Rosacea and facial dandruff are often ‘bilateral and symmetric’ however it’s potential to have higher involvement on one aspect of the face. I used to be requested this query by a reader and wish to share my reply.
Hey 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 advocate as the very best pores and skin take care of rosacea and facial dandruff akin to Calming Zinc, Inexperienced Tea Antioxidant Pores and skin Remedy, Each day Moisturizing Face Cream and my zinc oxide sunscreen. Thanks, Mimi
Hey Mimi,
It’s potential to have unilateral rosacea, nevertheless it’s uncommon, so I at all times search for a distinct analysis that could be masquerading as rosacea. It is because we consider rosacea and seborrhea as being pores and skin situations that come from some as-yet-unknown inside predisposition. Because of this we count on them to manifest in your pores and skin bilaterally (on either side of the physique).
Situations 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 could 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 drugs that creates solar sensitivity akin to NSAID, hypertension drugs and many others.),
- tinea faciei (a fungal an infection), and
- demodex mites (everybody has some mites within the pores however sometimes they will create a number of irritation).
Solar reactions are vital to think about since right here in the US the left is the driving force’s aspect of a car. Solar exposure-induced rashes like photo-drug eruptions or polymorphous gentle eruption are excessive on my listing of suspicions given that you simply state the left aspect is the issue. Additionally, solar can set off rosacea. Ask your physician concerning the situations 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 typically tinea faciei requires oral antifungal remedy.
Demodex mites, however, want a very completely different remedy. Topical Soolantra is the one FDA authorized cream for this downside. Some docs 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 truth, I at all times advocate that sufferers with rosacea put on a mineral zinc oxide sunscreen day-after-day. I embody an awesome mineral sunscreen in my Rosacea Remedy Pores and skin Care Equipment. This equipment comprises the merchandise that I additionally use for facial seborrhea, which as you point out, generally exists with rosacea. Remedy for the opposite situations that I discussed above require extra medical analysis on the a part of your dermatologist.
How do you layer skincare merchandise when you’ve got rosacea
I at all times advocate layering merchandise from water based mostly to grease/occlusive based mostly 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 mild 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 manage 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 is able to have to be authorized by your treating doctor since your different medicines are prescription. In my follow, I solely use the delicate cortisone if the pores and skin is actively purple 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. You will need to know that each rosacea and seborrhea trigger harm to the pores and skin barrier. This makes a moisturizer with good barrier replenishing substances an vital element of the skincare routine. I take advantage of the Each day Moisturizing Cream within the Rosacea Equipment as a result of it comprises ceramides, squalane and phospholipids much like these naturally current within the pores and skin barrier, known 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 threat. Bear 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 a number 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 way 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 proper skincare routine to maintain each situations in remission. It is a Full Pores and skin Care Routine constructed from suitable medical-grade merchandise and substances 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 offers 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 an awesome query that demonstrates how complicated seemingly frequent pores and skin issues could be.
Click on right here to study extra concerning the Rosacea Remedy Pores and skin Care Equipment.
Is facial redness affecting your confidence? Do not endure in silence! Uncover efficient remedy options and skincare routine to fight redness and obtain lasting outcomes.
Heat Regards,
Cynthia Bailey MD, Dermatologist
Disclaimer: Please understand 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 knowledge supplied by Dr. Bailey is common well being info 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 supplied in her workplace for present sufferers of her follow). By no means ignore your personal physician’s recommendation due to one thing you learn right here; this info is for common informational goal solely.
