Rosacea and facial dandruff are normally ‘bilateral and symmetric’ however it’s potential to have higher involvement on one facet of the face. I used to be requested this query by a reader and need to share my reply.
Hiya Dr. Bailey, I solely get rosacea and seborrhea dermatitis flare ups on my left cheeks. Are you able to inform me why I solely get it on one facet of my face? Additionally, my physician prescribed for me Metrogel, Desonide lotion (corticosteroids), and Ketoconazole cream (antifungal). Are you able to please clarify the order and provides me the steps for making use of all of the above with the opposite merchandise in your web site that you just suggest as the most effective pores and skin take care of rosacea and facial dandruff similar to Calming Zinc, Inexperienced Tea Antioxidant Pores and skin Remedy, Day by day Moisturizing Face Cream and my zinc oxide sunscreen. Thanks, Mimi
It’s potential to have unilateral rosacea, but it surely’s uncommon, so I all the time search for a unique prognosis that is perhaps masquerading as rosacea. It is because we consider rosacea and seborrhea as being pores and skin circumstances that come from some as-yet-unknown inner predisposition. Which means we anticipate them to manifest in your pores and skin bilaterally (on either side of the physique).
Circumstances that may make rosacea and facial dandruff worse on one facet of the face
Rashes that trigger redness, flaking and pustules may cause additive irritation to your face. A few of these may be uneven.
The frequent causes of uneven facial redness and irritation embody:
- allergic contact dermatitis (an allergic response to one thing touching your face similar to eyeglasses, a cellphone and so forth),
- solar induces phototoxic or allergic dermatitis (particularly if you’re on a medicine that creates solar sensitivity similar to NSAID, hypertension medication and so forth.),
- tinea faciei (a fungal infection), and
- demodex mites (everybody has some mites within the pores however often they’ll create a variety of irritation).
Solar reactions are vital to think about since right here in the USA the left is the motive force’s facet of a automobile. Solar exposure-induced rashes like photo-drug eruptions or polymorphous gentle eruption are excessive on my listing of suspicions given that you just state the left facet is the issue. Additionally, solar can set off rosacea. Ask your physician concerning the circumstances that I simply listed to see if any of them could also be inflicting the asymmetry of your facial redness.
Therapy for facial redness on only one facet of the face
The tinea (fungal pores and skin an infection) could reply to the topical ketoconazole cream, however usually tinea faciei requires oral antifungal remedy.
Demodex mites, then again, want a totally completely different remedy. Topical Soolantra is the one FDA accepted cream for this downside. Some medical doctors use oral ivermectin. I’ve had success with the economical off-label use of topical permethrin.
Mineral SPF 30 or larger sunscreens assist stop UV solar rays from triggering rosacea and solar induced pores and skin issues. In truth, I all the time suggest that sufferers with rosacea put on a mineral zinc oxide sunscreen each day. I embody a terrific mineral sunscreen in my Rosacea Therapy Skin Care Kit. This equipment comprises the merchandise that I additionally use for facial seborrhea, which as you point out, generally exists with rosacea. Therapy for the opposite circumstances that I discussed above require extra medical analysis on the a part of your dermatologist.
How do you layer skincare merchandise when you’ve rosacea
I all the time suggest layering merchandise from water based mostly to grease/occlusive based mostly and within the order of the 4 skincare steps of Complete Skin Care™: CLEANSE CORRECT HYDRATE PROTECT™
That is how I layer the rosacea and facial seborrhea skincare routine merchandise in my dermatology apply:
CLEANSE: Wash with Calming Zinc alternating with a pH balanced light cleanser such because the Extraordinarily Light Cleanser within the Rosacea Equipment.
CORRECT: I’ve my sufferers apply Green Tea Antioxidant Skin Therapy to your complete face. This antioxidant medical-grade product helps to calm irritation to regulate each rosacea and seborrhea. It’s a skinny water-based product and I’ve sufferers apply it earlier than prescription merchandise in my apply.
I let the Inexperienced Tea Antioxidant Pores and skin Remedy dry to the contact then they layer the opposite Rx merchandise similar to Metrogel and Ketoconazole Cream. This may have to be accepted by your treating doctor since your different medicines are prescription. In my apply, I solely use the gentle cortisone if the pores and skin is actively crimson and symptomatic, and for now not than two weeks.
HYRATE: We layer a very good moisturizer over the treating merchandise to assist a perturbed pores and skin barrier heal. It is very important know that each rosacea and seborrhea trigger injury to the pores and skin barrier. This makes a moisturizer with good barrier replenishing components an vital element of the skincare routine. I exploit the Daily Moisturizing Cream within the Rosacea Equipment as a result of it comprises ceramides, squalane and phospholipids just like these naturally current within the pores and skin barrier, known as the stratum corneum of the dermis.
PROTECT: Zinc oxide sunscreen goes on high in the course of the day when UV rays are a danger. Bear in mind, some UV rays can penetrate glass to set off rosacea and solar delicate pores and skin issues. My best choice facial sunscreen for delicate pores and skin is my Sheer Strength Pure Physical Matte Tinted SPF 30+ Sunscreen (that is my private favourite!). Mineral zinc oxide SPFs are non-irritating for delicate pores and skin and supply superior safety in contrast with chemical sunscreens.
Mimi, I additionally need to acknowledge that the three medicines you’re on create a variety of layers. In my apply, when rosacea and seborrhea are below management, I’ve my sufferers cease utilizing the cortisone first. In one other month or so I’ve them cease the ketoconazole. At that time, the routine is far less complicated.
Dermatologist’s skincare equipment to heal rosacea and facial seborrheic dermatitis
The merchandise within the skincare routine that I simply described are all grouped right into a equipment that I name my Rosacea Therapy Skin Care Kit. It helps management each rosacea and seborrhea and is the right skincare routine to maintain each circumstances in remission. This can be a Full Pores and skin Care Routine constructed from appropriate medical-grade merchandise and components to reinforce success.
I exploit my 35 years of dermatology expertise to cowl all of the bases in order that you do not have to. This routine calms what triggers these pores and skin issues and supplies therapeutic merchandise in order that the pores and skin can recuperate. Like a visit to the dermatologist with out the journey! – Dermatologist Dr. Cynthia Bailey
Mimi, thanks for sending in a terrific query that demonstrates how advanced seemingly frequent pores and skin issues may be.
Cynthia Bailey MD, Dermatologist
Disclaimer: Please notice that availing your self of the chance to submit and obtain solutions to your questions from Dr. Bailey doesn’t confer a health care provider/affected person relationship with Dr. Bailey. The data supplied by Dr. Bailey is common well being data impressed by your query. It shouldn’t be an alternative to acquiring medical recommendation out of your doctor and isn’t supposed to diagnose or deal with any particular medical downside (and isn’t an extension of the care Dr. Bailey has supplied in her workplace for current sufferers of her apply). By no means ignore your individual physician’s recommendation due to one thing you learn right here; this data is for common informational goal solely.