Dermatologist Dr Alison Vidimos says:
'Rosacea can have devastating effects on self-esteem. Because it strikes adults who are in
their prime, sufferers often feel it affects their work and social life. Imagine having a noticeable facial skin
condition that makes your face flushed even when you're not embarrassed. Such are the
struggles for adults with rosacea.'
Usually, rosacea first appears as a flush or red patch. The most common symptoms include
facial redness and inflammation around the nose, cheeks, chin and forehead, as well as
visibly dilated blood vessels and a burning sensation.
If left untreated, it worsens over time.
The redness becomes more persistent, and bumps and pimples called papules and pustules
appear. In some cases, the eyes may be affected too, becoming irritated and bloodshot. In
advanced cases, the nose can become red and swollen from excess tissue.
Max Murison, consultant plastic surgeon at Morrison Hospital in Swansea says: 'Although
rosacea can be treated with creams and antibiotics that calm down the skin, the dilated
vessels beneath remain. It is these that we are now able to treat with a laser.
'The effect of the laser is to heat up the blood vessel and seal it - and it's gone.
'Although it is not quite painless - there can be a bit of sting with each zap of the
laser - it does clear up the redness.
'Sometimes more than one session is needed, but people notice a big difference even after
the first session.'
In Swansea, 53 year-old Joan Derrick is having a course of laser treatment on the NHS for
the rosacea that has plagued her for more than a decade. 'It has really been a terrible
problem,' she says. 'It is quite painful and has got worse over the years. Both of my
cheeks, my chin and nose are affected.
'I have no idea what started it - it just came out of the blue ten years ago. 'Since then,
I haven't been able to wear make-up because it irritates my skin. 'If I am going out, I
need to put on a concealing green cream which takes a bit of the redness out. But if you
are in a hot room, the redness soon comes through - and it burns and burns.
'The doctor told me it was just one of
those thing, and over the years I have tried everything to get rid of it. I think I must
have tried every possible cream and antibiotic.
'Each time, I'd think one would help, but
in the end nothing worked. Now, at last, I am having laser treatment to finally get rid of
them. It is such a relief. 'One of the worst things is when people ask if I've been in the
sun. When I am out shopping and I get a flare-up, someone will always ask if I have been
on the sunbed for too long. 'Or some people say I look like I've had too much to drink,
which is even more upsetting. It makes me feel really awful.
'I know my face has gone red because I can
feel the burning sensation that comes with it. 'If I'm at home it's not so bad, but if I'm
out I fell terribly self-conscious. I even have to be careful what I wear. Red is
certainly out, because it makes my face look redder than ever.'
It is not known what causes rosacea, but
the latest theory is that there may be a link between the disorder and how often and how
strongly people blush.
Researchers have suggested that constant
blushing eventually results in a blockage of the pores, which leads to spots. It is also
thought that there is some effect on the collagen fibres in the skin that support the
blood vessels.
Normally, these fibres are in neat rows,
like supportive scaffolding. But in many patients with rosacea, the fibres are crumbling
and no longer provide support for the blood vessels under the skin surface. As a result,
these blood vessels relax, get bigger and stay dilated. Because the vessels are only just
under the skin, the blood makes the skin appear red.
With the new treatment, lasers emit
specific wave-lengths of light targeted at the tiny visible blood vessels just under the
skin. Heat from the laser's energy builds in the vessels, making them collapse and
disappear.
Patients have no bruising but there may be
some swelling for 24 to 48 hours. Treatment sessions take from 15 to 30 minutes and can be
carried out at six to 12 week interval.
To make an appointment call 0800 599 9911
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