Article medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)
Templestowe Lower and Berwick Clinics
Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
I constantly have a very red nose and often pimple like lumps appear. I have tried antibiotics (Akamin) and Rozex Gel which really didnt help. I have had 3 treatment of Laser Therapy and after a month my nose has been worse than ever. Can you suggest any other treatment??
The only thing that I have changed is that I now excercise more frequently ie Fast walk, run. This is making me extremely self conscious.
It is likely that the symptoms and signs you are describing are consistent with rosacea. Physical exercise, as it makes the skin flush, can often trigger rosacea, along with certain foods including liver,
yogurt, cheese, and spicy/chilli foods, direct sunlight, extremes of
weather, alcohol, hot drinks, and stress.
Antibiotics like doxycycline and minomycin are effective in reducing the pimple like lumps, but not effective for redness. Rozex gel is also only effective in a small percentage of cases.
Laser for rosacea is best used for the shutting down broken facial capillaries. If the redness on your nose is caused by superficial capillaries then it is likely that laser will help. If it is not due to capillaries, then skin care products may help more. Laser does have the effect sometimes of temporarily aggravating the problem.
Topically, the use of a physical, non-irritating sunscreen with zinc oxide is very important for reducing skin irritation and reducing the exacerbation of the rosacea from environmental factors. Zinc oxide is also very healing for the skin and anti-inflammatory. Synergie Skin Care make a sunscreen/moisturizer called Uberzinc which contains 21% zinc oxide which would be perfect.
Using skin care with anti-inflammatory ingredients such as Vitamin-B will improve the skins immune system and reduce the effects of the rosacea.
We also find that the Rationale’s skin refining serum and DNA night activating serum are effective in reducing this sort of redness. They need to be introduced slowly into your skin care regime e.g start every 3rd night and gradually increase to nightly.