Hi ladies,

Attached are photos of my sister.  She's 51 has never had acne before until this started up on her cheeks about a year ago.  She states that it comes and goes, either one cheek or the other.   When I saw her last month her left cheek was affected and she said that she sleeps on her left side so I advised her to stop using fabric softner.  She did so but now she's broken out on both sides.  It looks a bit like subtype 2 Papulopustular rosacea-mild, what do you  think? 

 

She not taking any meds, she very healthy and active.  She just started using PCA Acne Control Solution w/ BPO and  A & C Synergy Serum. I appreciate any treatment advice or comments.

 

thanks

Denise

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Correction-

She's not using any BPO or A& C Synergy Serum.  Just her facial wash, sunscreen and Rebalance moisturizer.

Denise

I have found that Azealic acid works best for this type of breakouts.. Jan Marini Skin Research bioclear lotion

and cream works well for this type of Acne Rosacea is has glycolic, Salcyclic and Azealic acid...

 

Hi Denise,

 In my research on this topic I have not come across the mention of rosacea  coming and going, i.e. if you mean that at times it is not there at all. That throws me a bit.

However, it is well known to be aggravated by triggers that increase the flush or cause flareups.

Rosacea is a chronic disorder characterized by couperose veins and congestion of the skin, primarily on the cheeks and nose.

The cause is unknown, but may be due to heredity (most often cited in rdgs.), bacteria, mites, or fungus. The last three I don't find cited as possible causes very often.

Rosacea is a hypersensitivity to sun and other factors that cause blood vessels near the surface to dialate. More often, rosacea, does not appear before the age of 35 and is more common in females.

This rush of circulation makes the complextion appear red and sets off a vicious cycle of inflammatory cells rushing to the area and triggering angiogenesis (the growth of more blood vessels).

The body’s wound-healing process tries to provide more highways, or veins, so inflammatory cells can go fix the problem near the skin, and consequently creates a bigger problem.

 Can be mild (mild flushing, persistent redness) to severe (papular).

Avoid - vasodilators that dilate capillaries: heat, the sun, spicy food, alcohol, stimulating or drying products...  Goal - calm and sooth, cool, decrease inflammation. and increase the skin's barrier function.      

tip - when begin to heat up and start to flush, drink ice water to cool down from inside out.

 

Always wear sunblock and know your triggers so you can avoid them.

 

If neglected, rosacea can progress and it is best diagnosed by a dermatologist. In recent years rosacea has been treated succesfully by dermatologists.

The diagnostic spectrum: runs mild to severe (mild flushing to persistent redness to papular).

For moderate to severe rosacea it is important to see a dermatologist. There are medicines to help keep it under control.

 

Sally

@ Sally

Thanks for the feedback.  Just to clarify, the pustules that appear are what comes and goes, otherwise she has the reddness all the time for the past year.  I did recommend that she see a dermatologist but thought I would run it by you all.  Were you able to view the photos I attached?

 

@ Mary

Thanks for the feedback. 

 

 

I did view the photos.

I'd be very interested to hear her dermatologist's diagnosis.

 

Here is a little more information re. papulopustular rosacea copied from online...

 

Papulopustular rosacea should not be self-diagnosed, as with all skin conditions. Rosacea is fairly easy to determine, as it has a richly red distinctive appearance, but papulopustular rosacea may simply resemble an outbreak of basic acne vulgaris, and a mild one at that. Papulopustular rosacea, however, will not result in pimples; not every raised and discolored blemish is actually indicative of an acneiform condition.

The primary delineation between the appearance of papulopustular rosacea and acne is that the papules and pustules will gravitate with a great degree of exclusivity to the areas affected by rosacea. Thus, they will be discolored, raised blemishes on discolored, red skin, and nowhere else. This is the easiest way to tell papulopustular rosacea from a mild dusting of acne, but any dermatologist should know this at a glance.

Thank you Sally!

I'll let you know the outcome.

Denise

Denise,

It appears that this is something that began to occur between the ages of 49 to 50. This is normally either the perimenopausal years or the menopausal years for many women. Perhaps she is experiencing a dominance of progesterone and not a true rosacea. There are seems to be spots of solar keratoses mixed with the vascularity and inflammation of the breakouts. I would not think that this is acne at all because of the appearance of the "spots." My choice would be to use beta glucans or something extremely soothing and anti-inflammatory to the skin, like lymphdrainage or LED to see of it would create vasoconstriction and calming. I feel that checking up on the medical and dental aspects would be important also. In Chinese medicine this is a lung area, checking teeth and gums are healthy in the adjacent areas, is the digestive tract in order, and then most importantly the hormonal aspects of the individual and what does she do for nutritional support for her age and dietary routine.

@Denise

Yes, looks like classic rosacea to me.  I've had good luck with salicylic and mild bpo with rosacea.  I will use PCA wo hq for a treatment - 2 layers at the most, probably starting with just one layers. I start bpo 15 minutes a night, wash it off, double the wearing time every 4th day.  At 2 hours for 3 days then go to overnight.  Start salicylic serum every other day for 2 weeks, then every day for 2 weeks, then twice a day.

 

Go over all the rosacea triggers - PCA has them as a handout somewhere in their manual.

 

Here are some before and afters using this routine:

Rosacea Before and Afters

@ Sandee- She's in excellent health with no lung, digestive or dental issues.  Thanks for the information!

 

@ Laura- Are you referring to the PCA Jessner peel w/o HQ? What % of BPO would you recommend? Which salicylic acid serum and daily cleanser would you recommend? 

Vivant or your brand? I plan on purchasing your training DVD late this summer.  I need to complete this and test prior to purchasing your products? Correct?

 

Great before and after pics! Thank you so much for sharing.

Denise

@Denise

Yes, PCA Jessner wo hq

2.8% bpo (what we carry) - you could get Neutrogena 2.5% called On the Spot altho, don't spot treat with it - use it all over the affected area.

 

We carry a salicylic serum and a cleansing gel for sensitive skin and a zinc-based sunscreen that I use for rosacea.  You never want to use an avobenzone suscreen with rosacea skin.

 

"Vivant or your brand?"  Our line. 

 

That's so great you are going to get the dvd! and yes, you need to complete the test in order to buy wholesale from us. Don't worry - you can't fail the test - it's a learning tool mostly.

 

Thanks Laura!!!

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