The problem of dilated blood vessels of the facial skin, or rosacea, becomes especially relevant in the spring, when sudden changes in temperature cause an exacerbation of the disease, and patients turn to a cosmetologist with noticeable red spots or spider veins on their faces. Patients need to be reminded that rosacea – this is not just an aesthetic flaw, but a disease that needs to be treated in order to avoid serious skin problems, and there are quite effective methods for this.
Andrey Andreevich Vasilishin
dermatologist-venereologist,
doctor of the highest category,
candidate of medical sciences ,
Director of the Health Center "Dr.V"
Couperose – a disease caused by a violation of blood microcirculation, which occurs due to the expansion and fragility of small vessels of sensitive skin. If the skin is susceptible to external factors, it reacts to them with redness or inflammation.
A prerequisite for the development of rosacea is the presence of sensitive skin, so its owners often experience itching, burning, tingling of the skin with the slightest changes in air temperature, even when washing or simply touching.
Skin reaction in the form of homogeneous redness appears most often on the forehead, chin, nose and cheeks. Further development of rosacea leads to permanent redness caused by the expansion and fragility of the blood vessels. Telangiectasia (dilation of small vessels) becomes so obvious that it is noticeable to others.
The problem of rosacea is usually more familiar to women than men. Dark-skinned women are threatened by rosacea to a much lesser extent than those with fair skin.
What is the danger of rosacea
If signs of rosacea have already become a problem in the form of unwanted excessive flushing, dry skin and visible blood vessels on the face, urgent medical measures must be taken. Recall that rosacea – it is a disease and needs to be treated. There is nothing more important for any woman than preserving beauty and prolonging the youthfulness of the skin, and the development of rosacea leads to aging of the skin, because it does not receive the necessary amount of nutrients and oxygen due to circulatory problems. The skin loses its healthy natural color, becomes pale, acquires a grayish tint.
Methods of treating rosacea
Most of the drugs and procedures aimed at strengthening blood vessels and increasing their tone have a symptomatic effect, i.e., reduce the visible manifestations of rosacea. With significant manifestations of rosacea, measures for its treatment should be aimed at eradicating the causes of the disease.
The basis of modern methods of treatment of rosacea is such an effect on the expanded capillary, which leads to its complete destruction and removal. At the same time, blood circulation in the vascular bed is not disturbed, since reserve capillaries are included in the bloodstream.
In modern dermatocosmetology for rosacea, several methods of vascular correction are used.
Electrocoagulation
The method is aimed at destroying the dilated vessel with an electrical impulse passed through a thin needle. Technically, the procedure is quite simple, but it has its drawbacks. If the area of the skin affected by rosacea is large, then the manipulation will be very long in time and will leave numerous traces of redness from the needle. A variant of electrocoagulation is diathermocoagulation using a hair electrode. The procedure is carried out once a week in several stages, since the largest altered vessels are removed first, and then small telangiectasias are removed. Sometimes micro scars and age spots remain after it.
Ozone Therapy
The essence of the method is to introduce an oxygen-ozone mixture through a microneedle into the lumen of a vessel. Due to the maximum saturation of skin cells with oxygen, their energy and functioning are enhanced, which leads to the disappearance of deformation of the walls of blood vessels. The method is very effective and safe, does not leave cicatricial changes and pigmentation, unlike electrocoagulation. In case of couperosis complicated by rosacea, acne should be eliminated before ozone therapy.
Laser Therapy
Couperose treatment with laser therapy is tailored to the type and severity of rosacea. The advantages of the laser include:
- the possibility of treating both severe rosacea and small single elements;
- painlessness of the procedure;
- virtually absent contraindications.
The most effective treatment of rosacea is considered to be with the Alma Laser HARMONY XL laser platform.
The Harmony® XL combines pulsed and laser technology to deliver higher energy treatments with maximum patient comfort. In addition, the laser is equipped with a skin cooling system, which prevents burns and provides the patient with painlessness and comfort, the exposure time is only 5 to 15 minutes per area.
The method is based on the photothermolysis of pigments. The light beam penetrates the skin, is absorbed by the hemoglobin of the blood, is converted into heat, which seals the lumen of the vessel. The beam simply “erases” everything is superfluous, like an eraser erases a pencil line on a sheet of paper. The patient at the same time feels only a slight burning sensation or tingling. The efficiency of this method is 90%.
How it works:
- the laser beam affects hemoglobin, which, accumulating energy, transfers it to the walls of blood vessels;
- the vessels constrict, blood circulation in them stops;
- at the same time, a special nozzle cools the desired area of the skin.
As a result, dilated vessels forming an asterisk disappear without a trace.
Additional benefits of laser therapy:
- collagen synthesis, stimulated by light exposure, provides the effect of rejuvenation, skin renewal;
- painless and safe procedure;
- completely getting rid of the defect in just a few minutes.
Before prescribing the procedure, the doctor will conduct a skin sensitivity test and determine its phototype.
Some mistakenly talk about a high risk for the patient when removing the vessels. In fact, the procedure is completely harmless and painless. For each vessel, an individually precise dosage of energy is selected. This means that nearby tissues are not damaged during vessel removal.
BUT REMEMBER!
Any method of treatment (correction) of rosacea requires constant reinforcement of the results with proper skin care at home. Regular intake of ascorbic acid (vitamin C) or ascorutin (vitamins C and P) will help to consolidate the result and take care of the prevention of recurrence of rosacea.
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