Rosacea and facial dandruff are often ‘bilateral and symmetric’ however it’s doable to have better involvement on one aspect of the face. I used to be requested this query by a reader and need to share my reply.
Good day Dr. Bailey, I solely get rosacea and seborrhea dermatitis flare ups on my left cheeks. Are you able to inform me why I solely get it on one aspect of my face? Additionally, my physician prescribed for me Metrogel, Desonide lotion (corticosteroids), and Ketoconazole cream (antifungal). Are you able to please clarify the order and provides me the steps for making use of all of the above with the opposite merchandise in your web site that you just advocate as the very best pores and skin take care of rosacea and facial dandruff corresponding to Calming Zinc, Inexperienced Tea Antioxidant Pores and skin Remedy, Day by day Moisturizing Face Cream and my zinc oxide sunscreen. Thanks, Mimi
Good day Mimi,
It’s doable to have unilateral rosacea, nevertheless it’s uncommon, so I at all times search for a distinct prognosis that could be masquerading as rosacea. It is because we consider rosacea and seborrhea as being pores and skin circumstances that come from some as-yet-unknown inside predisposition. Which means that we count on them to manifest in your pores and skin bilaterally (on either side of the physique).
Situations that may make rosacea and facial dandruff worse on one aspect of the face
Rashes that trigger redness, flaking and pustules may cause additive irritation to your face. A few of these may be uneven.
The widespread causes of uneven facial redness and irritation embrace:
- allergic contact dermatitis (an allergic response to one thing touching your face corresponding to eyeglasses, a telephone and so on),
- solar induces phototoxic or allergic dermatitis (particularly if you’re on a drugs that creates solar sensitivity corresponding to NSAID, hypertension drugs and so on.),
- tinea faciei (a fungal an infection), and
- demodex mites (everybody has some mites within the pores however sometimes they will create loads of irritation).
Solar reactions are vital to think about since right here in america the left is the motive force’s aspect of a car. Solar exposure-induced rashes like photo-drug eruptions or polymorphous mild eruption are excessive on my record of suspicions given that you just state the left aspect is the issue. Additionally, solar can set off rosacea. Ask your physician in regards to the circumstances that I simply listed to see if any of them could also be inflicting the asymmetry of your facial redness.
Remedy for facial redness on only one aspect of the face
The tinea (fungal pores and skin an infection) might reply to the topical ketoconazole cream, however typically tinea faciei requires oral antifungal remedy.
Demodex mites, alternatively, want a totally completely different remedy. Topical Soolantra is the one FDA authorised cream for this downside. Some docs use oral ivermectin. I’ve had success with the economical off-label use of topical permethrin.
Mineral SPF 30 or larger sunscreens assist stop UV solar rays from triggering rosacea and solar induced pores and skin issues. In reality, I at all times advocate that sufferers with rosacea put on a mineral zinc oxide sunscreen every single day. I embrace an incredible mineral sunscreen in my Rosacea Remedy Pores and skin Care Package. This equipment incorporates the merchandise that I additionally use for facial seborrhea, which as you point out, generally exists with rosacea. Remedy for the opposite circumstances that I discussed above require extra medical analysis on the a part of your dermatologist.
How do you layer skincare merchandise when you’ve gotten rosacea
I at all times advocate layering merchandise from water based mostly to grease/occlusive based mostly and within the order of the 4 skincare steps of Full Pores and skin Care™: CLEANSE CORRECT HYDRATE PROTECT™
That is how I layer the rosacea and facial seborrhea skincare routine merchandise in my dermatology observe:
CLEANSE: Wash with Calming Zinc alternating with a pH balanced mild cleanser such because the Extraordinarily Light Cleanser within the Rosacea Package.
CORRECT: I’ve my sufferers apply Inexperienced Tea Antioxidant Pores and skin Remedy to the whole face. This antioxidant medical-grade product helps to calm irritation to manage each rosacea and seborrhea. It’s a skinny water-based product and I’ve sufferers apply it earlier than prescription merchandise in my observe.
I let the Inexperienced Tea Antioxidant Pores and skin Remedy dry to the contact then they layer the opposite Rx merchandise corresponding to Metrogel and Ketoconazole Cream. This could should be authorised by your treating doctor since your different medicines are prescription. In my observe, I solely use the delicate cortisone if the pores and skin is actively purple and symptomatic, and for not than two weeks.
HYRATE: We layer an excellent moisturizer over the treating merchandise to assist a perturbed pores and skin barrier heal. You will need to know that each rosacea and seborrhea trigger injury to the pores and skin barrier. This makes a moisturizer with good barrier replenishing elements an vital part of the skincare routine. I take advantage of the Day by day Moisturizing Cream within the Rosacea Package as a result of it incorporates ceramides, squalane and phospholipids much like these naturally current within the pores and skin barrier, referred to as the stratum corneum of the dermis.
PROTECT: Zinc oxide sunscreen goes on prime throughout the day when UV rays are a danger. Bear in mind, some UV rays can penetrate glass to set off rosacea and solar delicate pores and skin issues. My best choice facial sunscreen for delicate pores and skin is my Sheer Energy Pure Bodily Matte Tinted SPF 30+ Sunscreen (that is my private favourite!). Mineral zinc oxide SPFs are non-irritating for delicate pores and skin and supply superior safety in contrast with chemical sunscreens.
Mimi, I additionally need to acknowledge that the three medicines you’re on create loads of layers. In my observe, when rosacea and seborrhea are underneath management, I’ve my sufferers cease utilizing the cortisone first. In one other month or so I’ve them cease the ketoconazole. At that time, the routine is way easier.
Dermatologist’s skincare equipment to heal rosacea and facial seborrheic dermatitis
The merchandise within the skincare routine that I simply described are all grouped right into a equipment that I name my Rosacea Remedy Pores and skin Care Package. It helps management each rosacea and seborrhea and is the right skincare routine to maintain each circumstances in remission. It is a Full Pores and skin Care Routine constructed from suitable medical-grade merchandise and elements to boost success.
I take advantage of my 35 years of dermatology expertise to cowl all of the bases in order that you do not have to. This routine calms what triggers these pores and skin issues and offers therapeutic merchandise in order that the pores and skin can get better. Like a visit to the dermatologist with out the journey! – Dermatologist Dr. Cynthia Bailey
Mimi, thanks for sending in an incredible query that demonstrates how complicated seemingly widespread pores and skin issues may be.
Cynthia Bailey MD, Dermatologist
Disclaimer: Please understand that availing your self of the chance to submit and obtain solutions to your questions from Dr. Bailey doesn’t confer a physician/affected person relationship with Dr. Bailey. The knowledge offered by Dr. Bailey is common well being data impressed by your query. It shouldn’t be an alternative to acquiring medical recommendation out of your doctor and isn’t supposed to diagnose or deal with any particular medical downside (and isn’t an extension of the care Dr. Bailey has offered in her workplace for present sufferers of her observe). By no means ignore your individual physician’s recommendation due to one thing you learn right here; this data is for common informational function solely.