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Rosacea
what is it? what causes it? and how can i treat it?
Rosacea

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 What is rosacea, facial erythema and facial spider vessels?

Rosacea is a generalized condition characterized by a range of symptoms consisting of facial erythema (flushing and blushing) which then may progress on to facial erythema with acneiform outbreaks (acne outbreaks) and degeneration in skin quality as typified by macro pores in the T zone, broken facial capillaries on the cheeks, chin and side of the nose.  The stigma of rosacea is generally facial redness and a ruddy, cuprous tone to the skin, which is maximal on the cheeks, on the tip of the nose, between the eyes in the region called the glabella and on the chin point.  Toronto Rosacea patients often complain of generalized sensitivity to skin care products and makeup as well as an intense reaction to chocolate, alcohol and exercise and sunshine characterized by flushing, swelling, redness and facial sensitivity.  It is not uncommon for severe rosacea sufferers to have acne breakouts and throbbing sensitivity of the nose and, in the final stages of rosacea, a rhinophyma or a “Karl Malden” type of nose can develop, from pilosebaceous hyperplasia or overgrowth of nasal sweat glands that is a response to the rosacea itself.

How can my rosacea be treated at SpaMedica?

Toronto plastic surgeon Dr. Mulholland and SpaMedica have been pioneers in the treatment of rosacea.  In general, most Toronto rosacea patients start with their family doctor or medical dermatologist who will prescribe oral antibiotics and topical antibiotic cream such as Metrogel.  These topical ointments may stabilize the symptoms of your rosacea temporarily, but don’t treat the underlying pathophysiology, which is poor control of the superficial arterial-venous shunts in the superficial reaches of the skin.  Although we don’t know the exact cause of dilation associate with rosacea, it is likely a combination of genetic and environmental factors, such as sun exposure and other metabolic conditions. The treatment of rosacea and the control of rosacea have been revolutionized over the past decade.  The best possible treatment for pan-facial and even chest and décolleté rosacea is the use of intense pulsed light photo facial, also known as IPL Fotofacial or photofacial and photo-rejuvenation.  Intense pulsed light photo facial and photo-rejuvenation can be combined with very, very gentle ultrasonic microdermabrasion and gentle rosacea skin care products to achieve, on average, a 50% to 75% or better control of the symptoms, signs and appearance of rosacea, after a series of five to six treatments.

Dr. Mulholland and SpaMedica are the true pioneers of photo facial treatments.  Photo facial treatments use intense pulsed light, or a xenon flash lamp, which is a broadband laser energy device that uses multiple save wavelengths of therapeutic light emitted during a single pulse.  These gentle pulses are passed across your face in a treatment that generally lasts approximately 30 minutes.  The intense pulsed laser and light energy goes into your skin and targets the pathological blood vessels and dilated arterial-venous shunts that are contributing to the untoward, red, flushed and acneiform rosacea complexion.  After a series of five to nine photo facial and laser-type treatments, Dr. Mulholland and his SpaMedica team have been able to consistently deliver 50% to 75% or better improvement in the appearance of rosacea.

Who is a candidate for rosacea, facial spider veins and blood vessel treatments?

Toronto rosacea and Toronto facial spider vein and red-faced patients are good candidates if they have reasonable expectations; that is, they would be satisfied with a 75% or better reduction in the signs, symptoms and appearance of their rosacea skin after a series of SpaMedica IPL photo-rejuvenation treatments.  Good candidates are also patients who have other metabolic conditions under control, such as hypertension, diabetes and generally avoid extensive sun damage and environmental exposures. Rosacea patients will often receive a SpaMedica dermatologic consultation on skin care needs and adjunctive medical treatments to best optimize their rosacea treatment outcomes.

What kind of anaesthetic is used during my rosacea treatment?

Dr. Mulholland and SpaMedica pioneered the use of advanced photo facial treatments using multiple lasers and light-based energy systems to get the best possible rosacea reduction.  Virtually all of these treatments are performed comfortably under topical anaesthetic cream and air chiller devices to make your rosacea photo rejuvenation treatment comfortable.

How long does the rosacea IPL or laser photo facial photo-rejuvenation procedure and program take?

The advanced SpaMedica rosacea treatment program consists of an intense pulsed light and/or laser treatment performed once every two to three weeks for a series of between five and nine visits, depending upon the severity or your rosacea and the response to treatment.  After these series of treatments, generally 50% to 75% reduction of rosacea occurs.

How long is the recovery following my rosacea IPL or laser photo facial photo-rejuvenation treatment?

Depending on the severity of your rosacea, facial spider veins, and diffuse red complexion, there may be minor darkening, swelling and edema in your skin.  This mottled swollen appearance may last between 24 and 72 hours.  In general, the mild to moderate aggressive nature of the treatment will allow you to return to work the next day, for mild to moderate rosacea, but in the earliest treatments, it is best to schedule your treatment on a Thursday or a Friday and take the weekend off, so you can go back to work looking relatively normal on the Monday following.  As your rosacea treatment program advances and you’re into the later treatment sessions and most of your rosacea has disappeared, most patients can return to work in a matter of hours or the following day.

What will I look like after my rosacea photo-rejuvenation treatment?

Depending on the severity of your rosacea and the degree of facial spider veins, redness and erythema that you present with, there may be swelling and bluish discolouration to these vascular areas.  Individuals with very severe rosacea may look mottled and a bit blotchy for between one and three days following their treatment.  As your rosacea program progresses and you’re into later treatment sessions, a lot of your rosacea would have disappeared and the reaction after your rosacea IPL or laser photo-rejuvenation intense pulsed light and laser treatment will be less noticeable.  In general, however, most Toronto rosacea patients are able to return to work the following day or one to two days later, in makeup, after their first initial sessions.

What kind of results can I expect from my rosacea treatment program?

Most Toronto rosacea patients can expect to achieve a significant and noticeable pleasing reduction in all aspects of their rosacea.  The reduction in redness, dilated facial spider vessels and acneiform eruptions can be between 50% and 75% on average.  Many patients achieve far better than 75% reduction in their red face rosacea sensitivity, pain and flushing-blushing responses.  Patients also notice a significant reduction in their T zone macro pores and texture and tone of their skin following their SpaMedica rosacea program.

What are patients saying about their SpaMedica rosacea treatment program?

Toronto rosacea patients are generally extremely happy with their rosacea treatment program. By the time they seek treatment at SpaMedica, many patients have already been on oral, topical antibiotics and topical Metrogel with little effect.  At SpaMedica, they’ll find Dr. Mulholland, the pioneer of a light and energy-based treatment approach IPL FotoFacial and photo rejuvenation therapy.

Dr. Mulholland’s photo facial and laser technicians are very experienced and have been personally trained and overseen by Dr. Mulholland himself.  There are many rosacea photo facial TV shows and peer-to-peer online reviews and references and patient experiences that can be related to you at the time of your consultation.

How long will the results of my SpaMedica rosacea treatment last?

It is important for Toronto rosacea patients to understand that their rosacea is a lifelong, genetic, metabolic condition, not too dissimilar to diabetes or hypertension.  If you are a patient suffering from diabetes or high blood pressure, you can never stop your insulin or your anti-hypertensive or your metabolic disease returns.  It is important for Toronto rosacea patients to view their rosacea as a skin disease and that the SpaMedica-Dr. Mulholland pioneered photo facial photo-rejuvenation treatments give you 75% or more reduction and control of your rosacea.  However, you must undergo maintenance treatments.  These rosacea maintenance treatments should be once every two to four months in order to maintain and control the rosacea improvement that you’ve achieved.  Because we do not know the precise underlying cause, there is no cure. But the SpaMedica IPL and laser photo facial photo-rejuvenation, advanced laser and light-based program can control your rosacea more optimally than any other treatment option out there.  With a maintenance program of one single treatment every three to four months after your initial series of treatments, lifelong control of your rosacea can be achieved and can revolutionize the appearance of your facial skin and the type of confidence you will achieve following your SpaMedica rosacea photo facial program.

How much will my rosacea photo-rejuvenation laser light program cost?

In general, there’s a range of IPL photo-rejuvenation photo facial rosacea treatment costs.  Some patients prefer to pay for each treatment as they undergo the treatment and preserve money in real time and pay for their monthly treatments, whereas others will buy a package of treatments and receive a bundle discount on the photo-rejuvenation advanced laser light treatment package.  Generally, packages are available as single treatments for the recommended five to nine treatments or as a monthly four-pack treatment or as an entire treatment series packages.  Price ranges from as low as $250.00 a treatment to a package of nine treatments for a very affordable $2,500 or less.

Why choose Dr. Mulholland and SpaMedica for my rosacea treatment program?

By choosing Dr. Mulholland and SpaMedica for your rosacea treatment program, you will be treated by one of Canada’s most experienced rosacea treatment centres.  Not only will you have the most advanced intense pulsed light and laser treatment systems to address your ongoing redness, but you will have as backup to your medical aesthetician and SpaMedica registered nurse treatments SpaMedica dermatologists and Dr. Mulholland himself to treat any resistant redness or pigment that may ensue following your treatment program.  In addition, a comprehensive approach to the total treatment of your rosacea facial skin, neck and chest will be delivered, including the kind of stratum corneum reduction gentle peels as well as skin care programs that will help maintain your rosacea results. Toronto Rosacea patients seek out SpaMedica for their experience, expertise and state-of-the-art laser rosacea technology.

For over 18 years, SpaMedica has had a reputation as being one of Canada’s oldest, most-experienced and qualified cosmetic plastic surgery, cosmetic laser dermatology and medical spa centres.  Dr. Mulholland developed the science and art of intense-pulsed light and has taught thousands of physicians the art of his trademarked fotofacial and photofacial RF treatments for the management of rosacea.  Dr. Mulholland and his team of highly-trained facial rosacea experts are highly-skilled and experienced at the treatment of the many variants of facial rosacea, facial erythema and diffuse facial spider veins.  Over the years, rosacea patients have sought out SpaMedica and Dr. Mulholland as the go-to experts in the management of their concerns.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto rosacea patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I schedule a rosacea consultation?

To schedule consultation at SpaMedica, Toronto Rosacea patients can simply click on the online consultation request form or call 877-712-8367 to speak to a SpaMedica client service representative and schedule a consultation now.  Call now to achieve the kind of beautiful skin that you never imagined.

What is rosacea?

Rosacea is a poorly understood inflammatory or possibly even infectious vascular and inflammatory condition of the face and sometimes neck and extremities.  Rosacea is manifested by a combination and constellation of symptoms, including redness and flushing of the face in a characteristic butterfly pattern, including the cheeks, bridge of the nose, tip of the nose, as well as chin point and between the eyebrows.  There is a spectrum of rosacea that includes simple redness and flushing, often present in young adulthood, that then progresses to a more inflammatory rosacea that can include acne eruptions, enlarged pores, sebaceous skin and broken capillaries and spider veins of the cheeks, side of the nose, forehead and chin.  Often, rosacea patients have very sensitive skin, respond poorly to many cosmetic lines as well as medical skin care and over-the-counter skin care regimes.  Rosacea patient symptoms can include, in addition to hypersensitivity, intolerance to chocolate, alcohol, tea and exercise.  The overlying skin of rosacea patients as the disease progresses can often become scaly and flaky.

There is no single, underlying cause for rosacea, but factors include hereditary and genetic influences, extrinsic lifestyle environmental factors such as sun damage, photoaging and smoking  and associated co-medical conditions such as hypertension and liver disease.  Once any underlying medical conditions have been corrected by your family physician or internist, rosacea patients are often left with the exterior skin manifestations of this untoward and unattractive skin condition.

What are the treatment options for rosacea and how are they performed?

Patients will undergo a comprehensive cosmetic consultation with one of SpaMedica’s highly-trained cosmetic laser dermatologists, medical aestheticians and/or cosmetic plastic surgeons.  The specific constellation of rosacea symptoms and skin presentations will be outlined and reviewed as well as the treatment options.

The treatment options for your rosacea will often include a recommendation of gentle, rosacea-specific medical skin care, as well as specific laser and intense-pulsed light (IPL) photorejuvenation, fotofacial and laser skin treatments.  The full-face fotofacial and intense-pulsed light photorejuvenation program would include gentle and well-tolerated laser-like treatments over the entire surface of the face.  The underlying redness, broken capillaries and inflammation of the rosacea is targeted by the specific light energy systems deployed.  Although you may have opportunities for treatment of your rosacea at any medical or non-medical spa that offers intense-pulsed light, only SpaMedica and Dr. Mulholland’s vast private cosmetic laser centre offers multiple wavelengths and laser devices to optimally treat rosacea completely.  Often two or three different types of lasers and intense-pulsed light devices will be required over the series of your rosacea treatments to optimize the result.  Between four and eight treatments are often recommended.  Each treatment takes less than an hour, is performed comfortably under topical anaesthetic cream and is repeated every three to four weeks.  The rosacea photorejuvenation and intense-pulsed light fotofacial program is a twelve-to-fifteen week “light-based and laser-based photorejuvenation program for your face”.

Rarely, other ancillary treatments, such as topical antibiotic ointments and oral antibiotics or oral Vitamin A medications may be prescribed by your SpaMedica cosmetic laser dermatologist.  However, most patients that come to SpaMedica have failed topical antibiotic and oral medications in the past and seek out SpaMedica, Dr. Mulholland and/or his cosmetic laser dermatology specialists for their special expertise in improving rosacea without the need for topical or oral antibiotic or Vitamin A-based prescriptive medications.

Success rates are defined by 50% to 90% reduction in the appearance of rosacea and its symptoms.  A maintenance program is required as rosacea is a chronic condition that needs one single maintenance treatment every three to four months after the completion of your program to ensure it does not return.

SpaMedica recommends the following treatments to our rosacea patients:

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SpaMedica® YORKVILLE
Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-211-7505