Rosacea presentation
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Rosacea is a common skin condition that causes redness and pimples on the face. It most often affects the cheeks, nose, chin, and forehead. Rosacea symptoms range from mild redness to visible blood vessels and pus-filled bumps. There are four stages of rosacea that increase in severity from persistent flushing to permanent skin changes like thickened skin and irregular contours. Treatment focuses on reducing inflammation and preventing flare-ups using topical medications, oral antibiotics, and avoiding triggers. While there is no cure for rosacea, treatment can effectively control symptoms.
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- 1. Rosacea • Facial Distribution of Rosacea • •
- 3. How common is Rosacea
- 4. Where does it develop
- 5. Myths Coffee and Caffeine Cause Flare-ups Rosacea is Caused by Poor Hygiene Rosacea is Contagious Rosacea is the Same as Acne Those with Rosacea are Heavy Drinkers
- 6. Signs and Symptoms • Signs and Symptoms
- 7. More Signs and Symptoms When rosacea first develops, it may appear, then disappear, and then reappear. However, the skin may fail to return to its normal color and the enlarged blood vessels and pimples arrive in time. Rosaceamay rarely reverse itself. Rosacea generally lasts for years, and, if untreated, it tends to gradually worsen.
- 8. Stage 1 • Persistent flushing lasting hours or days • Telangiectasias • Facial swelling or Edema • Stimuli caused • Stinging or Burning
- 9. Stage 2 • Persistent Erythema • Inflammatory Papules and Pustules • Burning and Stinging less common • Chronic Edema • Scarring is common
- 10. Stage 3 • Inflammatory Nodules • Thickening of skin • Irregular Facial Contours • Hypertrophy of Connective tissue • Hyperplasia of Sebaceous Glands • Rhinophyma, bulbous or irregular nose shape
- 11. Ocular Rosacea • Eye problems develop after skin symptoms • Itching, Stinging, Burning, Grittiness • Erythema and swelling of eyelids • Pain and Photosensitivity • Severe cases can manifest and progress – Conjunctivitis – Blepharitis – Keratitis
- 12. How is Rosacea Diagnosed
- 16. Demodex Mites
- 17. Face Mites
- 18. Facial Rosacea Help • Sometimes topical or oral antibiotics can be used. Skin bumps may get better quickly, but redness and flushing are less likely to improve. • Small red lines can be treated with electrosurgery and laser surgery. For some people, laser surgery improves the skin without much scarring or damage. • Patients with a swollen, bumpy nose can have extra skin tissue taken off to make it smaller.
- 19. Ocular Rosacea Help • Most eye problems are treated with oral antibiotics. • People who get infections of the eyelids must clean them a lot. After scrubbing with a gentle cleanser, apply a warm (but not hot) compress a few times a day. • If needed, the doctor may prescribe steroid eye drops
- 20. IPL for Vascular Lesions • Minimul post procedure downtime • Well-Established and Effective • Red Lesions • Blue Lesions • Cherry Angiomas • Superficial Telangiectatic Veins
- 21. Can Rosacea be Cured
- 22. Dermatologists most often recommendCetaphil® for rosacea prone skin. Cleansers gently cleanse, moisturize and remove what your skin doesn’t need, without stripping away natural emollients and oils. • Cetaphil® Gentle Skin Cleanser • Mild, non-irritating, hypoallergenic formula • Rinses off easily • Helps prepare skin for topical medications • Neutral pH, non-comedogenic • Cetaphil® Gentle Cleansing Bar • Gentle, non-alkaline, non-soap bar • Ideal for facial and full body cleansing • Non-comedogenic, hypoallergenic • • Dermatologists remind rosacea patients, it’s important to avoid sun exposure and to use sunscreen every day. For rosacea-prone skin, Cetaphil® facial moisturizers with SPF protect your skin from damaging UV rays while gently working to help restore and maintain your skin’s natural balance. Cetaphil® Daily Facial Moisturizer with sunscreen SPF 50+ • Clinically proven to nourish and hydrate skin while helping defend against sunburn • Leaves skin feeling soft and smooth • Fragrance-free, non-irritating and non-comedogenic • Everyday Skincare
- 23. Esthetic Treatments • Anti-Oxidants • Unbuffered Glycolic Acid • Anti-inflamatory and calming masks • Mild Peels • Gentle facial massage • Minimul or No Steam • Minimul or No Fragrance • Cool soft towels • Cool Cotton Squares, no sponges • Calming Zinc Soap • Image Skincare Line • Comforting concealing cosmetics
- 24. More about Glycolic • Purpose • Glycolic acid (both buffered and non-buffered) is used in over-the-counter skin care products and light chemical peels to rejuvenate the skin and, with continued use, gradually diminish fine lines, mild wrinkles and skin discoloration for healthier, younger-looking skin. • pH Level • The pH level indicates the level of acid in a substance. In skin care, the lower the pH of a chemical, the stronger the acid and its effect on skin. Natural glycolic acid has a pH of 1.0. A pH of .06 indicates the pH has been lowered for more strength. Buffered glycolic acid has a pH level that has been altered. • Strength • Non-buffered glycolic acid has a low pH level, meaning the acid causes more of a reaction with skin proteins that trigger the peeling off of surface skin cells and the regeneration of new skin cells to replace the old. Buffered glycolic acid has a pH level that has been modified, typically to weaken the acid. • Uses • Non-buffered glycolic acid is typical for dermatological cosmetic treatments, while buffered glycolic acid is often used in over-the-counter products and treatments since it is safer and more gentle on the skin. • Considerations • Percentage does not necessarily indicate strength. A product with "70% glycolic acid" could contain weaker, buffered glycolic acid while one with "30% glycolic acid" could contain stronger, non- buffered acid.
- 25. Image Skincare • SUGGESTED LINE: Vital C • A daily hydrating product line for sensitive, dehydrated and rosacea prone skin. Soothes skin irritation and nourishes tired and dry, dull looking skin. High in anti-oxidants for ultimate protection and nutrition. • Disclaimer: Results not intended to take the place of a consultation. Please speak with a licensed IMAGE skincare professional before implementing a new skincare regimen.
- 26. Resources • Rosacea.org • Skininc.com • Medicinenet.com • Miladynet.com • Cetaphil.com • Skinrxclinic.com • Imageskincare.com • http://www.dailymail.co.uk • http://www.drbaileysskincare.com • http://www.dermnet.com • http://www.ncbi.nlm.nih.gov
Editor's Notes
- ManageableChronic Skin Condition Characteristics: Facial Flushing Persistent RednessDistended Surface Blood Vessels Dilated Surface Capillaries Papules and/or Pustules (may or may not be present)Usually starts around Nose spreading to Cheeks, Chin and Forehead May be present on the Neck, Shoulders, Chest and Back.
- What is Rosacea? A Chronic Skin Disorder affecting the central face area mostly seen on fair skinned individuals. If not controlled, rosacea can cause changes in facial features. Rosacea can have devastating affects on a person’s Self-Esteem, Emotions and Psychological Well Being including occupational health. Rosacea is not a Fatal Disease although severe cases can result in Facial Disfigurement. rosacea.orgThe cause is unknown but may be due to heredity, bacteria, mites or fungus.
- About 14 million people in the United Statesand one in ten Northern Europeans have rosacea. Fair-skin individuals of English, Irish or Scottish descent are more prone to the condition. It is more common in women between the ages of 30 and 50while men represent only 1/3 of all cases.
- Roseacea.org
- Dry, Red Irritated eyesChalazia small circumscribed tumor of the eyelid formed by retention of (the melbomian) gland secretions. Always inflammation. Telangiectasia which are broken blood vessels near the skin Acne-like breakouts in flushed areas.
- Typical signs and symptoms of rosacea include facial flushing, blushing, redness, burning, red bumps, and small cysts. The symptoms tend to come and go. The skin may be clear for weeks, months, or years and then erupt again.Here we have Ocular Rosacea, Vascular Rosacea, Acne Rosacea (currently not commonly referred as) and Rhinophyma. Rosacea tends to evolve in stages causing inflammation changing the skin’s texture and appearance.
- Stimuli include spicy foods, hot drinks, stress and sun exposure.
- Left untreated the condition grows more problematic as stage 2 symptoms take over.
- Skin nodules are slightly elevated lesions on or in the skin. They are larger than papules - over 5 mm in diameter. The depth of the lesion is more significant than the width. Some are free within the dermis. Some are fixed to skin above or subcutaneous tissue below.For example, a Dermatologist may diagnoseVasculitic lesions such as: erythema nodosum, nodular vasculitis, polyarteritis nodosa.Connective tissue hyperplasia and hypertrophy is due in part to an overproduction of collagen from connective tissue fibroblasts.Hyperplasia is a common response to stimulus. Microscopically cells resemble normal cells but are increased in numbers.Hypertrophy response to stimulus is an increase in cell size.Thickening of the facial skin and a change in physical features become disfigurements such as bulbous nose.
- Conjunctivitis,Conjunctivitis, also known as pinkeye, is an inflammation of the conjunctiva. The conjunctiva is the thin clear tissue that lies over the white part of the eye and lines the inside of the eyelid.Blepharitis, is an inflammation of the eyelids causing red, irritated, itchy eyelids and the formation of dandruff-like scales on eyelashes. It is a common eye disorder caused by either bacterial or a skin condition such as dandruff of the scalp or acne rosacea. It affects people of all ages. Although uncomfortable, blepharitis is not contagious and generally does not cause any permanent damage to eyesight.Keratitis is the medical term for inflammation of the cornea. If not treated can lead to blindness.
- While most cases of rosacea are fairly straightforward, there are some atypical cases that are not as easy to diagnose.
- Rosacea is largely under-diagnosed and most people with rosacea do not know they have the skin condition. Many people may not associate their intermittent flushing symptoms with a medical condition. The facial redness in rosacea may be transient and come and go very quickly.Dermatologists are specially trained in the diagnosis of rosacea. Generally no specific tests are required for the diagnosis of rosacea.
- In unusual cases, a skin biopsy may be required to help confirm the diagnosis of rosacea.. A skin culture can help exclude other causes of facial skin bumps like staph infections or herpes infections. Blood tests are not generally required but may be used to help exclude less common causes of facial blushing and flushing including systemic lupus, other autoimmune conditions, and dermatomyositis.
- This is Rosacea not to be confused with Acne. Notice that there are no blackheads (closed comedomes) which is common to all levels of acne. Other look alikes may include:Acne VulgarisFolliculitis Staph Infection Systemic Lupus Erythematosus, Medication/Suppliement ReactionSeborrheic Dermatitis Allergic or Contact Dermatitis Eczema Seasonal Allergies Allergic Conjunctivitis, Perioral Dermatitis Carcinoid Syndrome Impetigo Herpes simplex DemodexThese conditions are not to be taken lightly. They are diagnosed by Medical Doctors and most likely require medical attention to treat, control or cure. Demodex Mites may be of particular concern to roseacea suffers.
- This is Not Rosacea.Domodex is a skin mite infestation which can look just like rosacea.Occasionally, a noninvasive test called a Skin Scraping may be performed by a Dermatologist to determine if Demodex is the problem.
- Demodex Mites, also known as face mites, are not so well known by the public. They are parasites which live on the face and in the hair follicles of humans.There are two existing types:DemodexFolliculorum, the long kind,live in the hair follicles. Demodexbrevis, the short kind, live in the sebaceous glands. Face Miteseat facial oil known as sebum and are particularly attracted to hair follicles as well as the oily pores found on the nose, forehead and cheeks.Review leader Kevin Kavanagh found people withRosaceahave higher levels of the mite than those with normal skin. He discovered that the mites are unable to expel their own feces so this is released onto the skin attracting bacteria. When the mites die and decompose the problem compoundsattracting more bacteria. This cycle may explain why antibiotics work only temporarily. Scientists said the bacteria (bacterium Bacillus oleronius appears to be) triggers the immune reaction in rosacea sufferers, causing inflammation.Read more: http://www.dailymail.co.uk/health/article-2196226/Red-skin-condition-rosacea-caused-mite-faeces-pores.html
- There are multiple well-established and effective laser treatments for targeting blood vessels in the skin, with the pulsed dye laser being the workhorse in many practices nationwide. However, one limitation of the latter is the need to achieve purpura in several clinical scenarios to achieve acceptable results. In contrast, one of the main advantages of IPL technology is the absence of postoperative purpura, which minimizes postprocedure downtime substantially. Rather than inducing immediate purpura, the goal of treating vascular lesions with IPL is to raise the blood vessel temperature high enough to cause its coagulation, leading to its destruction and replacement by fibrous granulation tissue. Because of its polychromaticity, IPL can target oxyhemoglobin (predominantly found in clinically red lesions), deoxygenated hemoglobin (predominantly in blue lesions), and methemoglobin, with absorption peak wavelengthsSee http://www.ncbi.nlm.nih.gov
- There is no cure for rosacea, but it can be treated and controlled. A Medical Doctor offers several ways to treat rosacea.. In time the skin may look better with several treatment options. Optimal results are achieved with Laser Treatments. Here we see what happens to the skin after Variable Pulse Light Laser Treatment targetingTelangiectasias.Modern IPL (variable intense pulse light therapy) devices provide pulse durations up to 100 milliseconds, which enables delivery of light energy to vessels over longer periods of time, resulting in gentle, uniform heating or even coagulation across the entire vessel while reducing vessel rupture.Vessel rupture, an unwanted side affect commonly seen with earlier IPL device treatments, appears as red, purple or brown discolorations known as pupura andhyperpigmentation. Entirely avoidable with today’s VIPL treatments when conducted by a highly trained professional under the direction of a medical doctor.Today there are several different IPLS to treat a variety of conditions. Science and Technology continue to rapidly advance laser skin treatments. Dermatologists and Aestheticians stay current on outlooks and advances.
- Skin care products that contain irritating ingredients such as acids and alcohol may worsen the symptoms of rosacea. Cetaphil® products are dermatologist-recommended because they are gentle, non-irritating options for cleansing and moisturizing even the most sensitive skin.Gentlycleanse without stripping oils.Moisturizer with SPF 50 restoring balance. Fragrance-Free. Chemically designed products.
- The treatment will depend on the client’s condition. Intake questions along with skin analysis will help us determine the stage of rosacea and possible underlying causes. I have found conflicting information about most effective products and treatments. Start slow to learn about client’s condition and start with trial products, monitor weekly.
- Unbuffered Glycolic Acid treatments are not found over the counter and may be administered by trained professionals only.Many products are offered over the internet with misleading statements about levels and types of glycolic acid. Again, unbuffered Glycolic Acid is not widely available. Please consult with your skin care professional. Glycolic-acid peels may additionally help improve and control rosacea in some people. The chemical peels can professionally be applied for approximately two to five minutes every two to four weeks. Mild stinging, itching, or burning may occur and some patients experience peeling for several days after the peel. Any peel can irritate very sensitive skin and cause flares for some people. Peels should be used with caution in rosacea as not everyone is able to tolerate these treatments. See Medicinet.comUnbuffered Glycolic Acid Treatments may be available from an Aestheticain working under the direction of a medical doctor or Dermatologist. This treatment is controversial and requires in-depth skin analysis with other medical considerations specific to the individual.
- Add I-Conceal foundation for All Skin Types;Daily usePigmentationRedness & RosaceaAcne & Acne ScarringPost Cosmetic InjectionsBruising & ScarringPost-TreatmentPost-LaserPost-SurgeryHealthy skin foundationIt's the all-in-one illuminating, lightweight and water-resistant skin foundation that heals and conceals to reveal a healthier, flawless complexion every day.Daily healthy skin foundationwith CPN™ System:Correction – hide imperfections with perfect color matchPrevention – daily protection, healing and anti-aging. Nutrition – oxygenating and botanical ingredients.Available in 6 colors for every Fitzpatrick skin type.
- Photos acquired from above sources along with various internet sources. My intention is to properly site all sources. At times internet source citation was not available. All photos are captured from another’s work and I take no personal credit.This topic was researched from the above listed resources and the information contained in this report and slide-show is intended to be general information. All slides and verbiage are my interpretation of the topic based on the information provided by the above referenced resources.I hope you enjoy this presentation and find something of value for your purposes. Thank you for viewing my First Presentation as an Esthetic Student.