Case studies

My Papulopustular Rosacea Treatment (A case study)

My papulopustular rosacea journey began with occasional flushing on my cheeks.

I then started noticing fine blood vessels on my skin.

Alongside this, my pores enlarged, and my skin became oily.

I developed rash-like pimples on my chin, giving my skin a bumpy, bubbly appearance.

After considerable trial and error, I was able to bring my skin under control.

The team at the Naked Chemist asked me to share my journey.

I hope my experience will offer guidance and hope to others grappling with papulopustular rosacea.

My skin history

At 45, with Celtic heritage and fair skin, my experience with skin issues took an unexpected turn.

Throughout my life, I have always been sensitive to the sun and had adverse reactions to intensely fragranced products.

I occasionally struggled with acne during my teenage years, but I managed it successfully with Roaccutane. However, a new challenge suddenly emerged.

My general practitioner first suggested that I might be dealing with rosacea. I was prescribed Rozex cream, but it made my condition worse.

My skin became increasingly sensitive, and red bumps developed, accompanied by an unwelcome increase in oiliness.

This marked the beginning of my journey to regain control over my condition.

Unfortunately, I encountered a series of disappointments and wasted resources in this quest.

That was until I discovered The Naked Chemist. Their diagnosis revealed that I had papulopustular rosacea.

Their expert guidance, specialised treatments, and products played a pivotal role in transforming my skin and marked a significant turning point in my journey toward healing.

Papulopustular rosacea

Samantha and her team provided crucial insights into understanding rosacea and its treatment. They have also put an ebook together about rosacea.

They explained that rosacea is a chronic inflammatory facial skin rash characterised by damaged capillaries that create a fine broken network, especially over the cheeks and sometimes the nose.

These capillaries don’t return to their normal size after flushing, contributing to the challenge of managing rosacea.

This skin condition causes a range of issues within the skin, including papules, pustules, tiny red veins, inflammation, dark spots, excessive oiliness in certain areas, persistent redness, broken capillaries, uneven skin tone, acne-like symptoms, and enlarged pores in the T-zone.

While rosacea is often mistaken for adult acne due to increased sebaceous activity, it differs in the absence of blackheads and the uniform nature of papules and pustules.

Additionally, the activation of melanocytes had muddied my skin tone, leading to generalised post-inflammatory hyperpigmentation (PIH).

They explained that there is no conventional cure for papulopustular rosacea, but effective management and symptom control are possible, which was such a relief.

Identifying my triggers

It was suggested that I start keeping a journal to pinpoint my rosacea triggers and track when my flare-ups occurred.

This proved incredibly valuable, as it allowed me to discern whether internal factors, hormones, stress, or dietary choices were the culprits behind my papulopustular rosacea flare-ups.

Remarkably, everyday factors such as wine, spicy foods, sun exposure, temperature changes, hot showers, and air conditioning can all trigger rosacea.

Understanding that rosacea results from a complex interplay of genetic, environmental, and hormonal factors was pivotal in effectively managing this condition.

My papulopustular rosacea treatment 

Upon consultation, a two-phase treatment plan was recommended; this involved discontinuing my use of a prescription topical antibiotic cream that I had been using to manage the intense flare-ups.

The initial phase of treatment aimed to simplify my skincare routine, strengthen my skin’s barrier function, and restore a healthy pH.

Given the severity of my papulopustular rosacea, the second phase involved having in-clinic treatments.

I received Intense Pulsed Light (IPL), which involved a laser device emitting targeted wavelengths of light to address the pigment in the blood vessels close to my skin’s surface.

This was complemented by six sessions of red light therapy, which proved to be incredibly healing. Both of these treatments diffused the inflammation and blood vessels in my skin.

Within a month of changing my skincare routine and having these treatments, I noticed a remarkable reduction in the overall redness and the appearance of bumps on my skin.

This marked the beginning of a positive transformation in my skin’s condition.

My skincare routine

During this phase, the primary product recommended for my routine was H20 hydrating skin shot, which helped bring soothing relief, especially during flare-ups.

This minimalistic healing approach ensured my skin was in the best possible condition to move on to the next phase of treatment.

Phase one

Miracle Cleanse is an oil-based cleanser; many cleansers contain surfactants and can be too harsh and stripping. Miracle cleanse, however, was lovely to use and extremely gentle.

Fortify barrier repair cream contains essential skin-identical ingredients often deficient in rosacea skin; it is formulated with the perfect ratio of these ingredients to replenish my skin and calm and soothe. The light hydrating emulsion was also not too occlusive, so I found my skin adapted well.

DNA skin shot is incredibly healing with copper peptides that help to re-density thin, fragile skin; I could notice the difference in the thickness of my skin after using DNA after only four weeks of use.

Phase two

Once my skin began to heal, I stepped up my routine:

Because oil distribution was a concern and some post-inflammatory pigmentation (PIH), I started introducing the B+ skin shot into my routine, which helped slow down that daily shine and also helped to lighten and brighten my skin.

I also began using Quench peptide plumping gel. I love this product; its peptides make it extremely calming and cooling while also hydrating and healing. It is also very anti-ageing, which is a bonus.

To conclude. The naked truth 

Managing my papulopustular rosacea was a journey that demanded time, persistence, and patience.

The process often felt like an uphill battle, with constant redness, breakouts, broken capillaries, and papulopustular flare-ups to contend with.

The approach I took combined in-clinic treatments with an enhanced skincare routine.

The combination of IPL and red light therapy played a pivotal role in diffusing my capillaries and reducing flushing.

The downtime after IPL treatments was minimal, with treatment-related redness subsiding within hours. I underwent a series of six treatments, spaced approximately four weeks apart.

Our skincare routine initially adhered to the “less is more” philosophy, focusing on a hyaluronic acid-based product.

Over time, we gradually introduced additional products as needed.

This approach significantly alleviated my symptoms, particularly those associated with visible capillaries and flushing around my nose and cheeks.

It has been a year since I began my journey with the Naked Chemist team, and my skin has never been healthier.

While I still experience the occasional flare-up, I have learned to manage it effectively, ensuring that it doesn’t result in extensive redness.

My skin has become more stable and resilient, reducing the cyclical nature of chronic rosacea. I am profoundly grateful to the team for their support and guidance.

While conventional wisdom suggests that rosacea has no cure, my journey proves it can be managed and controlled.

I share my story with the hope that it will inspire others dealing with rosacea to see that there is a light at the end of the tunnel and it is entirely possible to transform your skin’s condition.

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