Algorithm for the rehabilitation of patients after rosacea treatment

Rosacea is a chronic disease with a relapsing course. Among skin diseases occurs in 10-15% of cases. Gradually changing the appearance of the patient, the disease leads to mental depression, significantly worsens the quality of life of patients, and therefore the algorithms for effective treatment of rosacea are extremely relevant for a practical dermatologist.

Despite the existence of a large number of methods for treating patients with rosacea, this problem in dermatology and cosmetology is still relevant. Therefore, it is very important to develop an algorithm for the treatment of rosacea, as well as the rehabilitation of patients suffering from this disease.

How do I develop a personalized rosacea treatment plan?

When developing an individual plan for the treatment of rosacea and rehabilitation of patients after treatment, it is possible to conditionally divide the course of the disease into three phases.

Phases of rosacea:

• acute phase (erythema, papules, pustules, hyperemia, inflammation, infiltration are observed; the duration of the phase is about 1 month);
• phase of skin rehabilitation (no inflammatory elements and hyperemia, but the skin is dull, there are micro scars; duration approximately 4–12 months).

In case of

rosacea (persistent hyperemia), it is also necessary to conduct an examination and treatment of the pathology of the digestive system. At this stage, it is impossible to immediately offer the removal of blood vessels, since very quickly (after about 1-2 months), after a visible cure, a new exacerbation will occur, and the cosmetic defect will reappear.

For the treatment of rosacea in the erythematous (acute) stage, lotions (1-2% boric acid, 1-2% resorcinol, etc.) are used. You can use lotions from medicinal herbs (infusion of tea, chamomile, St. John's wort). Recommended skin care products for the treatment of rosacea read further on estet-portal.com. It is very important to relieve inflammation, reduce the influx of heat, remove subjective sensations of burning and heat. Lotions must be cold.

What skin products should I use to treat rosacea?

In the acute phase, which lasts for a month,

facial cleansing (mechanical, enzymatic, gommage, etc.) is prohibited, as this may worsen the skin condition. After 1–1 , 5 months of treatment, the phase of remission of the process begins (hyperemia decreases, papules and pustules are practically resolved). During this period, skin care products must be added to medical treatment.

Recommended skin care products for rosacea:

skin cleanser - micellar lotion for skin prone to redness;
moisturizing during the day;
soothing and moisturizing serum;
soothing eye cream;
soothing and moisturizing mask.

Tactics of rehabilitation of patients after rosacea treatment

In some patients with a mild course of the disease, the manifestations stop quite quickly, and the phase of remission begins earlier.

After 2-2.5 months of rosacea treatment, the skin rehabilitation phase begins. During this period, it is necessary to restore the damaged epidermal barrier (to level dryness, peeling of the skin).

Ceramides, triglycerides, free fatty acids, phospholipids and cholesterol, when applied to the skin, quickly pass through the stratum corneum and enter the zone of living cells of the epidermis. Here they are absorbed and used to restore the lipid barrier. Rehabilitation after rosacea treatment should begin with corneotherapy, which, in fact, underlies skin care. In this case, you should follow some rules.

Rehabilitation tactics for patients after rosacea treatment:

gentle cleansing using mild surfactants according to skin type and condition: micellar lotion or cleansing milk;
toning depending on the type and condition of the skin: thermal water, micellar lotion or cleansing milk;
moisturizing is light, using serums and gels containing hyaluronic acid, natural moisturizing factor, urea, aloe, grape seed extract, green tea, etc.;
skin nutrition with mandatory use of products containing essential fatty acids (vitamin E and F);
UV skin protection for dry and normal skin.

When working with patients with damaged or sensitive skin, the cosmetologist is significantly limited in the choice of cosmetic products and technologies. Such skin needs a complex of restorative and protective measures. Therefore, there is no reason to refuse positively stimulating methods at the stage of rehabilitation, while negative stimulation (peelings, even superficial ones) is excluded for a long period after rosacea treatment.