted a simple skincare routine (salycilic acid -> benzyol peroxide -> hyaluronic acid nightly).
​

This is me now, similar angle. 5-6 months difference (15).​

​

View attachment 4092188View attachment 4092189​

Mess drops the mic and walks out of the room.



(Copy and paste from my thread on .com)

@BigBallsLarry
@Gomez
@SlayerJonas
@Orka
@Gengar ​

Good guide

 

[Djimo]

i have papulopustular rosacea and a bit more severe than the girl

i currently only have a cheap isotretinoin source and not one for doxycycline.
Would isotretinoin be good enough for this type and how much should i take? (15y 180cm 70kg)

and also wouldnt isotretinoin or just any oil reducer make me look way leaner due to me losing the acne and having less oil in the skin itself?

 

[Mess]

i have papulopustular rosacea and a bit more severe than the girl
View attachment 4092445

i currently only have a cheap isotretinoin source and not one for doxycycline.
Would isotretinoin be good enough for this type and how much should i take? (15y 180cm 70kg)

and also wouldnt isotretinoin or just any oil reducer make me look way leaner due to me losing the acne and having less oil in the skin itself?

Get doxycycline and oral ivermectin. Make sure that it’s still safe whilst on accutane.

To answer your second question, there would be minimal difference. Shiny skin vs non-shiny skin. The only “lean” effects will be less inflammation and your pores will be clean.

 

[Mess]

Bump

 

[Charm0]

What is rosacea?​

Rosacea is an inflammatory disorder, understood to stem from an abnormal innate immune response system. While not categorised as an autoimmune disorder, it does involve the immune system. Categorised by erythema (redness) and papulopustules (bumps/spots), it stands as a detriment to cosmetic value. A common trigger for flare-ups is due to the Demodex folliculorum (facial mites), which is believed to trigger an immune response that is dysregulated and can appear to be allergic. Demodex mites also carry a bacterium called 'Bacillus Oleronius'. People with rosacea tend to have an overreactive immune response to these bacteria.

View attachment 4092157

Don't forget that it's also genetic, particularly common in areas of north-western Europe, or anywhere the majority fair-skinned population is deprived.

There are four subtypes of Rosacea: Erythematotelangiectatic, Papulopustular, Phymatous, and Ocular.​

Erythematotelangiectatic Rosacea​

Diagnosis of Erythematotelangiectatic Rosacea:

Persistent redness on the face
Small blood vessels beneath the skin surface may become enlarged and visible
Often flare up and disappear abruptly

View attachment 4092165

Treatment for Erythematotelangiectatic Rosacea:

Always use sunscreen, preferably with zinc oxide
Use medicated topical creams or serums, preferably Brimonidine
Consider Erbium YAG or pulsed-dye laser ​

Papulopustular Rosacea​

Diagnosis of Papulopustular Rosacea:

Persistent central facial erythema
Transient, central facial papules or pustules
Marked by bumps and pimples

View attachment 4092175

Treatment for Papulopustular Rosacea:

An oral antibiotic, preferably Doxycycline
Topical cream, preferably soolantra (or 0.5% Ivermectin)
Aloe vera has been shown to have medicinal benefits
​

Phymatous Rosacea​

Diagnosis of Phymatous Rosacea:

Thickened skin
Irregular surface nodularity inside the body
Enlargement of integumental regions (primarily the nose)

View attachment 4092176

Treatment for Phymatous Rosacea:

Oral Accutane and Doxycycline
CO2 lasers to treat rhinophyma
Minimise heat/sun exposure
​

Ocular Rosacea​

Diagnosis of Ocular Rosacea:

Burning, stinging, itchy eyes
Ocular photosensitivity
Periorbital edema

View attachment 4092181

Treatment for Ocular Rosacea:

Topical Cyclosporine
Warm compress at home
Not a whole lot you can do for this one

​

KPRF OR ROSACEA?​

Keratosis Pilaris Rubra Faceii is very commonly misdiagnosed as rosacea. The patient is given completely useless medication and is left wondering what they should do. I'll link a test below to help determine whether you're suffering from KPRF or rosacea.

​

My experience with Rosacea​

My rosacea first appeared around the age of 12. I was confused, but brushed it off as irritation from my dry skin (I'll make a thread in the near future as to how I've completely reversed my dry skin). I don't have any pictures (to my knowledge) of my early-day rosacea, so I'll share a picture of my midface from when I was 14.

View attachment 4092186

As you can see, I was suffering from Papulopustular Rosacea (if you took anything away from my thread). It was very irritating. It itched, it was dry, and it was very visible. *Also fungal acne.

It started affecting my confidence more than I expected. I’d avoid direct eye contact and constantly worry about flare-ups. Every product I tried either did nothing or made things worse.
I started concentrating on my omega-3s, water intake and adapted a simple skincare routine (salycilic acid -> benzyol peroxide -> hyaluronic acid nightly).
​

This is me now, similar angle. 5-6 months difference (15).​

​

View attachment 4092188View attachment 4092189​

Mess drops the mic and walks out of the room.



(Copy and paste from my thread on .com)

@BigBallsLarry
@Gomez
@SlayerJonas
@Orka
@Gengar ​

Could accutane also help with Erythematotelangiectatic or papulopustular rosacea. Im pretty sure i have one of them if not both im gonna be starting accutane this week i was wondering if it would help. I'm currently using sulfacetamide 10% and a cream with isotret 0.05 and erythromycin for my skin

 

[Mess]

Could accutane also help with Erythematotelangiectatic or papulopustular rosacea. Im pretty sure i have one of them if not both im gonna be starting accutane this week i was wondering if it would help. I'm currently using sulfacetamide 10% and a cream with isotret 0.05 and erythromycin for my skin

Yeah accutane will help with pore troubles hence reducing the appearance of accutane.
It could maybe help kill the bacteria, I'm not sure on that.

 

[thecaste]

mirin effort but sadly very trivial info and not complete at all (and outright wrong in some aspects).
will make a huge rosacea guide once I have time, I know about pretty much every treatment option there is and I tried lots of it myself.

Could accutane also help with Erythematotelangiectatic or papulopustular rosacea.

yes, low dose accutane helps with both forms of rosacea. however, it's way more effective for type 2. 5-10 mg a day should be enough to get rid of the bumps. it doesn't get rid of permanent redness and telangiectasia from type 1 tho, it only reduces inflammation which helps control flares and improve the redness caused by inflammation.
BE CAREFUL THO: higher doses of accutane, >20mg/d, can actually worsen or cause type 1 rosacea.

 

[Charm0]

mirin effort but sadly very trivial info and not complete at all (and outright wrong in some aspects).
will make a huge rosacea guide once I have time, I know about pretty much every treatment option there is and I tried lots of it myself.


yes, low dose accutane helps with both forms of rosacea. however, it's way more effective for type 2. 5-10 mg a day should be enough to get rid of the bumps. it doesn't get rid of permanent redness and telangiectasia from type 1 tho, it only reduces inflammation which helps control flares and improve the redness caused by inflammation.
BE CAREFUL THO: higher doses of accutane, >20mg/d, can actually worsen or cause type 1 rosacea.

Thanks for the info, could you tell me what i could for the redness then or if i could permanently get rid of it or at least manage it indefinitely w a cream or smt cus it stands out a lot since i also have a big nose.

 

[thecaste]

Thanks for the info, could you tell me what i could for the redness then or if i could permanently get rid of it or at least manage it indefinitely w a cream or smt cus it stands out a lot since i also have a big nose.

sadly there is no cream that gets rid of permanent redness. brimonidone and oxymetazoline temporary constrict blood vessels but they almost always cause an even worse rebound redness; it's not worth the risk. your best bet are vascular lasers: KTP, yellowlaser or PDL. they have a specific wavelength that targets hemoglobin and "destroy" the blood vessels for good. they can be pricey tho and you need a skilled practicioner.
the most important thing to manage your redness and keep it at bay is SPF tho. ALWAYS wear sunscreen.

 

[Charm0]

sadly there is no cream that gets rid of permanent redness. brimonidone and oxymetazoline temporary constrict blood vessels but they almost always cause an even worse rebound redness; it's not worth the risk. your best bet are vascular lasers: KTP, yellowlaser or PDL. they have a specific wavelength that targets hemoglobin and "destroy" the blood vessels for good. they can be pricey tho and you need a skilled practicioner.
the most important thing to manage your redness and keep it at bay is SPF tho. ALWAYS wear sunscreen.

Thanks again.I'll try to get vascular lasers if ive got the money. About spf i currently use la roche posay invisible fluid spf50+ but ive been thinking about getting a tinted sunscreen to cover up the redness on my nose could you reccomend me a good one my skin tone is like a bit tanned caucasian/white. Or should i just get a bb cream im worried if i put tinted sunscreen all over my face itll look gay or mess up my undertones i dont wanna look like i put on makeup

 

[thecaste]

Thanks again.I'll try to get vascular lasers if ive got the money. About spf i currently use la roche posay invisible fluid spf50+ but ive been thinking about getting a tinted sunscreen to cover up the redness on my nose could you reccomend me a good one my skin tone is like a bit tanned caucasian/white. Or should i just get a bb cream im worried if i put tinted sunscreen all over my face itll look gay o mess up my undertanes i dont wanna look like up put on makeup

I have tried both bb cream and tinted sunscreen and imo it definitely looks like make up and it adds an unnatural color to the skin. everything looks shiny and even. if you really struggle with your redness and it makes you insecure in social settings then definitely try it out but I personally didn't have much success with it.

can you maybe attach an image of your nose? it is possible that it's mostly inflammation from type 2 rosacea which could be controlled with topicals like azelaic acid, metronidazole, soolantra etc.

or are you sure that it's permanent/residual redness aka type 1 (tiny broken blood vessels and bigger telangiectasia)?

 

[Charm0]

I have tried both bb cream and tinted sunscreen and imo it definitely looks like make up and it adds an unnatural color to the skin. everything looks shiny and even. if you really struggle with your redness and it makes you insecure in social settings then definitely try it out but I personally didn't have much success with it.

can you maybe attach an image of your nose? it is possible that it's mostly inflammation from type 2 rosacea which could be controlled with topicals like azelaic acid, metronidazole, soolantra etc.

or are you sure that it's permanent/residual redness aka type 1 (tiny broken blood vessels and bigger telangiectasia)?

I'll pm you