Couperose, In Bloom

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Prevention is too little known

Rosacea affects people who have a thin skin. So thin that the ships are on edge, and so fine that it is fragile and vulnerable to the elements. The skin should be permanently protected against external attacks. The first treatment is preventive to prevent rosacea progresses or does not reappear. But the people are generally not aware of all side preventive rosacea.

Skin is too thin to permanently protect

A very thin skin simply must have a mechanical protection against wind and cold.Sunscreen against UV is not enough. Is then used creams called “barriers”. Two types of creams are available, they bought in pharmacies without a prescription (Bariéderm of barrier cream and Uriage Exomega). They are quite nice and it is possible to wear makeup over it. They are to apply as soon as we made a walk, the more than 30 minutes, and whenever there is a little wind (cycling, walking, country, station platform?). It is also essential to protect of heat. Sunbathing example are the source of a strong vessel dilation.The face must be rapidly cooled with water, ideally with a mist that was always with you.Then removed the small drops of water since they may magnifying glass with the sun. The mist can also be used when moving rapidly from cold to hot or you’re working in places chauds.Et finally, against the sun, there are now two products in which a screen against UV and contain more than one vasodilator. Note that there is a cream with vitamin K clotting very effective against rosacea (Auriderm XO Auriga). It eliminates flushes (sudden rash), reduces the stinging sensation of the skin and decreases slightly rosacea. It is not available in France but it can be purchased without a prescription in other European countries. That said, people with rosacea tend to have tried everything in cosmetology and find that it is not very effective. They are right, but they must nevertheless comply with the everyday in order to reduce the inflammation of the vessels.

What are the treatment of rosacea?

Some time ago, a doctor used scarification against rosacea and this treatment proved very effective and sustainable. The multiple small strokes he gave scalpel on facial skin induced micro-scars, invisible but that caused a thickening of the skin making the vessels less visible. No one dares to use this delicate technique, but it holds that any slight mechanical stimulation is not harmful. Today, treatments are based on laser and electro-coagulation. The laser bleaches approximately 80% of rosacea. It effectively removes dilated vessels but does not address the inflammation that is responsible for the redness.Depending on the severity of rosacea, 2 to 3 sessions a month apart are required. The person must then make good use of preventive cosmetics and learn to handle situations that cause her expansions (weather, emotions, consumption of wine?). If prevention is conducted, the treatment ends. Otherwise, you realize again 2 or 3 sessions every 3 to 5 years. People who do flushes can be particularly embarrassed or disabilities. It’s like biting an eye during a job interview. Can then be offered drug treatment, Avlocardyl ®. This is a beta-blocker normally used for voltage problems but we may prescribe from time to time people face the trac (before a climb on stage for example) and also in situations that trigger routinely flushes. As for the electro-coagulation, it is used when the laser does not produce satisfactory results. This is the case for example of the vessels. It uses a needle to pass a small current. This needle, placed on the skin following the vessel, produces coagulation points. The process is a bit unpleasant. Indeed, one can not use anesthetic cream, as they reduce the visibility of the vessels. But the result is satisfactory. In conclusion, treatment of rosacea exist, but much of the treatment is based on prevention.


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