Is this a fungal acne or rosacea or something else? (photos)

Question

Hi Ive this issue for a year Ive been treated with atopic dermatitis, eczema and now Rosaeca. I've been dealing with bumps on my face they are sometimes skin colored and sometimes red, sometimes my skin will itch really bad and they will pop up.But they return in the same places my forehead, cheeks and now there on my chin sides of my face and around my ears and neck. Ive also noticed that steaming my face helps get rid of them.Im on the Rosacea medicine now and its making my skin itch more.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

Sorry, this can not be diagnosed online, you do need to see a MEDICAL dermatologist for more info. History is v important to exclude contact dermatitis, clear clinical examination is a MUST. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)

To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on.

A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers (to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness.

2. Creams - anti inflammatory- Rozex, Azalelic acid, Solantra. Creams are effective in 30% of cases.

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. Vitamin A cream can be used in v low concentration and gradually titrated. See a medical dermatologist for this.

4. For females- Mineral make up is recommend- paraben and preservative – talc free.

For the best results, consult a dermatologist for both medical and laser treatment options.

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia.

Is this a fungal acne or rosacea or something else? (photos)

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Is this a fungal acne or rosacea or something else? (photos)

Answers (3)

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Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.