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  • Laser surgery can help minimize scarring of rosacea
     

    Are you a chronic blusher? If so, be forewarned. Rosacea, a chronic condition characterized by repeated blushing, is on the upswing--striking baby boomers in growing numbers.

    No one knows for sure what causes this potentially scarring disorder that affects more than 13 million Americans. The comedian W.C. Fields was believed to have had a severe form of rosacea, which today can be minimized with facial plastic surgery.

    Symptoms

    Rosacea seems to affect more men than women, often triggered by the hot flashes of early menopause. It may begin as early as adolescence, however, when it is sometimes mistaken for acne.

    The condition begins with episodes of pronounced flushing of the forehead, cheeks, nose, and chin. Over time, the flushing causes the blood vessels of the face to become permanently dilated, leading to a reddened appearance. In the next stage, red bumps, like tiny pimples, occur all over the face.

    If not treated, rosacea causes permanent scarring brought on by thickening of the skin and the over production of collagen. In extreme cases, this can lead to rhinophyma--a condition in which the nose becomes red and enlarged, resulting in a "W.C. Fields' nose." Rhinophyma is more common in men.

     

    Treatments

    If you suffer from rosacea, ask your facial plastic surgeon about your treatment options.

    You may be advised to avoid anything that triggers flushing, including exposure to the sun, alcohol, spicy foods, chocolate, and certain skin care products. Rosacea can be controlled in many cases with simple diet and lifestyle changes.

    If you're in the early stages of rosacea, you may be treated with antibiotics to reduce the inflammation. Drugs that relax the blood vessels or an anti-inflammatory cream may be prescribed for long term control. In some cases, hormone pills may be given to reduce premenopausal hot flashes.

    If you have a severe case, your facial plastic surgeon may recommend treatment with a special device called a flash-pumped dye laser. This laser produces a beam that passes harmlessly through the skin to shrink enlarged blood vessels. If you have scarring from the disorder, a CO2 laser can shave away tough layers of scar tissue to restore a smoother appearance to your skin.

    From "Today", a newsletter from the American Academy of Facial Plastic and Reconstructive Surgery Third Quarter 1998, Vol. 12, No. 3 Page 4

     
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