Rosacea and facial dandruff are normally ‘bilateral and symmetric’ however it’s potential to have better involvement on one aspect of the face. I used to be requested this query by a reader and wish 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 aspect 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 simply suggest as the very best pores and skin look after rosacea and facial dandruff akin to Calming Zinc, Inexperienced Tea Antioxidant Pores and skin Remedy, Every day Moisturizing Face Cream and my zinc oxide sunscreen. Thanks, Mimi
Hiya Mimi,
It’s potential to have unilateral rosacea, however it’s uncommon, so I at all times search for a special 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 inside predisposition. Because of this 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 aspect 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 akin to eyeglasses, a telephone and many others),
solar induces phototoxic or allergic dermatitis (particularly in case you are on a medication that creates solar sensitivity akin to NSAID, hypertension medication and many others.),
tinea faciei (a fungal an infection), and
demodex mites (everybody has some mites within the pores however often they will create quite a lot of irritation).
Solar reactions are vital to contemplate since right here in america the left is the motive force’s aspect of a car. Solar exposure-induced rashes like photo-drug eruptions or polymorphous mild eruption are excessive on my record of suspicions given that you simply state the left aspect is the issue. Additionally, solar can set off rosacea. Ask your physician in regards to the circumstances that I simply listed to see if any of them could also be inflicting the asymmetry of your facial redness.
Remedy for facial redness on only one aspect 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 therapy.
Demodex mites, alternatively, want a very totally different therapy. Topical Soolantra is the one FDA authorized 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 greater sunscreens assist forestall UV solar rays from triggering rosacea and solar induced pores and skin issues. In actual fact, I at all times suggest that sufferers with rosacea put on a mineral zinc oxide sunscreen day-after-day. I embody a terrific mineral sunscreen in my Rosacea Remedy Pores and skin Care Equipment. This equipment incorporates the merchandise that I additionally use for facial seborrhea, which as you point out, generally exists with rosacea. Remedy 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 may have rosacea
I at all times suggest layering merchandise from water primarily based to grease/occlusive primarily based and within the order of the 4 skincare steps of Full Pores and skin Care™: CLEANSE CORRECT HYDRATE PROTECT™
That is how I layer the rosacea and facial seborrhea skincare routine merchandise in my dermatology follow:
CLEANSE: Wash with Calming Zinc face wash bar alternating with a pH balanced light cleanser such because the Extraordinarily Mild Cleanser within the Rosacea Equipment.
CORRECT: I’ve my sufferers apply Inexperienced Tea Antioxidant Pores and skin Remedy to the whole 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 follow.
I let the Inexperienced Tea Antioxidant Pores and skin Remedy dry to the contact then they layer the opposite Rx merchandise akin to Metrogel and Ketoconazole Cream. This may should be authorized by your treating doctor since your different medicines are prescription. In my follow, I solely use the gentle cortisone if the pores and skin is actively pink and symptomatic, and for not than two weeks.
HYRATE: We layer an excellent 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 harm to the pores and skin barrier. This makes a moisturizer with good barrier replenishing elements an vital part of the skincare routine. I take advantage of the Every day Moisturizing Cream within the Rosacea Equipment as a result of it incorporates ceramides, squalane and phospholipids just like these naturally current within the pores and skin barrier, referred to 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. Keep 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 Energy Pure Bodily 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 wish to acknowledge that the three medicines you might be on create quite a lot of layers. In my follow, when rosacea and seborrhea are underneath 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 Remedy Pores and skin Care Equipment. 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 suitable medical-grade merchandise and elements to boost success.
I take advantage of 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 gives therapeutic merchandise in order that the pores and skin can get better. 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 complicated seemingly frequent pores and skin issues may be.
Click on right here to study extra in regards to the Rosacea Remedy Pores and skin Care Equipment.
Is facial redness affecting your confidence? Do not undergo in silence! Uncover efficient therapy options and skincare routine to fight redness and obtain lasting outcomes.
Heat Regards,
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 offered by Dr. Bailey is basic 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 offered in her workplace for present sufferers of her follow). By no means ignore your individual physician’s recommendation due to one thing you learn right here; this data is for basic informational objective solely.
