Do you know rosacea skin care

How can rosacea be treated?

Sometimes rosacea causes the skin of the nose to become thicker and a bulbous nose (rhinophyma) to develop. This happens almost exclusively with men. The skin of the nose can also be inflamed. Treatment depends, among other things, on how pronounced the skin growths are and whether the skin is inflamed.

How best to treat an incipient rhinophyma is not well studied in studies. Treatment with oral isotretinoin capsules for several months is sometimes tried. Isotretinoin shrinks the sebum glands in the skin, which are often enlarged in rhinophyma. How well the remedy works for a rhinophyma has also not been well researched.

Isotretinoin can irritate, dry out and make the skin and mucous membranes sensitive to light. Since the blood lipid and liver values ​​can also rise, they will be checked regularly during treatment. Pregnant and breastfeeding women should not take isotretinoin as it can harm the child. In Germany, isotretinoin is only approved for the treatment of severe forms of acne and can therefore only be used in "off-label use" for rosacea.

A pronounced rhinophyma with well-developed nodules and swellings can be treated surgically or with certain laser procedures. Excess tissue is removed under local anesthesia and an attempt is made to restore the nose to its original shape. There are hardly any good studies on these treatments either.

If the skin of the nose is inflamed, several months of treatment with an antibiotic such as doxycycline may be an option.