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Adult Acne and Lifestyle Treatment Information
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Acne Flushing: Types, Patterns, and Systems
Acne sufferers may have more facial blood vessels than the average, or their vessels may be severely damaged. In either case, the result is that the body cannot handle the dilation of facial vessels easily or properly. Treatment of acne with harsh chemicals such as azealic acid or benzoyl peroxide over a prolonged period of time can result in facial flushing or diffuse redness. The flushing factor tends to be cause of comment and embarrassment for the acne sufferer. Facial redness or erythema is best defined as a lengthy flush of embarrassment or emotion in a social situation that may last for a few minutes to many hours. While for many others it is the more constant redness or blotchy flushed appearance that becomes the cause of embarrassment. The redness is generally located on the cheek area but can spread down to the chin, neck or even upper chest. In some cases the forehead may also be involved. This redness can be associated with many things such as food, dust, environmental or chemical allergies, stress, over-exertion, exercise, alcohol, extreme heat or cold. If the redness becomes more permanent or constant, one may suspect the skin condition known as rosacea.
In the early stages of acne this redness may come and go. In the later stages of acne, the effect becomes more permanent. The facial redness or flushing may last anywhere from hours to days at a time.Anything that stimulates facial dilation becomes more difficult to control. We will attempt to help you understand vascular constriction and dilation. Dilation, or enlarging of the blood vessels, produces the flushing which acne sufferers experience. Understanding what causes the vessels to dilate will you in controlling the factors that aggravate an acne flush.
There are various factors that can cause facial vessels to dilate or contract. Our goal in the information below is to help you understand the most common causes of vascular constriction.
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TYPES OF ACNE-PERIORAL DERMATITIS
When treating acne, one sometimes sees an acne-like eruption around the mouth area. Known as peri-oral dermatitis, peri-oral refers to the facial area around the mouth while dermatitis pertains to inflammation, redness or irritation of the skin. In addition, there are usually small red bumps or even pus bumps and mild peeling as the skin is extremely aggravated. Peri-oral dermatitis symptoms characteristically involve the mouth area, but generally do not affect the lips themselves. You may also notice flaking of the skin at the site of occurrence. Many times if the flaking is isolated to the lip area it may be mistaken for chapped lips. Often the skin around the nose is affected too, and sometimes it can affect the area under and around the eyes.
When peri-oral dermatitis expands to include the eye area, it should more correctly be termed "peri-ocular", or even, "peri-orificial" dermatitis. Peri-ocular dermatitis consists of similar flaking and redness with or without the appearance of small papules or pustules. This condition may be wrongfully thought of as acne while others believe it to be a component of rosacea.
The most common causes of peri-oral dermatitis are topical steroid use and fluoridated and/or tartar control toothpaste. Peri-oral dermatitis is often aggravated by fluoridated or tartar-control toothpaste, chapstick, the ingredients in lipstick, and mouthwash. The International Rosacea Foundation, recommends discontinuing the use of fluoridated or tartar control toothpaste for six months may help reduce the symptoms of peri-oral dermatitis. Peri-oral dermatitis is often aggravated by fluoridated or tartar-control toothpaste, chapstick, the ingredients in lipstick, and mouthwash. Peri-oral dermatitis is a common skin problem that mostly affects young women, however, occasionally men and children are affected by it.
The easiest first step for improvement is the prevention by eliminating those factors mentioned above so that the affected perioral dermatitis area may heal.
Sufferers of peri-oral dermatitis tend to have oily skin. Some people are more susceptible to peri-oral dermatitis than others, and recent research indicates the occurrence may be related in part to a proliferation of bacteria in the hair follicles.
The following conditions or circumstances have been found to aggravate Peri-oral dermatitis:
- Cleansing the facial skin with the wrong type of soap. A soap-free cleanser such as Cetaphil or Neutrogena is recommended. Avoid harsh scrubbing of the area.
- Facial scrubs or acne treatments may cause or worsen the condition.
- Applying face creams regularly to the area bounded by the cheek folds and chin, or around the eyes in the case of peri-ocular dermatitis. These creams include moisturizers, anti-wrinkle creams, cream cleansers, make-up foundation, and sunscreens. Many of the moisturizers and creams currently on the market contain sunscreens or ingredients that can cause or worsen the peri-oral condition. Anti-wrinkle or anti-aging creams contain retinols, citric acids, beta-hydroxy acids or alpha hydroxy acids which increased facial redness and skin irritation.
- Applying topical steroids to the facial area. The more potent the steroid cream, the more rapid and severe the occurrence of the peri-oral dermatitis.
- Lip balms, glosses and lipsticks that extend over the actual lip area can also aggravate the condition.
