What is Rosacea?
Rosacea, a skin condition that causes the skin to appear red and inflamed, is most common around the nose and cheek. It can often be mistaken for other skin conditions, but can be treated and managed if diagnosed properly. Snyder Dermatology in Austin, TX uses a number of advanced treatments, including laser therapy, to lighten the skin and reduce the symptoms of this chronic disease. Rosacea can occur in almost anyone, but it’s mostly common among middle-aged to older women with fair skin. This is a skin condition with no real cure, however, it can be managed. If left untreated, it can worsen over time causing symptoms to return and flare-up over days and weeks. Our board-certified dermatologists will assess your rosacea and develop a custom treatment plan to help keep the symptoms at a minimum.
"I have had 2 recent visits to "Snyderma Dermatology." My first appointment was a skin check to look for skin cancer, suspicious moles, etc. I saw the third doctor in the practice, Dr. A (can't remember her full name but she's the only Dr. whose last name isn't Snyder). Great experience, she took a thorough look at my whole body, measured a couple of larger freckles and moles and recommended I return in 6 months to re-measure and make sure the spots aren't growing. We discussed my options around removing a mole on my neck and she was very informative with no pressure. I expressed a desire to learn more about skin care treatments to prevent signs of aging. We talked briefly about some options and she recommended I come in to see Rachel, their aesthetician, for a complimentary visit, where I could learn more about products and procedures. This was fine by me because that is exactly what I wanted. My second visit was scheduled a week later. Rachel was right on time and very friendly. She spent close to an hour with me and was very informative. She wanted to know my concerns and goals and tailored her advice to those. She did not push products or services, and was very open with pricing. I loved my time with her. I purchased several products, which I had intended to do, that's why I came in. I was happy to hear that the soap and sunscreen I buy at Target are good products (yay for saving money there). Couple random notes: Yes, the staff is pretty and glamorous. I would hope so, as they are there to talk about having nice skin. They are also friendly. You do have to pay to park in the garage, this did not faze me. On the topic of Retin-A: yes, you can get a prescription for it. No, your insurance will not pay for it and it will cost you full price, not your prescription co-pay. Insurance will typically only pay for for Retin-A under 2 conditions: 1- you are under 18 and treating acne or 2- you have a Diagnosable skin condition such as Rosacea, and can show that you have tried other, less expensive medications to treat it. There is no way any insurance company is going to pony up the cash to pay for Retin-A for cosmetic reasons. Trust me, I've been down that road many times. So buying a retinol product from the office does not end up being more expensive that Retin-A. Also, Retin-A has a high concentration of retinol and it is better to start at a lower concentration (to see how your skin tolerates it) and work your way up. Great experience, I am planning to go back."- W.H. / Yelp / Jun 16, 2011
"I came in with what I thought was uncontrollable acne on my face, but in once glance, she knew exactly what it was! A couple of months later, my face is clearer than it has been in the last two years. I'll forever be grateful to her for restoring my confidence! Thank you Dr. Aranda!"- V.C. / ZocDoc / Apr 28, 2015
What Causes Rosacea?
While the exact cause of rosacea is unknown, doctors believe that it’s caused by a combination of hereditary and environmental factors. People of Celtic or Scandinavian ancestry seem to have a higher incidence of rosacea. Patients usually have other family members that suffer from either rosacea or severe acne. People who are prone to have bad acne, have a higher risk of developing rosacea. Scientists also believe that immune system overreactions can cause rosacea where a patient’s immune system overreacts to a certain bacterium or a mite. These theories, however, haven't been proven to be completely valid.
There are a large number of factors that can aggravate rosacea since they increase the blood flow to the surface of the skin. These can include alcohol, spicy foods, hot foods or beverages, sunlight, extreme temperatures, hot baths or showers, stress, embarrassment or anger, strenuous exercise and certain medications.
Symptoms of Rosacea
Symptoms of rosacea can vary from mild to severe. The tell-tale sign of rosacea is facial redness. In most patients, the central portion of the face is noticeably red. The small blood vessels of the nose and cheeks can swell and become visible. Other symptoms include red and swollen bumps on the face that look similar to acne. Sometimes the bumps are pus-filled. The skin can also feel hot and tender to the touch. Approximately half of rosacea sufferers have eye problems, such as eye irritation, dryness and reddened, swollen eyelids. In rare cases, a patient’s nose will appear enlarged because rosacea can cause the skin of the nose to thicken, which results in a bulbous appearance. Some common symptoms associated with the varying types of rosacea include:
- Papulopustular rosacea: Common symptoms include redness and swollen areas on the face that look like acne-like breakouts.
- Erythematotelangiectatic rosacea: Common symptoms include visible blood vessels along with a red and flushed appearance.
- Ocular rosacea: Common symptoms include red and irritated eyes and swollen eyelids.
- Phymatous rosacea: Common symptoms include thickened skin with a bumpy texture.
How to Treat Rosacea
Though there is no cure for rosacea, there are a number of treatment options available, including antibiotics that help with inflammation. A patient could receive the medication in a pill form or as a cream, lotion or gel. Pills tend to be more effective in the short-term but can cause more side-effects. If antibiotics aren’t effective, acne drugs, such as isotretinoin, have proven to work for some patients. Surgery might be required in cases where symptoms become permanent such as enlarged blood vessels or redness that won’t go away with other treatments. Laser surgery or electrosurgery can be used to reduce the appearance of blood vessels and remove excessive tissue buildup around the nose to improve the appearance of rosacea.
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Rosacea not only has physical symptoms, but emotional ones as well where a patient is often self-conscious in public and avoids social situations. If you believe you have rosacea, please call our dermatology office to schedule a consultation so that you can put your best face forward today. Our exceptional team is on the cutting-edge of treatments and there is hope and help.