Diversified approach: multimodality in the treatment of rosacea

The health of the skin, first of all, depends on the care of it, but it must be remembered that care – This is only the primary prevention of certain diseases. If the changes are genetically determined, or have already shown themselves, the primary task of the doctor – stop the progress of the disease at the earliest stage.

This also applies to rosacea, since the transition from zero to the first stage of this pathology without the necessary therapy can occur quite quickly. German dermatologist Alexander Sumenko spoke about modern approaches to the treatment of rosacea and rhinophyma estet-portal.com.

What do you mean by multimodality?

A.S.: Multimodal therapy involves several treatments. Thus, we do not focus only on prescribing medications, or on any specific drugs – we look at the problem in a complex way and are engaged in combined treatment. First of all, it is therapy using the most modern advanced technologies.

Typically, treatment for rosacea includes laser techniques, topical antibiotic therapy combined with systemic therapy. 

Regarding rosacea, we prescribe laser therapy already at the first stage of the disease, when the patient already has erythema and telangiectasias. On  stage of rhinophyma, we use ablative techniques, which is associated with the presence of pronounced changes. But, of course, at any stage we combine hardware methods of treatment and drug therapy.

Why do men with rhinophyma not go to the doctor?

A.S.: Yes, indeed, men do not go to the doctor for a long time. Perhaps this is a feature of their psychology, because a man supposedly should not get sick and be weak. Plus, men are usually less attentive to their appearance, and the fact that a woman will cause instant anxiety – the man is not disturbed at all. Most often, such patients come to us not out of their own motives, they are sent to the doctor by their wives, relatives and friends in order to find out the cause of such changes and carry out treatment. And, indeed, statistically more often, and this applies not only to rosacea, men in the advanced stage of the disease turn to us.

What diseases of the internal organs cause rosacea?

A.S.: Rosacea – this, however, is a disease that is caused by one or another state of our internal organs and systems.

We always try to make a thorough diagnosis before prescribing treatment.

First of all, our task is to exclude hormonal diseases. Therefore, we always check the level of thyroid hormones, female sex hormones. Of course, we also evaluate the general condition of the patient, look at his tests, and, if necessary, perform ultrasound diagnostics of internal organs. It is important to diagnose and treat rosacea in time to prevent the transition of the disease to a more severe stage.

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