Rosacea

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Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided below. For even more information, visit our Health Education Library here

As always, you can contact our office to answer any questions or concerns.

 

Wound Care after skin surgery:

  • During the first 1-2 days after your surgery, you may see a small amount of blood on the bandage. This is normal.
  • If the bandage becomes soaked with bright red blood, remove the dressing and apply firm direct pressure on the area for 15 minutes without "peeking." After 15 minutes, look to see if the bleeding has stopped. If it has not, repeat the firm, direct pressure again for 15 minutes. If the bleeding still has not stopped, please call the office. If the office is closed, call Dr. Simon's cell phone number, 734-834-2543. If the bleeding has stopped, apply a new dressing to the area and come in to the office for a bandage change as scheduled, two days after your surgery.
  • If a large, purple, swollen area is noted under or around the stitches, please call the office right away. This may be a collection of blood or fliud that needs to be drained.

    General instructions for the weeks following the surgery:

  • For the first 1-2 days after surgery, apply an ice bag to the surgery site for 20 minutes per hour, every hour you are awake. Do NOT allow the ice to leak onto the bandage and get the bandage wet.
  • If your surgery was on the head, for the first 1-2 days sleep with your head elevated 30 degrees to decrease the swelling to the area.
  • Take Tylenol or the prescribed pain medication as directed for pain. Do not start taking aspirin or ibuprofen-containing medicines until 3-4 days after surgery.
  • Return to Mooresville Dermatology Center 48 hours after your surgery for your FIRST bandage change
  • After your first bandage change, you may wash the wound area gently once a day, with a piece of gauze soaked in plain water or "normal saline" solution. Do not scrub the area or purposefully soak the area with water. Use the gauze to gently remove any crusted blood.
  • Apply a thin coating of vasoline or prescribed (NOT over-the-counter) antibiotic ointment, and apply a fresh bandage with gauze and paper-tape (available at the drug store)
  • Most wounds can be left uncovered after the first week, but if they are on an area of the body where they are being rubbed by clothing, please keep them covered until the sutures are removed.
  • Take the full course of any antibiotics you were given.
  • Return to clinic for suture removal on the date instructed by Dr. Simon unless you were told that all of your stitches are dissolvable.
  • Call Mooresville Dermatology Center if the treated area becomes red, swollen, warm to the touch, painful, or has increased drainage more than 3 or 4 days after the procedure. These are signs of infection and may require antibiotics for resolution. Our number is 704-235-1827.

Wound Care after treatment with Liquid Nitrogen Therapy (Cryotherapy)

  • You will feel a stinging or burning sensation during the treatment. This usually lasts for about 5 minutes, and then goes away. Occasionally, a throbbing sensation may be felt for one or two hours after freezing, most commonly on fingers, toes, eyelids, and lips.
  • You will notice redness and swelling within minutes after treatment.
  • Clean the treated areas like you would normal skin, with mild soap and water daily. Do not rub or scrub the areas. You do not need to keep the treated areas covered with a bandaid.
  • You may notice that a blister forms, usually 1-2 days after the freezing. The blister may be filled with a clear fluid or with blood, which will give it a blue or violet color. The blister will flatten by itself in 1-2 weeks.
  • If a blister becomes painful, a needle that has been sterilized with rubbing alcohol may be used to puncture the top. Press gently on the top of the blister to remove the fluid. Leave the top of the blister intact and it will act as a natural bandaid. Clean the area daily with mild soap and water.
  • If a blister does not form, it does not mean that the freezing did not work.
  • - Possible side effects from liquid nitrogen therapy include a lighter or darker color of the skin that was treated. This color change within the skin may, or may not, decrease over the months following treatment.
  • Warts treated with liquid nitrogen therapy will often need repeated treatments to be completely removed. This usually requires a visit every two or three weeks.
  • Call Mooresville Dermatology Center if the treated area becomes red, swollen, warm to the touch, painful, or has increased drainage more than 3 or 4 days after freezing. These are signs of infection and may require antibiotics for resolution.
  • If you feel you have an emergency, please call us at 704-235-1827

Wound Care Following a Shave or Punch Biopsy

To care for your biopsy site, please follow these directions:

  • Remove your dressing or bandage 24 hours after the biopsy.
  • Clean the area just as you would normal skin with mild unscented Dove soap and water.
  • Apply either a small amount of prescribed antibiotic ointment or plain Vaseline. Do not apply over-the-counter antibiotic ointments, as these often cause allergic rashes and may cause the wound to appear infected when it is not. A rash will also slow the healing process.
  • - Re-cover the biopsy site with a bandaid or bandage, changed daily after washing and applying a new coat of ointment. If you begin to develop a "bandaid rash," use a plain piece of gauze and "paper tape" which is available at the drug store.
  • If you have sutures for your biopsy, avoid activities such as swimming or bathing that totally submerge the wound. Running water, such as during a shower, is ok.
  • If you had a shave biopsy, these sites may take 4-8 weeks to heal, especially if a deep shave was performed, and/or the wound is on your back or legs. Continue to wash and apply a fresh coat of vasoline until it is fully healed.
  • Your pathology report may take 10-14 days to be processed. We will notify you of the results of your biopsy by phone.
  • If you had sutures placed for your biopsy, please return for their removal at the time instructed by Dr. Simon
  • Call Mooresville Dermatology Center if the treated area becomes red, swollen, warm to the touch, painful, or has increased drainage more than 3 or 4 days after the procedure. These are signs of infection and may require antibiotics for resolution.
  • If you feel you have an emergency, please call us at 704-235-1827

 

 



Rosacea is a chronic skin condition that causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes. This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids. More than 14 million Americans suffer from rosacea. It is not contagious, but there is some evidence to suggest that it is inherited. There is no known cause or cure for rosacea. There is also no link between rosacea and cancer.

Rosacea generally begins after age 30 and goes through cycles of flare-ups and remissions. Over time, it gets ruddier in color and small blood vessels (like spider veins) may appear on the face. If left untreated, bumps and pimples may form, the end of the nose may become swollen, red and bulbous and eyes may water or become irritated.

Rosacea occurs most often among people with fair skin who tend to blush or flush easily. It occurs more often among women than men, but men tend to suffer from more severe symptoms. Most patients experience multiple symptoms at varying levels of severity. Common symptoms include:

  • flushing
  • persistently red skin on the face
  • bumps or acne-like pimples
  • visible blood vessels on facial skin
  • watery or irritated eyes
  • burning, itching or stinging of facial skin
  • skin roughness and dryness
  • raised red patches
  • swelling (edema)

These symptoms may also appear on the neck, chest, scalp and ears.

Research conducted by the National Rosacea Foundation found that the leading triggers for rosacea are:

  • sun exposure
  • hot or cold weather
  • emotional stress
  • wind
  • alcohol
  • heavy exercise
  • spicy foods
  • hot baths
  • heated beverages
  • some skin care products
  • humidity
  • indoor heat

While there is no cure for rosacea and each case is unique, your doctor will probably prescribe oral antibiotics and topical medications to reduce the severity of the symptoms. When the condition goes into remission, only topical treatments may be needed. In more severe cases, a vascular laser, intense pulsed light source or other medical device may be used to remove any visible blood vessels and reduce excess redness and bumpiness on the nose.

To help reduce the incidence of flare-ups, a gentle daily skin care routine is recommended that includes the use of mild, non-abrasive cleansers, soft cloths, rinsing in lukewarm water (not hot or cold), and blotting the face dry (not rubbing). Additionally, individuals with rosacea need to protect themselves from sun exposure by using sunscreens with SPF 15 or higher and sunblocks that eliminate UVA and UVB rays. Patients are also encouraged to keep a record of flare-ups to try and determine the lifestyle and environmental triggers that aggravate the condition.


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