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Fall Letter 2024

MADFES DERMATOLOGY & AESTHETICS GROUP One East Sixty-Ninth Street New York, NY 10021 P 212.249.8118 www.madfesderm.com Dear Patient, As we enter Fall, it is a wonderful time to visit the office....

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Acne Center of Excellence

We are thrilled to announce the grand opening of our Acne Center of Excellence, a pioneering initiative dedicated to advancing the treatment and management of acne for individuals of all ages. At...

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Rosacea

Little is known about what causes rosacea. An altered immune system, sun sensitivity, neural pathways, and disruption of the normal skin barrier (causing general skin sensitivity) may all be at play.

There are 4 major rosacea subtypes and, depending on your type, a treatment regimen is tailored:

  1. Erythematotelangiectatic rosacea includes individuals who have a tendency for flushing, combined with a background of persistent facial redness.
  2. Papulopustular rosacea is characterized by an eruption of acne-like bumps however this is not acne.
  3. Rhinophyma refers to thickening of the nasal skin.
  4. Ocular rosacea, which is rosacea of the eye itself, consists of itching, tearing, dryness, gritty sensation, crusting, inability to wear contact lenses, as well as frequent styes.

Rosacea is sometimes confused for acne, however these are two distinct conditions.

TRIGGER FACTORS

Decrease sun exposure and watch your diet. Avoid spicy foods, wine, and fermented foods.

Treatment

The particular rosacea subtype determines the treatment. Our physicians have extensive experience treating this condition. We offer medical treatments with topical medications and oral therapy, lasers such as intense pulsed light, and skin care recommendations. Isotretinoin may be recommended.

Skin care recommendations include:
  • Wash the face with soap-free, pH-balanced cleansers. Sulfur products may be helpful.
  • Avoid scrubbing or exfoliating; avoid astringents and toners.
  • Apply sunscreen with both UVA and UVB protection (“broadband”) and an SPF ≥30 daily. Titanium dioxide and/or zinc oxide are usually well tolerated.
  • Restore your skin barrier by applying products that will form a protective coating to shield your skin from environmental pollutants. Moisturizers containing humectants (e.g. glycerin) and occlusives (e.g. petrolatum) help to repair the epidermal barrier.
  • Avoid products contain alcohol, menthols, camphor, witch hazel, fragrance, peppermint and eucalyptus oil.
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