Approach to Rosacea Management

Rosacea is broadly categorized into vascular type, which arises from issues with the blood vessels themselves, and reactive type, which responds sensitively to external stimuli.

When fine capillaries are clearly visible to the naked eye on the face, it is diagnosed as vascular rosacea.

When fine capillaries are visible on the skin surface, treatments like Vbeam or Excel V,

which are vascular laser treatments, can be applied first.

These fixed blood vessels are coagulated using the thermal energy of the laser to induce improvement.

However, it is important to consider that rosacea may reappear within 3-6 months even after such procedures.

Therefore, after directly treating the blood vessels, it is desirable to combine this with continuous management to control the skin's hypersensitive reactions.

Reactive rosacea primarily presents with flushing symptoms, where the face easily turns red in sensitive response to external stimuli.

In this case, it can be seen not as a permanent dilation of blood vessels, but rather a phenomenon where the reactivity of blood vessels is excessively heightened.

For reactive rosacea, the effectiveness of vascular laser treatments may be less than expected, and sometimes, they might even act as an irritant, potentially worsening the redness.

In such cases, microneedle RF (Needle RF) treatments like Secret or Potenza can be helpful in improving symptoms.

Needle RF treatment can contribute to rosacea improvement in several ways.

1. Inducing Dermal Regeneration

Contributes to Skin Barrier Strengthening

Needle RF delivers high-frequency energy to the dermis through fine needles, stimulating fibroblasts.

This action can promote the production of extracellular matrix (ECM) components such as collagen, elastin, and hyaluronic acid.

As the density and elasticity of the dermis improve,

the shallow blood vessels on the surface may become less sensitive to external stimuli and less prominent to the naked eye.

As the overall skin structure strengthens, it is expected to contribute to reducing excessive vascular reactions.

2. Modulating Vascular Reactivity

Stabilizing Hypersensitive Vascular Activity

Reactive rosacea shows a tendency for blood vessels to abnormally and excessively dilate.

Needle RF helps stabilize the smooth muscles surrounding blood vessels through repeated thermal stimulation delivered to the dermis.

This can regulate the signal transmission of the previously hypersensitive autonomic nervous system, positively influencing the alleviation of flushing symptoms.

3. Reducing Inflammatory Response

Alleviating Internal Skin Inflammation

In skin experiencing chronic rosacea, inflammatory mediators such as IL-1β, TNF-α, and VEGF can be excessively produced.

These substances promote blood vessel dilation,

and can induce the production of melanin pigment.

This can potentially lead to persistent redness of the skin in the long term.

Needle RF can contribute to stabilizing chronic inflammatory rosacea by inhibiting the activity of these inflammatory mediators through localized thermal energy delivered to the dermis.

4. Regulating Sebaceous Gland Activity

Reducing Excessive Sebum Secretion to Improve Heat Sensation and Redness

Excessive sebum secretion can raise skin temperature, which in turn can stimulate blood vessel dilation and further worsen rosacea symptoms.

Needle RF is useful for regulating sebum secretion by delivering thermal energy to the dermal layer around the sebaceous glands. Especially for rosacea patients with oily skin, there is a possibility of improving both heat sensation and burning concurrently.

5. Modulating Nerve Response

Alleviating Neurotransmitters that Induce Redness

When skin is stimulated, vasodilatory neuropeptides such as Substance P or CGRP may be released from sensory nerve endings. These substances can induce vasodilation, potentially intensifying redness, heat sensation, and burning.

Consistent Needle RF treatments can help reduce the excessive reactivity of these nerve endings, thereby assisting in controlling exaggerated redness reactions.

Redness appearing on the face can be difficult to consider as merely a superficial skin issue.

Beneath this redness, there can be various complex causes such as weakening of the dermal layer, hypersensitivity of the nervous system, chronic inflammation, or an imbalance in sebaceous gland function.

Treatment options such as Excel V, V-beam laser, Secret, and Potenza Needle RF are considered for managing facial flushing.

These treatments can help alleviate surface skin concerns or improve the internal skin environment.

By appropriately combining various approaches like these, you can expect better results in managing redness.

While it's important to alleviate redness in the short term, from a long-term perspective, creating a healthy internal skin environment can be a more fundamental solution.

Genesis Laser Treatment

- Micro thermal energy can help stabilize blood vessels in the deeper parts of the skin.

- It can induce collagen production, thereby increasing skin elasticity and helping to improve pores.

- Since the recovery burden after treatment is relatively low, you can expect not only redness reduction but also skin texture improvement.

Secret Needle RF

- By using micro-needles to deliver thermal energy to the deeper layers of the skin, it can help alleviate facial flushing.

- It can strengthen the dermal layer, leading to positive long-term effects in stabilizing blood vessels.

- You can expect various complex skin improvement effects, such as strengthening the skin barrier and helping to reduce pore size.

Candidates for Treatment

• 1. Those who experience redness or facial flushing symptoms on their face
• 2. Those concerned about rough skin texture in addition to facial flushing
• 3. Those who desire more fundamental skin care by addressing the root causes of redness

Benefits of Treatment

• 1. Redness reduction effects can be expected within a relatively short treatment time.
• 2. Since there is little burden for recovery after treatment, you can go about your daily life with minimal disruption.
• 3. It can provide comprehensive help for various skin concerns, including not only redness management but also strengthening the skin barrier, enhancing skin elasticity, and improving pores.