How Do I Choose the Best Herbal Treatment for Rosacea?

Rosacea rhinoplasty, a commonly used treatment for rosacea. There are two main categories: surgical and physical therapy.

Rosacea rhinoplasty

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Rosacea rhinoplasty, a commonly used treatment for rosacea. There are two main categories: surgical and physical therapy.
Chinese name
Rosacea rhinoplasty
Physical therapy
Laser, photon and cryotherapy
Surgical therapy
Skin grinding and cutting
Principle
Destroy dilated capillaries
Surgical treatment is divided into skin grinding and cutting. Physical therapy can use laser, photon and cryotherapy to treat rosacea. [1]
Rosacea is the best way to treat rosacea by surgical dissection. Because in the middle and advanced stages of rosacea patients, the capillaries of the hungry nose are dilated obviously, the hyperplasia of sebaceous glands and connective tissues, and the nasal skin have undergone great changes. The skin generally appears flushed and hypertrophic, and the surface may have different sizes This is called a nasal nodule. In this case, it is difficult to achieve the purpose of treatment with drugs alone. At this time, we can choose surgery.
In the Qing Dynasty (Guangxu), the prescription was made by fine grinding of Chinese herbal medicine.
[Name] rosacea treatment liquid
[Creation period] During the Qing Dynasty.
[Compatibility] Pure natural Chinese medicine ingredients.
[Functions and Indications] For the treatment of rosacea, rosacea, red nose, red blood, acne, acne, and blackheads. The powerful liquid contains highly effective oil-controlling active ingredients, which penetrates deep into the skin quickly, effectively inhibits oil secretion, eliminates the root cause of rosacea, dredges the sebaceous glands of the hair follicles, quickly eliminates rosacea, and avoids dark marks, so that the skin is smooth and smooth.
[Effect statistics] This side has calculated more than 10,000 cases of medication in the past ten years, with a total effective rate of 95%. The statistical effectiveness of the medication for more than 30 days was significantly more than 97%.
[Usage and Dosage] Use 3 times a day.
[Character] Chinese medicine brown liquid.
[Side effects and contraindications] No side effects, avoid spicy and seafood.
[Storage] Sealed storage.
Removal of rosacea by surgery is to achieve the purpose of treatment by destroying the dilated capillaries and the proliferated sebaceous glands and connective tissues, so that the hungry skin cells on the hair follicles are regenerated and the wounds are healed, so that the epidermis of the normal or close to normal nose is formed to achieve The purpose of treatment correction.
Before the operation, the skin is routinely disinfected and performed under local infiltration and anesthesia. The doctor will choose a surgical solution suitable for each beauty seeker according to the size and shape of the nose. Then at the appropriate speed and strength, make a criss-cross cut at the nose to make the surface of the skin hairy, and finally use gauze to stop bleeding and bandage. Generally, the suture can be removed 7 to 10 days after the operation.
If you have pustules on the nose, you should take antibiotics first, and then perform surgery after the pustules have subsided. You can also choose antibiotics to prevent infection after surgery. It usually takes 3 months after surgery to gradually return to normal. The patient was dissatisfied. After the wound was healed, an interval of 3 months was required before a second operation.
Rosacea surgery
1. Dermabrasion for rosacea [1]
1) Label: Surgery, primary or secondary surgery
2) Technical principle
Dermabrasion is one of the common methods for the treatment of rosacea. The depth of the skin affected by rosacea is about 2mm. Controlled mechanical grinding of the epidermis and / or superficial dermis of the nose through grinding instruments , You can remove the abnormal skin on the nose. After grinding, when the nasal wound is healed, the pathological changes on the skin surface can be improved, the collagen fibers and elastic fibers under the skin can be rearranged, and the remaining skin appendages, such as the sebaceous glands, can quickly form new epidermis.
3) Adaptation and contraindications
Adapt to the crowd: those with mild rosacea at the early stage of nasal nodules and who have the desire to beautify
Contraindications
a. Hemophilia or bleeding disorders.
b. Active infectious hepatitis.
c. Those who are emotionally unstable and demand too much.
d. Keloids and those with larger and deeper scars.
e. Patients with skin lesions suspected of having malignant changes or having been diagnosed with skin malignancies.
f. Those who have obvious skin infections.
g. Those with a history of radiation therapy or radiation dermatitis within 6 months.
h. Menstrual and lactating women.
4) Technical methods
Disinfection of the operation area and surrounding tissues.
Anesthesia: Subcutaneous anesthesia is generally used.
Grind with a grinding instrument and determine the grinding range according to the specific conditions of the lesion.
Repeatedly rinse with disinfectant after operation.
Cover with Vaseline oil gauze and thick gauze.
5) risks and complications
Penetrating the skin: If the grinding force is out of control during the operation, it may penetrate the skin.
Pain: Most people have no pain or only slight pain after surgery. They can take ordinary painkillers as prescribed by their doctor.
Edema: After grinding, mild edema sometimes occurs, which usually disappears within 3-6 weeks.
Redness of the skin: It is the first complication after grinding. The length of its existence varies from person to person and usually disappears within 1-3 months.
Milia rash: It usually occurs 2-6 weeks after surgery and should be further treated in the hospital.
Scar hyperplasia: it can appear in any part of the grinding, and more women. Generally, mild scar hyperplasia can resolve and flatten on its own in about one year. If necessary, skin abrasion is performed after 1 year to smoothen the hypertrophic scar.
Infection: The incidence is low, mainly due to excessive contamination of the wound surface and improper postoperative management.
Pigmentation: The incidence is relatively high, it usually appears about 1 month after the operation, the peak is 2 months, the most is 6-12 months, and a few disappear more than 1 year
6) Recovery time
There may be exudation of blood in 1-3 days after surgery, you can pay attention to changing gauze, and use antibiotics for 3-5 days at the same time, remove the outer dressing around 10 days, and the inner dressing usually falls off by itself within 10-14 days. After healing of the wound, post-flushing pigmentation may occur within 2 weeks, and normal color and luster can be restored after 2-6 months, and appropriate vitamin C can be taken to prevent it. If multiple grinding is required, the interval between two grindings is generally 3-6 months.
7) Precautions
1) Precautions
Stop drinking one week before the operation and stop aspirin, vitamin E and other vasodilator drugs.
Makeup should not be applied before surgery.
2) Precautions
Avoid direct sunlight after surgery. Wear a mask or a wide-brimmed hat.
Makeup is not allowed within two weeks after surgery.
Keep the operation site clean and hygienic. Avoid getting water in the operation area for 7 days after the operation.
Avoid eating irritating foods such as peppers.
Strictly follow the doctor's orders and follow-up consultations.
2. Cutting for Rosacea
1) Tags: surgery, primary surgery
2) Technical principle
Rosacea rhizotomy is mainly for middle and advanced rosacea. This method can destroy and cut off the dilated capillaries and the proliferative sebaceous glands and fibrous connective tissue, cut off the thick nasal neoplasms, regenerate the hair follicle epithelial cells, and wound healing After that, a normal or near-normal epidermis can be formed to achieve the purpose of treatment.
3) Adaptation and contraindications
Adapt to the crowd: those with severe rhinophyma and rosacea and who have the desire to beautify.
Contraindications
a. Hypertension, heart disease, etc.
b. People with infectious diseases.
c. Those who are allergic to blood diseases.
d. Those with scar hyperplasia.
e. Menstrual and lactating women.
4) Technical methods
Disinfection of the operation area and surrounding tissues.
Anesthesia: Infiltration anesthesia is generally adopted.
Select a suitable blade according to the condition, and cut repeatedly in a crisscross pattern at the appropriate strength and speed until the skin surface is hairy.
Gauze is applied to stop bleeding, and it is covered with Vaseline gauze.
5) risks and complications
Pain: Most people have no pain or only slight pain after surgery. They can take ordinary painkillers as prescribed by their doctor.
Edema: Slight edema sometimes occurs after surgery, and usually disappears within 3-6 weeks.
Redness of the skin: The normal capillaries may be injured during the operation, or the color caused by the infection may cause redness of the skin.
Infection: There is a possibility of infection during the operation. Once found, you should seek medical treatment in time.
6) Recovery time
Vaseline gauze can fall off by itself after 5-7 days, wound crusts heal, and take antibiotics at the same time, it usually returns to normal about 3 months after surgery. If another operation is needed, the operation can be performed within 3 months after the wound is healed.
7) Precautions
Precautions
a. Stop drinking alcohol a week before the operation and stop aspirin, vitamin E and other vasodilator drugs.
b. No makeup should be applied before surgery.
Postoperative precautions
a. Do not apply makeup for two weeks after surgery.
b. Keep the surgical site clean and hygienic. Avoid getting water in the surgical area for 7 days after the operation.
c. Avoid eating irritating foods such as peppers.
d. Strictly follow the doctor's orders for medication and follow-up consultations.
Physical therapy rosacea
Laser rosacea
1) Label: Non-surgical
2) Technical principle
Laser treatment of rosacea is based on the principle of selective absorption. Laser has specific absorption effect on hemoglobin in red blood cells in blood vessels. Generally, a laser with a wavelength of 452-577nm is used clinically. When it is irradiated to the nose, the laser The energy is specifically absorbed, the hemoglobin is coagulated, and the red blood cells are destroyed to form microthrombuses, thereby blocking the capillaries, resulting in local hypoxia, the capillaries are destroyed, the microthrombus formed locally increases the temperature and spreads the heat to the endothelial cells, The latter caused irreversible damage, that is, the purpose of treating rosacea was achieved, but the laser was difficult to completely cure and required multiple treatments.
3) Adaptation and contraindications
Adapt to the crowd: those with mild rosacea and who are willing to beautify.
Contraindications
a. Absolutely contraindicated people
i. Some autoimmune diseases such as systemic lupus erythematosus;
ii. Keloid-prone areas;
iii. Light-sensitive skin and people who are using light-sensitive drugs;
iv. People who have used isotretinoin in the past year;
v. women during pregnancy;
vi. Patients suspected of having skin cancer;
b. Relative contraindications
i. Recent chemical peeling, physical grinding, other skin peeling and skin radiotherapy;
ii. smokers;
iii. patients with diabetes;
iv. People with a history of hypertrophic scars;
v. patients with abnormal pigments;
vi. Those with high expectations.
4) Technical methods
The subject lies on his back after cleaning his face, and applies condensation cream. .
Surface anesthetic cream can be applied or not as needed.
Use laser to aim and irradiate rosacea nose.
5) risks and complications
Hyperpigmentation: Most of them are hypopigmented at the beginning of treatment, but pigmentation may occur soon. Generally, no treatment is needed. Pigmentation can resolve on its own within 2-4 months.
Local swelling: After the laser treatment, there were mild and moderate local swelling, which was the heaviest after 2-3 days, and gradually subsided after 5-7 days.
itching: rare. It may mean healing of the wound and be alert to the possibility of infection.
Infection: Erythema exudate may occur if the wound surface is damaged due to scratching, ulceration or contamination with water. Once infection occurs, seek medical treatment as soon as possible to promote the healing of the wound as soon as possible, but superficial scars may remain after healing.
Scar formation: Due to the high accuracy of the laser, the size and depth of the treatment can be strictly controlled, and scars are generally not left after surgery. However, a few can form residual depression scars, or stimulate the formation of hypertrophic scars. Seek medical treatment as soon as possible after scar formation to reduce the degree of scarring.
6) Recovery time
After about 2-3 weeks, the skin lesions scab shed. Generally laser treatment of rosacea requires 2-4 times depending on the specific situation, and the treatment interval is generally 8-16 weeks.
7) Precautions
Clean the face before treatment without makeup residue.
Those who have recently been exposed to the sun should explain to the doctor before treatment.
After treatment, the skin area should not be exposed to water, rubbing or rubbing. Avoid spicy food, tobacco and alcohol. For dark foods such as coffee, cola, etc. Flaking.
Do not participate in intense exercise before the scalp peels off to avoid infection after sweating.
Pay attention to sun protection after operation: Avoid direct sunlight, wear a sun hat and umbrella, and use sun protection products outside. Products with high safety and good sun protection effect should be selected: UVB sun protection index (SPF)> 30; UVA sun protection factor (PFA)> ++; physical sunscreen with a larger R index.
Photon rosacea
1) Label: Non-surgical
2) Technical principle
The specific principle of photon therapy for rosacea is that hemoglobin and oxyhemoglobin in the blood vessels can absorb light energy and generate heat. When the blood temperature is high enough, coagulation occurs and the blood vessel wall is damaged (the effect of the blood vessel to epidermal heating ratio reaches the maximum Best), thereby destroying the dilated capillaries for the purpose of treating rosacea.
3) Adaptation and contraindications
Adapt to the crowd: those with mild rosacea and who are willing to beautify.
Contraindications
a. People who have recently received or are about to receive sun exposure;
b. Light-sensitive skin and people who are using light-sensitive drugs;
c. Those who have recently taken isotretinoin;
d. women during pregnancy;
e. Patients with diabetes;
f. Those with scar constitution;
g. Patients with suspected skin cancer;
h. Those with high expectations.
4) Technical methods
The subject lies on his back after cleaning his face.
Wear eye protection to protect your eyes.
Apply cold gel to the nose.
Perform a test spot under the earlobe.
Observe the test response and choose appropriate treatment parameters.
Treat the rosacea.
Apply a local cold compress at any time.
Repeat the treatment according to the response.
5) risks and complications
Postoperative reaction: a slight burning sensation may occur for 0.5-2 hours; slight redness may last for 12 hours;
Pigmentation: Different degrees of pigmentation may occur after treatment. You can take vitamin C and other whitening drugs as prescribed by your doctor.
Burns: Different degrees of burns may occur in photon therapy, including temporary purpura and blisters.
hypopigmentation or depigmentation: may appear in people with darker skin or sun exposure. For such patients, the doctor must explain the situation to preventive treatment in advance.
6) Recovery time
Treatment is performed every 3-4 weeks. The number of treatments required to obtain the desired effect is an average of 3-6 consecutive treatments.
The response after photon therapy is slight, and it only lasts for a few hours, so it generally does not affect normal work and life.
7) Precautions
The laser, skin abrasion, and skin peeling beauty items cannot be done one week before treatment.
Those who have recently been exposed to the sun should explain to the doctor before treatment.
Clean the face before treatment, leaving no cosmetic residue.
Avoid washing with hot water for a few days after the operation, but use cold water to clean the skin and pay attention to cleaning protection.
Avoid makeup for a few days after surgery.
Avoid direct sunlight, wear a sun hat and umbrella, and use sunscreen products outside. To choose products with high safety and good sun protection effect: UVB sun protection index (SPF) = 30; UVA sun protection factor (PFA)> ++; physical sunscreen with a larger R index.
Photon therapy should not be too frequent, especially in summer, long sunshine hours, and hot weather, which is not suitable.
3. Cryotherapy for Rosacea
1) Label: Non-surgical
2) Technical principle
Cryotherapy for rosacea is to use low temperature technology to affect the skin of rosacea nose, and then ice crystals are formed inside and outside the tissue, dehydrating, shrinking and necrosis of the skin tissue, undergoing the process of whitening, crusting, shedding and restoring color. So as to achieve the effect of rosacea treatment.
3) Adaptation and contraindications
Adapt to the crowd: those with mild rosacea and who are willing to beautify.
Contraindications
a. People with a history of temperature allergies, limb paralysis, skin sensation or local circulation dysfunction, and poor blood supply.
b. Women's menstrual period or pregnancy.
c. Other systemic diseases, such as: hypertension, cardiovascular disease, coagulopathy, diabetes; elderly or younger; immunocompromised conditions such as radiotherapy, long-term hormone treatment.
d. Those with scar constitution.
e. People with mental disorders.
f. Severe cold urticaria, cold globulinemia, and cold fibrinemia.
4) Technical methods
Sterilize the operation area and its surroundings. Put the refrigerant in a special spray device and spray it on the rosacea to make the local icing turn white. Wait for the process of scabbing, shedding and color recovery after the operation, about one week.
5) risks and complications
Pain: local pain within 1-2 days of cryotherapy, especially within 1-2 hours.
Edema: After thawing, the area will start to be red and swollen, reaching a peak in 24 hours, and gradually subsiding in 3-4 days. Those with obvious edema can apply topical glucocorticoid creams 2-3 times daily.
blisters: those with longer freezing time may have blisters or bullae locally in 2-3 hours after operation. Seek medical attention immediately.
infection: rare. Often caused by postoperative blister ulceration, careless hygiene, secondary infections. Once infected, you should go to the hospital for treatment immediately.
6) Recovery time
The freezing method for treating rosacea from whitening to restoring the original color is a cold-melting cycle. Each cold-melting cycle is about one week. According to the size of different rosacea invasion and scope, the freezing cycle can be flexibly selected. The edema usually gradually subsides within 3-4 days after surgery.
7) Precautions
Precautions
a. Stop drinking alcohol a week before the operation and stop aspirin, vitamin E and other vasodilator drugs.
b. No makeup should be applied before surgery.
c. Avoid sun exposure during treatment.
Postoperative precautions
a. After freezing, do not apply water or tear it for a week.
b. Do not apply makeup for two weeks after surgery.
c. Keep the surgical site clean and hygienic, and avoid getting water in the operation area as much as possible within 7 days after the operation.
d. Avoid eating irritating foods such as peppers.
e. Strictly follow the doctor's orders for medication and follow-up.

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