rosacea treatment singapore

Rosacea Treatment

Do you experience facial redness, broken capillaries, flushing and blushing?

From creams to lasers, the best rosacea treatment is one that is personalised to your unique condition.

rosacea treatment clinic singapore
Rosacea affects women more commonly than men.

What Is Rosacea?

Rosacea is a chronic inflammatory disease that affects mainly the forehead, nose, cheeks and chin. You may experience inflammed red bumps, visible small blood vessels and episodic flushing. It may lead to a thickening of the nasal skin and commonly involves eye symptoms.

Successful treatment of rosacea hinges upon proper skin care, avoiding trigger factors and utilising clinically proven medical therapies. Symptoms often start with flushing and redness in this chronic condition. Not uncommonly, it can lead to anxiety, low self-esteem and can negatively affect your quality of life. With early diagnosis, the symptoms of rosacea can be managed effectively

OUR APPROACH

HOW DR.NG TREATS rosacea

Rosacea treatment represents a vital cornerstone in dermatology, providing relief and restoring confidence to individuals affected by this chronic inflammatory skin condition. Characterized by persistent facial redness, flushing, visible blood vessels, and sometimes acne-like bumps, rosacea can significantly impact one’s quality of life. Through a comprehensive and personalized approach, Dr Ng offer a range of treatments tailored to address the specific symptoms and triggers of each patient’s rosacea.

Who Gets Rosacea?

Rosacea usually begins from the ages of 30-50 years and is typified by episodes of flares and remissions. Women are characteristically affected more than men. Although it is common in fair skin individuals of Celtic origin, it is not an uncommon occurence in fair skin Asian individuals as well.

Erythematotelangiectatic Rosacea
Papulo-pustular Rosacea
Phymatous Rosacea
Ocular Rosacea

What Does Rosacea Look Like?

The National Rosacea Society Expert Committee has classified rosacea into 4 subtypes:

  • Erythematotelangiectatic Rosacea: Flushing with persistent central facial redness
  • Papulopustular Rosacea: Central facial redness with papules, pustules with or without burning sensation 
  • Phymatous Rosacea: Thickened, irregular skin nodularities
  • Ocular Rosacea: Watery, blood-shot eyes, burning sensation, light sensitivity and blurred vision

Affecting mainly the central region of the face, rosacea can appear as inflammed papules, pustules, telangiectasia (small visible blood vessels) and skin redness that may be persistent or transient (flushing). You may also notice the skin to be dry, sensitive and stinging as the skin barrier is disrupted. Eye-related symptoms include irritation, redness, dryness, tearing and light sensitivity. Indeed, rosacea may progress from one subtype to another with periods of exacerbations and remissions in between.

What Causes Rosacea?

The exact cause of rosacea remains unknown. It is possible that multiple factors are at play. These include genetic factors, dysregulation of the immune system, vascular and neuronal dysfunction as well as the involvement of the Demodex folliculorum (tiny mites that reside in your hair follicles).

Diagnosing Rosacea

Most cases of rosacea can be diagnosed based the clinical history and examination findings. While it can be confused with acne vulgaris, the latter is associated with the presence of comedones. It may overlap with eczema as the skin barrier is disrupted leading to dry and itchy skin.

How is rosacea different from acne?

Rosacea and acne are both common skin conditions, but they have distinct characteristics, causes, and treatments. Here are the main physical differences between the two:

Characteristics
Acne
Rosacea
Papules/Pustules
Yes
Yes
Comedones (Blackheads/Whiteheads)
Yes
No
Nodules/Cysts
Yes
No
Flushing/Bushing
No
Yes
Scarring
Yes
Yes
Visible blood vessels
No
Yes
Eye irritation
No
Yes
Thickened Skin
No
Yes

What can Trigger off Rosacea?

tigger factors for rosacea and rosacea treatment
  • Sun exposure
  • Stress
  • Spicy Foods
  • Hot drinks
  • Heavy Exercise
  • Caffeine
  • Alcohol
  • Hot showers or Hot Baths
  • Hot or Cold weather
  • Humidity
  • Skin care products and cosmetics

Exposure to the sun, heat, high humidity, cold and wind may trigger rosacea. 

As part of caring for rosacea skin type, use a sunscreen regularly with sensible sun protection measures using UV umbrellas, wearing long-sleeved clothing and staying away from intense sunlight. If the weather is cold and windy, protect your face with a scarf or balaclava. It’s important to use sunscreen in snowy conditions, because snow is reflective of UV light.

Certain medications can increase the blood vessel diameter and blood flow to your skin. Prolonged use to topical steroid creams not only causes skin thinning, but worsens your rosacea. A discussion with your doctor on the best treatment for your unique condition is advised.

Stress is inevitable in life. Some stress relieving methods include deep-breating exercises, meditation and stretching exercises. A well balanced diet, moderate exercise activity with periods of relaxation will go a long way.

Most people with rosacea feel that their symptoms are not well-controlled. As rosacea is a chronic condition with the potential for skin scarring, early treatment and maintenance therapy is essential. The best rosacea treatment plan is one that is designed for sensitive rosacea skin in mind.

Rosacea Treatment

Broken capillaries (telangiectasia) is commonly seen in rosacea.

Rosacea treatment options would depend upon the severity of your condition, the rosacea subgroup and your skin type.

Generally, use of cosmetics (e.g. exfoliants, sodium lauryl sulphate, glycolic acid) that can irritate the skin are to be avoided. A gentle moisturizer to repair the skin barrier is encouraged. 

As sun exposure is a major trigger factor, physical sunscreens containing zinc oxide and titanium dioxide are advised due to lesser risks of side effects. We advise a sunscreen of SPF 30-50 and PA +++ to protect against both UVA and UVB light.

Treatment For Facial Redness And Flushing

Facial redness is usually due to underlying inflammation and abnormal vasculature.

  • Mirvaso gel, containing 0.5% Brimonidine is FDA-approved and clinically proven in studies to effectively reduce facial redness. The onset of effect is about 30 minutes, and results may last for up to 12 hours. Common side effects include redness, itchiness, burning sensation and rebound erythema.
  • 1% Oxymetazoline hydrochloride cream
  • Vascular Lasers to improve appearance of erythema by targeting oxyhemoglobin in the skin.

treatment For Inflammatory rosacea

Vascular laser for Rosacea

vascular laser rosacea
Vascular laser treatment for rosacea

Vascular lasers improve the signs and symptoms of rosacea through its action on the superficial blood vessels within the skin. The FDA-approved Advatx laser uses a 589nm wavelength to safely and effectively reduce the redness of rosacea. Vascular lasers are helpful in managing the microvascular manifestation of the disease:

  • Redness (erythema)
  • Flushing and Blushing
  • Broken capillaries (telangiectasia)
  • Inflammed papules and pustules

Frequently Asked Questions About Rosacea

The exact cause of rosacea is not fully understood, but it is believed to involve a combination of genetic, environmental, and vascular factors. Triggers such as sunlight, hot or spicy foods, alcohol, stress, and certain medications or skincare products can exacerbate symptoms in susceptible individuals.

Currently, there is no cure for rosacea, but various treatments can help manage symptoms and reduce flare-ups. With appropriate treatment and lifestyle modifications, many people with rosacea can effectively control their symptoms and improve their quality of life.

A gentle skincare routine is essential for individuals with rosacea. This may include using mild, non-abrasive cleansers, avoiding harsh skincare products or irritants, using sunscreen daily, and moisturizing to help maintain the skin’s barrier function.

While diet may not directly cause rosacea, certain foods and beverages can trigger flare-ups or exacerbate symptoms in some individuals. Common triggers include spicy foods, hot beverages, alcohol (particularly red wine), caffeine, and histamine-rich foods.

Yes, laser therapy, such as intense pulsed light (IPL) or vascular lasers, can be effective for reducing redness, flushing, and visible blood vessels associated with rosacea. Laser treatments work by targeting and destroying abnormal blood vessels in the skin, resulting in improved skin tone and texture.

The timeframe for seeing results from rosacea treatment varies depending on the severity of the condition, the chosen treatment method, and individual factors such as skin type and response to treatment. Improvement may be noticeable within a few weeks to months of starting treatment.

It’s advisable to see a dermatologist or healthcare provider if you experience persistent or worsening symptoms of rosacea, such as facial redness, flushing, or skin irritation. A dermatologist can evaluate your condition, recommend appropriate treatment options, and provide personalized skincare advice tailored to your specific needs and concerns. Early intervention can help prevent complications and improve outcomes for individuals with rosacea.

schedule a consultation for rosacea treatment in singapore

 Contact us today to schedule a consultation, so that Dr. Ng can develop a personalized rosacea treatment plan for resolving your skin concerns and helping you to achieve long-term improvements in the health and appearance of your skin.

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Get in touch with us with any questions, pricing, or bookings.

Or give us a call at +65 6769 6007 | WhatsApp us +65 9855 3022

Dr Moses Ng dermatologist

rosacea treatment

With a focus on patient education, empowerment, and ongoing management, I believe that in a strong partnership with individuals affected by rosacea to develop personalized treatment plans that optimize results and enhance quality of life. Through a combination of medical expertise, cutting-edge technology, and compassionate care, rosacea treatment endeavors to restore comfort, confidence, and a sense of well-being to those living with this challenging condition.

Related Information:
References:
  1. Two AM, Wu W, Gallo RL, Hata TR. Rosacea: part I. Introduction, categorization, histology, pathogenesis, and risk factors. J Am Acad Dermatol. 2015 May. 72 (5):749-58; quiz 759-60.
  2. Gupta AK, Chaudhry MM. Rosacea and its management: an overview. J Eur Acad Dermatol Venereol. 2005 May. 19(3):273-85.
  3. Lonne-Rahm S, Nordlind K, Edstrom DW, Ros AM, Berg M. Laser treatment of rosacea: a pathoetiological study. Arch Dermatol. 2004 Nov. 140(11):1345-9.
  4. Fowler J Jr, Jackson JM, Moore A, et al; Brimonidine Phase III Study Group. Efficacy and safety of once-daily brimonidine tartrate gel 0.5% for the treatment of moderate to severe facial erythema of rosacea: results of two randomized, double-blind, and vehicle-controlled pivotal studies. J Drugs Dermatol. 2013;12(6):650-656.
  5. van Zuuren EJ. Rosacea. New England Journal of Medicine. 2017 Nov 2;377(18):1754-64.
  6. Chang HC, Chang YS. Pulsed dye laser versus intense pulsed light for facial erythema of rosacea: a systematic review and meta-analysis. Journal of Dermatological Treatment. 2022 May 19;33(4):2394-6.