Tag Archives: dermatologist

Dr. Leslie Baumann Reviews Oracea and IPL for Rosacea Treatment

rosace expert dr. baumann

Dr. Leslie Baumann, Dermatologist

Leading dermatologist Leslie Baumann, M.D. reviews new rosacea treatment options, including low-dose doxycline (Oracea®) and intense-pulse light (IPL) therapy in a Miami Herald story published today.

Dr. Baumann pointed out that there are a variety of rosacea treatment options, including prescription medications. “Several years ago, a low dose form of doxycycline called Oracea® was developed. This drug is not a true antibiotic. Instead, it works through its anti-inflammatory properties. Oracea® can be used for long periods to prevent and treat rosacea without the complications associated with long-term antibiotic use.”

According to Dr. Baumann, a form of light treatment called Intense Pulsed Light (IPL) treatments has also been developed that has “revolutionized the treatment of rosacea“. IPL is a non-laser light source that can be used to treat several signs of rosacea. It was first approved for the treatment of fine dilated blood vessels (telangiectasias), but it may now be used to reduce persistent redness (erythema), flushing, and the bumps/pimples of rosacea subtype 2.

Dr. Baumann added that dermatologists may also prescribe a topical medication to be used in combination with oral medications or IPL treatments. Commonly prescribed rosacea medications include metronidazole (MetroGel®), azelaic acid (Finacea®) and sulfacetamide. Elidel®, a calcieurin inhibitior normally prescribed to control the inflammation associated with atopic dermatitis (eczema) may also be prescribed in some cases for rosacea.

Dr. Baumann added additional rosacea skin care tips to help rosacea sufferers manage their condition.

  • Avoid spicy foods and hot drinks
  • Drink coffee or tea cooled down or iced
  • Take omega-3 fatty acids that can fight redness and irritation. Sources include flaxseed and fatty fishes like salmon
  • Avoid are spa treatments like facials, some forms of chemical peels, microdermabrasion, hot wax, saunas and steam rooms, as they can irritate sensitive skin.

Rosacea affects up to 14 million Americans but it often goes undiagnosed. It is most common in the fair-skinned, but its cause is unknown. Rosacea usually appears on the skin of the face with redness of the nose, cheeks and forehead, bumps or pimples, broken blood vessels. It is frequently mistaken as acne.

Dr. Leslie Baumann is a board-certified dermatologist, author of Skin Type Solution, and the CEO of the Baumann Cosmetic & Research Institute in Miami Beach. Dr. Baumann also authors the twice-weekly Yahoo! Health blog “The Skin Guru”, with over 3 million readers, and writes a twice-monthly column in The Miami Herald. She authored Cosmetic Dermatology: Principles and Practice (McGraw-Hill, 2002), the world’s best-selling cosmetic dermatology textbook, as well as the New York Times best-selling book, The Skin Type Solution (Bantam Dell, 2006), which focuses on her revolutionary and proprietary skin typing system.

Rosacea treatment with Azelaic Acid Reviewed by Dr. Julie Harper

Julie Harper, M.D, Dermatologist

Julie Harper, M.D., Dermatologist

Azelaic acid has been the focus of recent studies for the treatment of rosacea and the results have been encouraging, according to dermatologist Julie C. Harper, M.D.

In a story published in Internal Medicine News, “Studies Highlight Effectiveness of Azelaic Acid for Rosacea“, Dr. Harper described how 15% azelaic acid was shown to control the inflammatory response in normal human skin cells.

Dr. Julie Harper is Clinical Associate Professor in the Department of Dermatology at the University of Alabama at Birmingham (UAB) and in private practice at the Dermatology and Skin Care Center of Birmingham. Her comments reported comments were made at the Las Vegas Dermatology Seminar sponsored by Skin Disease Education Foundation (SDEF).

Dr. Harper explained that how azelaic acid might exert its anti-inflammatory effects.

In one study of 72 patients, a 15% gel formulation of azelaic acid used once daily was shown to be as effective as the same formulation used twice daily. No significant difference was found between the once- and twice-daily groups. In another study of patients with mild to moderate rosacea, topical azelaic acid 15% gel plus 40 mg oral doxycycline (anti-inflammatory dose doxycycline) was shown at treatment week 6 to be associated with significantly greater improvement in mean inflammatory lesion count, compared with metronidazole 1% gel combined with oral doxycycline.

According to Dr. Julie Harper, “Azelaic acid is a commonly prescribed topical medication for the treatment of rosacea. These new developments give us insight into why this product works so well,” Dr. Harper noted. “We are also learning a great deal about the pathogenesis of rosacea and other skin diseases. The more we learn, the more efficiently and effectively we can treat these diseases.”

Rosacea Skin Care Advice from Dermatologist Todd Minars, M.D.

Miami dermatologist Todd Minars, M.D. provides people suffering from rosacea with a variety of rosacea skin care tips. These tips, called “Face Savers” are aimed at controlling rosacea outbreaks and reducing their severity.

Dr. Todd Minars suggested the following:

  1. “Clean your face gently no more than twice a day with Cetaphil cleanser or the medicated cleanser.
  2. Avoid hot showers, baths or saunas.
  3. Stay cool on hot or humid days (air conditioning and sip ice water).
  4. Avoid the sun.
  5. Switch from blades to an electric razor.
  6. Find substitutes for hot spices such as pepper, cayenne and paprika. Instead of chili powder, try a 2-to-1 blend of cumin and oregano.
  7. Try taking an antihistamine (e.g. Benadryl or Claritin) two hours before eating cheese, vinegar, processed beef or pork, or canned fish. It may also help to take an aspirin before meals high in niacin (meat, eggs, dairy)
  8. Minimize stress with proper sleep, deep breathing exercises, visualization, stretching, or yoga.
  9. Use transparent makeup with a green tint to help hide redness.
  10. Ask  (your doctor’s) aesthetician about skin care products that will not aggravate your condition.”

Dr. Todd Minars is in private practice at Minars Dermatology in Hollywood, Florida. He added his expert opinion regarding rosacea management to those of other leading dermatologists