•  Manifests as a redness around the middle of the face, generally the nose and cheeks in a butterfly pattern
•  Has telangiectasia (couperose)
•  Is NOT acne, and does not have comedones
•  Attributed to photo damaged
•  Especially occurring in fair skinned persons

1) Overview

•  Family history/ Ethnic Background ( Celtic )
•  Sun Exposure
•  Male or female
•  Age
•  Demographics

Rosacea has progressive stages, as follows:
Pre-Rosacea
Frequent episodes of flushing and redness that come and go – triggered by foods, stress, environment and lifestyle.
Stage One – Vascular Stage
Telangiectasia, persistent flushing and redness; may be swollen and warm. Many never progress beyond this stage.
Stage Two – Inflammatory Rosacea
Pustules and papules, though no blackheads or white heads; may be misdiagnosed as acne. Telangiectasia is dilated and pores can be enlarged.
Stage Three – Orange Peel Skin Stage
Exacerbation of previous symptoms and tissue hyperplasia (overgrowth). Strikes mostly men and most often on the nose (rhinophymy), the red bulbous nose of W.C. Fields. Patients can experience more than one stage simultaneously, in progression, or only one type, including rhi

2) Topical

(Cosmecutical, Pharmaceutical OTC over the counter)

• OTC ( Over the counter) Department stores/retail outlet
• Cosmecutical sold under  license Esthetic- Cosmetology Boards
• Prescription from MD

3) Ingredients

Cosmecutical

• Antioxidants/Anti Inflammatory:
• Astaxanthin- Soluble Vitamin C-Alpha Lipoic
• Wound healing improve integrity of the skin Copper- Vitamin K –Willow Herb-Co Q10 for stimulating the ATP  ( energy)of the cell

Prescription from MD

4) Ingredients

Cosmecutical

• Antioxidants/Anti Inflammatory: Astaxanthin- Soluble Vitamin C – Alpha Lipoic
• Wound healing improve integrity of the skin Copper- Vitamin K –Willow Herb- – Azeleic  acid
• Co Q10 for stimulating the ATP  ( energy)of the cell

Prescription from MD

• Azeleic  acid (15%)
• Metronidazote ( demodex mite)
• Oral antibiotics ( tetracycline dirivitives)

5) Other information

• Sunscreen non irritating/ physical block/ oil free moisturizing
• Homeopathic Medicine
• Camouflage for coverage quality of minerals /particle size/ amount of fillers
• Things that may trigger it
  - Food
  - Exercise
  - Heat
  - Stress

If you have any questions about how to handle your rosacea-prone skin, Parkway Skin Centre’s staff is always available for consultation. Click here if you would like to purchase Derma MD’s Rosacea Skin Saver Kit.