For those patients who struggle for years to cure Rosacea using oral and topical drugs with no actual effects, the modern medicine offers more sophisticated and more active therapy.
The laser therapy is mainly used to reduce the caliber of the dilated blood vessels in Rosacea caused teleangiectasie. Laser beams can also reduce the thickened skin and minimize red bumps. Today, Pulse Dye lasers release a single-wavelength light into a precise direction to cure imperfections caused by Rosacea. Many laser sessions are required to cover the entire damaged surface and destroy the dilated blood vessels; a single laser episode lasts for about 15-30 minutes and periods of 4-5 weeks must pass between two sessions. Laser therapy usually causes pain, redness and inflammation the next few days after treatment.
Laser therapies cannot reduce the excessive formed tissue but is preferred by patients as it leaves no scars behind. These sessions can be painful when the patient has a stinging sensation and a passing side-effect is the hyperpigmentation lasting for several days. During the laser sessions, the facial skin will have anesthetic aspects of treated and not treated areas.
In cases of thickened skin removing superficial cells after “killing” those with a chemical substance can improve the aspect. The method is called dermabrasion and its use is limited as it causes a worsen redness of the skin. New growing cells are though smoother than the old ones.
For cases of severe skin thickening, the plastic surgery under local anesthesia is recommended. Surgeons restructure the nose by rhinoplastia and reduce the red bumps on the face. Traditional plastic operations are available to cut off excessive tissue but the risk of infection is much higher and side-effects like headaches, scars, pain and inflammation can occur.
The electric knife technique induces skin removal and restructure by introducing electric impulses through a wire into the skin. The electric knife’s ending will also prevent bleedings by closing off the tiny blood vessels. This type of therapy creates less damage to the surrounding areas than plastic surgery and the recovery lasts about two weeks.
Vascular lasers used to reduce the visibility of the blood vessels differ from those used in surgery. Surgeons usually use argon, CO2 or YAT lasers because their light penetrates the skin deeper and rapidly vaporizes the excess tissue. Lasers are mostly less painful than traditional plastic surgery but side-effects like inflammation or burning sensations can occur.
Rosacea patients are usually psychologically affected as well. Beside physical treatments these persons will require an emotional support from families and friends. They should also consider joining a Rosacea support group or follow a psychological therapy and counseling.
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