The causes of acne rosacea are still somewhat of a mystery. Some of the causes are thought to be related to immune, inflammatory, infectious and circulatory factors. However, there are several ways to treat and manage this skin condition.
Acne rosacea has been, and continues to be, treated with topical and systemic antibiotics both in antibacterial and anti-inflammatory doses. Long-term high-dose antibiotics such as Tetracycline, Minocycline, Amoxicillin, and Doxycycline have become less favorable treatments because of potential side effects and bacterial resistance issues.
In recent years, treatments with light-based technologies including lasers, intense pulsed light, and photodynamic therapy (light or laser and 5 aminolevulinic acid) have been shown to be effective in the treatment of many difficult cases of acne rosacea. I have personally had great success with these modalities at the Gateway Aesthetic Institute and Laser Center in Salt Lake City.
There are also new handheld high-intensity light sources, such as Omnilux New-U, that have recently become available for use at home with excellent improvement in the inflammatory lesions of acne rosacea.
Topical Metronidazole, Sulfacetamide, Sulfur, and Clindamycin are still prescribed with moderate to good improvement in many patients.
At SkinCareRx, we have pioneered some great non-prescription innovations for the treatment of acne rosacea. I developed the NuCelle product line containing Mandelic Acid and Algae Extract. The 10% Mandelic Serum has shown excellent long-term improvement in acne and rosacea for many of my patients.I believe that this is due to two factors. One: Mandelic Acid acidifies the skin without irritation making it more difficult for bacteria to live in the skin and pores. Two: Mandelic Acid appears to have significant anti-inflammatory properties similar to mild steroid products without the rebound flare and dependence that we often see with chronic steroid product use.
MaMa Lotion, the stronger formulation containing Mandelic Acid, is extremely effective for regular acne, but may be a bit too irritating for acne rosacea because of the lower ph and higher acid concentrations. Other products, such as La Roche-Posay Toleriane Dermo Cleanser, PCA Skin’s Anti-Redness Serum, and Avene Diroseal Anti Redness Skincare Lotion, are also available for the treatment and maintenance of acne rosacea.
Check out our rosacea recommendations for additional products.
For most of my patients, an individualized combination of the treatments mentioned above gives the greatest long-term relief from acne rosacea. Contact our licensed esthetician consultants toll-free at (877) 682-3553 to help you create your own personalized treatment plan.
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