Have you spotted any angry-looking red patches on your face? It may be possible that you are suffering from rosacea, a skin condition that affects many older people, particularly women. While it is extremely common, there is still a lack of medical information surrounding it. So in order to shed some light on this widespread but little talked about issue, we answer three vital questions: what is rosacea, what are the main symptoms, and how can it be treated?
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What is rosacea? | What are the causes? | Are there different types? | What are the symptoms? | Can menopause cause or affect the development of rosacea? | The best treatments | Advice from those suffering
Rosacea is a common long-term skin condition that typically occurs after the age of 30. It usually affects the face, although symptoms can also appear on the neck, ears, chest, scalp and back. It is ultimately a physical condition, but it can also have a psychological effect on those who suffer from it as it can result in changes to physical appearance, which many people may find difficult to adjust to.
It is typically characterised by red flare-ups on the face, and can include bumps, pimples, eye problems and skin thickening, particularly around the nose. Over time, blood vessels in the skin may start to become visible.
While the exact cause of rosacea is at present unknown, there are a variety of treatments available that can help to reduce symptoms.
Research is still ongoing to find the exact causes of the condition, but possible triggers, ranging from genetics, biological abnormalities to lifestyle factors, could include:
Most commonly, rosacea affects older women, especially those with fair skin, although it does also affect men. Each case may differ from individual to individual (regardless of gender), and rosacea can harbour itself in different forms. The four types are:
Depending on the type of rosacea (and on the individual), it can manifest in mild, moderate or severe forms. Symptoms include persistent redness, skin thickening, a burn or sting sensation and many more.
Hot flushes associated with menopause can trigger the onset of symptoms, but the two are not mutually exclusive. If you are experiencing facial redness and approach your GP for a diagnosis, they may examine a potential relationship between menopause and rosacea if you are going through the change or if you are in the early post-menopause stages. They may also ask you to undergo a couple of routine tests to rule out any other conditions with similar symptoms, such as psoriasis.
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For people with rosacea, the first port of call is to see your GP or a dermatologist to get veritable medical advice. Once they have diagnosed your symptoms, starting some form of long-term treatment programme will help to reduce your current symptoms and delay the onset of any further ones. At present, there is no cure for rosacea, but treating it as soon as possible after diagnosis will ensure that any current symptoms don't get worse.
Identifying a treatment that will actually work for you may be tricky to start with as symptoms do differ for each individual, but it is important to know and understand your options and choose a treatment that will suit you best. Here are a variety of different ways that you can control the worst of it:
Skin expert Caroline Hirons says: "To help the rosacea itself, I would ask what your current routine is and recommend that you stay away from alcohol, sugar and dairy to start with."
Incorporate topical medication (i.e. prescribed creams or gels) into your skincare regime. Work these into your routine after cleansing and before moisturising or applying makeup. Please note that they will need to be recommended and prescribed by your GP. Topical medication includes:
Take oral medication, such as prescribed oral antibiotics, suitable for patients with rosacea, to reduce skin inflammation. These will also need to be prescribed by your GP. Types of antibiotics include:
Laser treatment and intense pulsed light (IPL) treatment can help to shrink blood vessels if they are overly visible. Be sure to consult your GP first and go over any possible side effects before undergoing this treatment.
While professional help and support is ultimately the key, it is also important to get health advice from those who are experiencing this condition first-hand. Some of our users are suffering from rosacea symptoms, so here is some impartial advice from them to you...
"Ask your GP to refer you to a dermatologist. If it is rosacea, you need it treated properly."
"A lot of people react badly to Aqueous cream, which is odd as doctors recommend it."
"I have very sensitive skin. I get flare-ups around the nose, can't wear any makeup and have to use face cream very sparingly - either Avene or Yves Rocher for sensitive skin. And Rosalox (prescription only) really does help when I have flare-ups."
"If it does turn out to be rosacea, another topical treatment is Finacea. Excellent!"
"I found it hugely embarrassing when working and persevered with GPs until I found a sympathetic and knowledgeable one. I have a prescribed cream when it is needed, but find Avene products work very well - they calm and reduce redness almost immediately. Triggers for me are red wine, spicy foods, stress and water, so I use a cleanser that doesn't need to be washed off and drink white wine [grin].
"There are moisturisers and light foundations available to counteract the redness - they have a slight green tinge to them. I'm pretty certain Boots do one in their own brand."
Disclaimer: The information on our health pages is only intended as an informal guide and should not be treated as a substitute for medical advice. Gransnet would urge you to consult your GP before you begin any diet if you're concerned about your weight, have existing health conditions and/or are taking medication.