Rosacea is a disorder characterized mainly by redness of the face. Of vascular origin, its mechanism is triggered by flushes, and while the cheeks and nose are usually hit first, the chin can also be affected as well as the forehead. Rosacea can happen at any age, but usually starts after the age of 20. Adult women with fair skin are more likely to be affected.
• Avoid: Exposition to sun and strong winds
• Exposure to heat
• Hot and/or alcoholic drinks
• Intense exercise
a) Cosmetic advice
Rosacea causes the skin to be dry and irritated and therefore plain moisturizing creams and mild cleansing gels should be used.
b) Treatment of facial veins
Three methods are available:
The largest vessels of the face can be treated that way, as in varicosities of the legs. A sclerosant solution is injected in a dilated vein with a very fine needle. The chemical will cause the vein to shrink and disappear. Two or three sessions may be necessary for the most visible vessels to disappear. A trained physician must perform this treatment.
Laser treatments give good results provided the right machine is used (there are many kinds of laser machines on the market). The treatment consists of light impulses that eliminate the small vessels of the face by coagulation.
Some redness and a slight oedema of the eyelid may persist for two or three days after each session. The number of sessions needed depends on the extent of the rosacea, but two or three sessions are generally enough. The cost of this method remains an important obstacle to its popularisation.
3. Electrocoagulation or thermocoagulation
In this very efficient method, a fine needle is placed on the skin point by point every 3 mm along the vessel and triggers its coagulation through heat. The number of sessions needed depends on the extent of the rosacea.