Anti-Wrinkle Procedures for People that have Rosacea

[skinfixing]

Hello: Does anyone know of any strong procedures to improve wrinkles for people that have Rosacea? I have heard that some peels & microdermabrasion can cause rosacea and I don't to make my mild rosacea worse.

I have noticed that some celebrities have gotten some red faces(rosacea?) from too many peels or something...

Thanks for any thoughts...

[orangehrzn]

Some people did Levulan peels (activated by blue light), and there were a few studies that actually it improves rosacea redness.

[skinfixing]

Thanks for the response.

Doctor: Do you know anything about this? I want to do a peel, but I don't want to develop a full case of rosacea or erythema....

Take a look at these pictures of Val Kilmer? See the redness in the Tom Petty pictures? A lot of his pictures are like this. Is this from peels? gettyimages.com/Search/Search.aspx?src=quick&contractUrl=1&family=editorial&phrase=val%20kilmer


Thanks

[drtodorov]

Indeed, most peels that are strong enough to get to the dermis and reduce wrinkles are likely to increase the risk of making rosacea worse.

Perhaps combining the vascular laser/IPL and non-ablative collagen shrinking laser may work but its costly.

Are there any references to the studies of Levulan peels and rosacea? I'd take a look...

What type of rosacea do you have?

[orangehrzn]

J Eur Acad Dermatol Venereol. 2007 Oct;21(9):1199-202.Click here to read Links
Photodynamic therapy in a series of rosacea patients.
Bryld LE, Jemec GB.

Department of Dermatology, Roskilde Hospital, University of Copenhagen, Roskilde, Denmark.

BACKGROUND: Rosacea is a common disease that often has a chronic intermittent course despite current treatment; therefore, additional treatment options are desirable. The pathogenesis of the disease is unknown. OBJECTIVES: We have previously suggested that photodynamic therapy (MAL-PDT) may be of benefit as rosacea therapy. The purpose of this study was to further assess the possible benefit of this treatment of rosacea. METHODS: An exploratory review of case notes from rosacea patients treated with PDT was performed. Patients referred to our department with rosacea were offered PDT if requesting an alternative to previously tried conventional therapy. Routine MAL-PDT with methylaminolevulate and red light was given one to four times; results were evaluated 1-2 months after PTD was initiated and subsequently followed up. RESULTS: Good results were seen in 10 out of 17 patients, and fair results in another 4 patients. The majority of patients treated could stop or significantly reduce other rosacea therapy for a period lasting from about 3 months and up to 2 years. The study is limited by strong selection bias, and the clinical evaluation was obtained from case notes and photos. CONCLUSIONS: An apparent effect of MAL-PDT on rosacea could be observed. This is in accordance with our previous experience, and observations made by other researchers. A future randomized controlled trial therefore seems justifiable.









Dermatology. 2005;211(2):135-8.Click here to read Links
Photodynamic therapy in the treatment of rosacea.
Nybaek H, Jemec GB.

Division of Dermatology, Department of Medicine, Roskilde Hospital, Roskilde, Denmark.

BACKGROUND: Rosacea is a common disease, with an estimated prevalence of 5-10%. Established systemic and topical treatment is often effective but requires continuous medication. AIM: We report the outcome of photodynamic therapy (PDT) in 4 patients with rosacea. METHODS: Prior treatment consisted of standard treatment with tetracycline and metronidazole. The treatment was however either ineffective or the patients were dissatisfied with the need for continuous treatment. The patients all received standard treatment with PDT. RESULTS: The treated skin cleared in 3 of the 4 patients. Treatment with light alone did not appear to have any effect. In one of the patients there has been no relapse during a 9-month follow-up. In 2 patients, remissions lasted 3 months, during which time no additional or supplementary treatment was used. CONCLUSION: Our observation suggests that PDT may play a role in the future treatment of selected cases of rosacea. (c) 2005 S. Karger AG, Basel

[drtodorov]

These are not peels, it would seem, but rather a typical photodynamic therapy (intense light + photosensitiser) also use for acne. It is plausible that photodynamic therapy may be effectiuve in papulopustular rosacea with has some similarities to acne. It may not be effective for pure vascular rosacea though.

[orangehrzn]

Skin usually peels with PDT. The activation light at least in the first study was red diode light not IPL. Levulan can also be activated by blue diode light, IPL, laser etc.

[drtodorov]

In that sense you might call PDT a peel, I suppose, but this case peeling is a side-effect rather than the purpose, i.e. therapeutic effect is not due to peeling.

[skinfixing]

Doc: I don't really have rosacea, but I have tendencies to get extremely red from different things like AHA lotions and I don't want to develop it. Maybe this isn't rosacea, maybe it is erythma or maybe it is nothing. I just dont want that perma-red look.

[skinfixing]

By the way doc, what about Nonablative laser treatments? I just read your article on those - '"On the other hand, for problems like broken capillaries, redness, facial flushing and certain types of abnormal pigmentation they are now the treatment of choice."

Maybe this is the best way to go?

[drtodorov]

There are a lot of different non ablative lasers for different purposes. For rosacea/flushing a laser or IPL with wavelength absorbable selectively by hemoglobin is a common and generally effective treatment (they are often called vascular lasers).

[Thegamer]

Skin usually peels with PDT. The activation light at least in the first study was red diode light, not IPL. Levulan can also be activated by blue diode light, IPL, laser, etc.