What will be the best treatment for Rosacea with persistent redness and blood vessel at nose and chin area?

Doctor's Answers 1

I’d suggest for you to visit a dermatologist – they are the experts at managing skin conditions such as rosacea.

Rosacea generally presents with redness and visible blood vessels like in your case, or it can also cause pustules (acne rosacea).

If not managed well with the right treatment, long-standing rosacea can cause blepharitis (inflammation of the eyelid) and the formation of styes, as well as a large bulbous nose or chin.

1. Prevention (is the best cure)

First of all, it’s necessary to reduce aggravating factors ie anything that warms up your face:

  • Hot showers, exercise, saunas, direct sunlight, hot weather (I know that avoiding hot weather is a pain in Singapore)
  • Spicy foods, hot drinks, alcohol
  • Stress and anxiety

When exercising, it’s helpful to apply a washcloth with cool water to your face immediately after to help shrink down the dilated blood vessels.

2. Best treatment for rosacea

The best treatment for redness caused by rosacea is customised. This may include topical creams, oral antibiotics, and sometimes, lasers.

Most patients with redness respond well to Finacea gel. The active ingredient is azelaic acid, which helps to significantly reduce redness. You’ll need a prescription to buy Finacea in Singapore.

Other topical treatments include metronidazole and sodium sulfacetamide.

Depending on the type and severity of your rosacea, the addition of oral antibiotics such as doxycycline, minocycline, or tetracycline is sometimes required. Low-dose isotretinoin may also be used in certain cases.

For discrete, visible blood vessels, NdYAG or pulsed dye lasers work well too.

3. Cost in Singapore

Depends if you go via:

  1. Polyclinic letter > Subsidised NSC dermatologist route
  2. Private dermatologist route

Similar Questions

What should I do about dry and sensitive skin around my eyelids?

I agree with Dr Ethan that this is likely to be eczema affecting the eyelids from the desciption but do see your dermatologist to confirm this. Mild steroidal creams or non steroidal creams like elidel or protopic can help to settle the eczema. Avoid scratching and rubbing the area as this will further aggravate the skin. Yoy should also use a gentle soap free cleanser when washing the face. If you are using cosmetics around the eyes, you may want to consider stopping this for a while as some products may cause the skin to become more itchy and red.

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Answered By

Dr Colin Theng

Dermatologist

Which is the best laser for post-inflammatory erythema and redness?

PIE from previous acne can be treated by a wide range of lasers. This very recent review paper (Light-based devices in the treatment of cutaneous vascularlesions: An updated review) shows a compilation of more than 50 clinical papers of the options to treat vascular skin lesions. I shall summarize their findings below. Long pulse visible light options like KTP (green) or CB/PDL (yellow) are extremely useful, with the yellow light options having most affinity to "redness" and more suitable for darker Asian skin types - still the GOLD STANDARD for treatment.

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