Rosacea

"Rosacea, a chronic inflammatory skin disease of the face, was long considered incurable. It is characterized by redness, swelling or papules and pustules, usually on the cheeks and nose. If modern treatment methods are used at an early stage, disfiguring skin changes can usually be completely prevented."

Dr. med. (I) Ikonija Koceva, Physician
Dr. med. (I) Ikonija Koceva, Physician
Symptoms

Rosacea symptoms

Rosacea manifests itself through various symptoms, including scaly redness, veins in the midface, tightness, burning swelling, papules and pustules. These symptoms typically appear between the ages of 30 and 40 and may increase in intensity over time.

The severity of the disease varies from person to person and is basically divided into three degrees of severity:

  • Severity I: This first form of the disease is known as rosacea erythematosa-teleangiectatica or Couperose. This manifests itself with fine redness and general irritation of the skin, sometimes with stinging and burning pain.
  • Severity IIThe second stage is called rosacea papulopustulosa and involves the appearance of papules and pustules as well as inflammation with possible fluid accumulation (lymphoedema) on the face.
  • Severity IIIGlandular hyperplastic rosacea is the most severe form of the disease. Men are significantly more frequently affected by this form than women. The enlargement of connective tissue and sebaceous glands results in growths and thickenings (phymas). An extreme example is rhinophyma, also known as a bulbous nose.
  • If the eyes are also affected, this is called ophthalmo rosacea. Here, inflammation of the eyelids, conjunctiva, cornea or iris can be triggered.

Photos and videos

Causes

Rosacea causes

The exact cause of rosacea is not yet fully understood, but there are several factors that may contribute to its development. These include disturbances in the immune system, neuroinflammatory mechanisms, local inflammatory responses to microorganisms on the skin, changes in vascular and lymphatic regulation, and external factors such as UV radiation and certain medications.

Treatment

Rosacea treatment

The treatment of rosacea includes a variety of therapeutic measures to control and combat the disease. The therapy is based on scientifically recognized guidelines and can be supplemented or supported by additional methods.

Analysis & Consulting

A thorough Skin analysis and consultation are important steps in the treatment of rosacea. Appropriate protection from UVA and UVB radiation and the use of concealing makeup that does not aggravate rosacea are also discussed.

Laser and light treatments

An effective method of treating rosacea is laser or light therapy.

  • During laser therapy, telangiectasias and redness are treated with the help of Vascular Laser such as the Clarity or the Quadrostar Yellow pro. Several sessions are usually required for optimal results.
  • Light therapy includes the application of LED phototherapy, IPL and Cleresca Rosacea. These methods can help reduce redness and improve the skin. Treatments are customized depending on the skin condition and the acute nature of the disease.

With these treatment options and individualized therapy, we can help you control your rosacea and relieve symptoms. Our experienced team is here to help you develop a customized treatment and improve your quality of life.

Frequently asked questions

Rosacea Frequently asked questions

How do I decide between a Cleresca and a laser treatment?

The Kleresca treatment stimulates the tissue's own repair system and normalizes cell activity. This alleviates inflammation and thus reduces the papules and pustules typical of rosacea as well as the reddening of the skin. Laser therapy, on the other hand, specifically treats dilated veins on the face, which lead to a reddish skin tone and flush-like redness.

What can I expect during a Kleresca rosacea treatment session?

To begin with, the affected skin area is carefully cleansed and a special photoconverting gel is applied. Once the gel has been applied, the area to be treated is exposed to LED light, which activates the gel and reduces inflammatory processes in depth. During this process, some patients describe a slight burning sensation or feeling of warmth. After the treatment, the treated skin is usually slightly reddened, but this disappears completely within a few hours.

What can I expect during a laser treatment for rosacea therapy?

To begin with, the affected area of skin is carefully cleansed. Depending on the laser used, a gel is applied to create perfect contact between your skin and the handpiece of the device. During the treatment, individual pulses are delivered to the affected areas. Depending on your pain tolerance and the severity of your rosacea, you may experience mild to moderate stinging. Soothing aftercare is applied after the laser treatment.

How quickly can I see results after a Kleresca rosacea treatment?

A therapy series consists of four treatments. An improvement is usually noticed after 2-3 treatments. The check-up with photo documentation takes place one month after completion of the therapy series.

How quickly can I expect results after a laser treatment for rosacea therapy?

Immediately after the first treatment, some of the vessels have already disappeared, while others are still shimmering through the skin in a dark or bluish color. In the hours that follow, there may be swelling in the treated areas, but this subsides within a day. In the days and weeks following the treatment, the vessels gradually fade. We will check the results with you at a follow-up appointment after one month. Satisfactory results can be expected after just 1-2 treatments.

What follow-up care is necessary after a Kleresca rosacea treatment?

After a Kleresca treatment, careful aftercare is crucial to optimize the results. It is important to avoid direct sunlight and use a high-quality sunscreen to protect the treated skin. The treatment can be supported by active ingredient serums that we recommend individually. Non-comedogenic make-up can be applied immediately after the treatment. Drink enough water to stay sufficiently hydrated.

What follow-up care is necessary after laser treatment for rosacea therapy?

After a rosacea treatment, careful aftercare is crucial to optimize the results. Strictly avoid any direct sun exposure before and after treatment and wear high-quality sunscreen. Redness may be covered directly with appropriate sun protection makeup. Showering is possible, but saunas and steam baths should be avoided until the redness has subsided.
Further information

Further information

Publications
Vascular drawings: Laser and light treatments for couperose and rosacea.
Rümmelein, B. / Aesthetic Dermatology and Cosmetology, issue 6/21: 22-24.

Further information

Publications
Vascular drawings: Laser and light treatments for couperose and rosacea.
Rümmelein, B. / Aesthetic Dermatology and Cosmetology, issue 6/21: 22-24.