Rosacea is a big challenge to treat as most of the standard treatments have a low percentage of success. However, new studies have shown that technology such IPL, redermalization and mesobotox are effective to attack this skin problem. In my experience, the key is to attack the rosacea in their inflammatory, vascular and infective component.
is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. These signs and symptoms may flare up for weeks to months and then go away for a while.
The dermatological consensus categorize the rosacea in 4 types based on the severity and localization. It is known that the main triggers of rosacea are alcohol, hot or cold temperatures, wind, stress, spicy food, excessive exercise among others.
Currently the traditional approach is based on the use of topical medications such metronidazole and other cosmetics, having a very low success rate.
In my experience it is important to attack the problem in a comprehensive way, solving the inflammation, hypervascularization and infective component. Based on this approach the newest and most effective ways to correct the rosacea are based on: Intense Pulsed Light, Redermalization and MesoBotox.
Intense pulsed light (IPL) is a technology used by cosmetic and medical practitioners to perform various skin treatments for aesthetic and therapeutic purposes, including hair removal, photorejuvenation (e.g. the treatment of skin pigmentation, sun damage, and thread veins) as well as to alleviate dermatologic diseases such as acne.[1][2][3][4][citation needed] IPL is increasingly used in optometry and ophthalmology as well, to treat evaporative dry eye disease due to meibomian gland dysfunction.[5][6][7][8]
The technology uses a high-powered, hand-held, computer-controlled flashgun to deliver an intense, visible, broad-spectrum pulse of light, generally in the visible spectral range of 400 to 1200 nm. Various cutoff filters are commonly used to selectively filter out shorter wavelengths, especially potentially damaging ultra violet light. The resulting light has a spectral range that targets specific structures and chromophores (e.g. melanin in hair, or oxyhemoglobin in blood vessels) that are heated to destruction and reabsorbed by the body. IPL shares some similarities with laser treatments, in that they both use light to heat and destroy their targets. But unlike lasers that use a single wavelength (color) of light which typically matches only one chromophore and hence only treats one condition, IPL uses a broad spectrum that when used with interchangeable filters, allowing it to be used against several conditions. This can be achieved when the IPL technician selects the appropriate filter that matches a specific chromophore.[9]
When used for rosacea we are able to attack the infective pustular component but also reduce the exacerbated vascularization of the skin.
The redermalization in the other hand, is a technique is based on the double synergic effect technology:
1) Hyaluronic acid is a natural material that is contained in neuronal, connective and epithelial tissues:
- Helps to activate anti-inflammatory mediators
- Restores and maintains water balance
- Contributes to the synthesis of basic structural proteins
- Provides mechanical support for tissues
- Preparations based on high molecular weight hyaluronic acid are used for the Redermalization.
2) Succinic acid (succinate) is a natural component, which is found in all cells in the body:
- Нelps to normalize microcirculation, contributes to lymphatic drainage
- Helps to regulate cellular energy exchange
- Has antioxidant properties
- Helps to prevent damage of the cell membrane
- Contributes to the synthesis of basic structural proteins
- Succinic acid has been found an important component which has provided a breakthrough in improving skin quality.
When we microinject it on rosacea skin we reduce the inflammation, the oxidative stress and also we regulate the vascular component.
Finally, the mesobotox is based on microinjections of botulinum toxin in the area of blushing.
Botulinum toxin (BTX) is a neurotoxin derived from the Clostridium botulinum bacterium that inhibits the release of acetylcholine at the neuromuscular junction level whose effects has been used for many years to treat a variety of muscular/neuromuscular conditions and more recently also for cosmetic use.
BTX has experimented in some dermatological conditions, which include Rosacea and facial flushing treatment with good results. The complex mechanism underlying those results is not completely understood but was proposed a release inhibition of acetylcholine from peripheral autonomic nerves of the cutaneous vasodilatory system combined with the blockade substance P and calcitonin gene-related peptide (CGRP) thus modulating blood vessel dilatation.
Currently we have a wide variety of options to treat rosacea, the key is to understand the base of the problem to find a real solution to your problem.
