Correction of post-acne with medical cosmetics Methods for correction of enlarged pores.

Timely use of drugs that help reduce the activity of the sebaceous glands (zinc, sulfur, azelaic acid, vitamin A derivatives - retinoic acid and retinol.

Sulfur and zinc preparations are effective in combination with other ingredients.

Azelaic acid is mainly used outside of inflammation..

Retinoids are effective in all forms of acne, as they reduce the activity of the sebaceous glands and reduce the thickness of the stratum corneum.. Retinol is less likely to cause side effects (erythema, peeling, dry skin) compared to retinoic acid. Retinol esters (acetate and palmitate) have less pronounced activity when applied topically..

Retinol preparations are used for a long time, from several months to a year.. They also recommend cosmetic substances that reduce the manifestations of hyperkeratosis - fruit acids (glycolic, lactic, tartaric, etc.).. ), azelaic acid, salicylic acid. Fruit acids additionally contribute to the reduction of the sebaceous glands and the removal of excess sebum from the ducts..

Persistent pore-constricting effect of fruit acids develops after 2-3 months of daily use at home. The most effective and safe is the complex of fruit acids.. After 4-5 months of regular use of hydroxy acids, it is recommended to take a break for 4-8 weeks, as there is an effect of skin getting used to their effects, which is completely leveled after a break..

Methods for correcting dead spots.

Recommend daily activation of microcirculation with lotions and solutions containing ichthyol, isopropyl alcohol, camphor, nicotinic acid, menthol. These drugs have irritant and vasodilating effects.. It is also effective to use superficial chemical peels that activate microcirculation and highly concentrated vitamin C preparations containing 10-17% L-ascorbic acid..

Scar correction methods.

The best effect is given by chemical peels of various depths, mechanical and laser resurfacing.. To reduce the cyanotic coloration of scars, preparations containing ichthyol, isopropyl alcohol, 10-15% L-ascorbic acid are used.. To soften sclerosed cyst capsules, solutions containing highly concentrated extracts of arnica, witch hazel in combination with massage are used..

For gradual, gentle exfoliation, preparations containing combinations of fruit acids with salicylic and azelaic acids are recommended.. This combination of active ingredients contributes to the parallel alignment of skin color, its texture and the reduction of pores..

Strengthening the synthesis of collagen fibers and tightening the scar to the level of healthy tissue occurs with the regular use of drugs containing retinol and its derivatives, vit. C, fruit acids. With a tendency to the formation of keloid scars (high, spreading in all directions, itchy, painful, dense and intensely bluish-red scars with a clear border), a consultation with a dermatologist is necessary..

For post-acne correction, external medicines (Skinoren, Contractubex) and medical cosmetics Diakneal (Pierre Fabre Dermo-Cosmetique, France), Gifak keratolic emulsion (Biorga, France) are recommended.

Rosacea.

Chronic skin disease that is localized on the face. As a rule, it begins in 30-40 years and affects mainly women.

The development of the disease is associated with the influence of many factors:.

• angioedema due to dysfunction of the autonomic, central nervous and endocrine systems, functional insufficiency of the facial vein;

• dysregulation of the cerebral influence on the blood vessels of the skin of the face and weakness in the drainage of the blood and lymphatic vessels of the skin of the face;

• insolation, a sharp change in temperature and exposure to hot steam, hot, spicy and spicy food, alcohol, resulting in a reflex expansion of the blood vessels of the face;

• disorders of the immune system and increased levels of vasoactive peptides;

• diseases of the gastrointestinal tract, especially the hepatobiliary system;

• pathology of the endocrine system (exacerbation of the disease during menopause, pregnancy, before menstruation);

• subsequent infection (demodex folliculorum).

Clinic.

The most commonly affected skin is the cheeks, nose, forehead, and chin. Rarely - the area of \u200b\u200b\\u200b\\u200bthe decollete, around the eyes and mouth, where due to muscle contraction, sufficient drainage is provided. Morphological elements: erythema, telangiectasia, papules, pustules. In Europe and the USA, they adhere to the G classification. Plevig and Th. Jansen.

Classification G. Plevig and Th. Jansen.

Erythematous rosacea.

Tidal erythema lasting from minutes to hours. Accompanied by a feeling of heat or warmth, disappears without a trace. Located in the central part of the face and nasobuccal folds. Later, against the background of persistent erythema, capillary telangiectasias are formed - branched, intertwining vessels of bright or dark red color..

Papular rosacea.

Against the background of erythema and diffuse infiltration, pink-red papules with a diameter of 3-5 mm appear..

Pustular rosacea.

With further progression of the disease, many nodules become suppurated, resulting in the formation of pustules 1-5 mm in diameter with yellow or greenish-yellow contents, tending to cluster, especially in the nose, nasolabial folds and chin. There is a pronounced swelling of the face, especially in the eyelids, narrowing of the palpebral fissures. The transition of rashes to the front surface of the neck and even the chest is possible.

Infiltrative-productive rosacea.

In a chronic course, the formation of inflammatory nodes, infiltrates, tumor-like growths due to hyperplasia of the sebaceous glands of the connective tissue and an abundance of persistently dilated vessels is possible.. Further development of the disease in men in about 10% of cases is transformed into rhinophyma (thickening of the tissues of the nose with hypertrophy of the sebaceous glands, neoplasm of blood vessels and an increase in the size of the organ), it is possible to develop otophyma (lesion of the earlobe), gnathophyma (damage to the skin of the chin), metophyma (pillow-shaped thickening.

Table 22. Stages of rosacea (J. Wilkin, 1994. ) Stage 1.

2 stage.

3 stage.

4 stage.

prerosacea.

Vascular rosacea.

Inflammatory rosacea.

Late rosacea.

Transient erythema and hyperemia.

Edema and ophthalmic rosacea, persistent erythema and telangiectasia.

Papules and pustules.

Rinofima.

Drugs for external correction of rosacea.

• Metronidazole preparations (Metrogil-gel 1%, Rozamet).

• Means with antibiotics (tetracycline ointment, erythromycin ointment, levomycetin alcohol, Zinerit, Dalacin, Erifluid).

• Azelaic acid preparations (Skinoren cream and gel).

• If a demodex mite is detected, as prescribed by a dermatologist - sulfuric salicylic ointments, metronidazole preparations, 20% benzyl benzoate solution, benzyl benzoate cream, Spregal aerosol (treat a cotton swab and wipe the skin of the face). Prescribed by a doctor.

Correction with medical cosmetics Cosmetics for the correction of rosacea, has not only anti-inflammatory and antiseptic, but also capillary-protective action, provides sufficient photoprotection of the skin. This takes into account the hypersensitivity of the skin.. Basic anti-acne cosmetics (cm. Cosmetics for the correction of seborrhea and acne) should be supplemented with products with a vascular component.

As a means with a pronounced capillary-protective effect, we can recommend the Rosella complex (Uriage, France), represented by a Cleansing Emulsion, Cream, Foundation and containing plant extracts of rose, mallow, calendula, mimosa, grape and green tea, madamia oil, shea butter, apricot kernels,.

Dirosial cream (Pierre Fabre Dermo-Cosmetique, France), contains hesperidin methylchalcone, dextrin sulfate, retinaldehyde, green pigments. In the initial stages of the disease, it is necessary to remind the patient of the need for a double (morning and evening) rotational self-massage of the face with circular stroking movements of the nose, forehead and cheeks for several minutes..

Perioral dermatitis.

Refers to rosacea-like diseases.

Etiopathogenesis is not completely known.. Intolerance to cosmetics, soaps, fluoridated toothpastes, corticosteroid creams is of some importance.. Possibly bacterial infection.

Clinic.

Most often women aged 25-40 get sick. The disease is characterized by symmetrical erythema around the mouth and nose with papulo-pustular, non-confluent elements.. A thin strip of unaffected skin remains around the lips. Sometimes the skin of the eyelids is affected. Disturbed by itching, burning, feeling of tightening of the skin. The course of the disease is chronic, undulating.

Correction.

Avoid fluoride and corticosteroid topical pharmaceuticals. Local treatment: metronidazole preparations (metrogil gel).

Medical cosmetics for the care of sensitive seborrheic skin:.

• Cu-Zn complex (Uriage, France) • Cleanance line (Pierre Fabre Dermo-Cosmetique, France) • Sansibio line (Bioderma, France) A. Bashura, S. Tkachenko medbe. en.