Dr May Marr

Cosmetic Physician - Northern Rivers, NSW, Australia

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    • By Procedure Type

      • Anti-wrinkle injections
      • Clear and Brilliant Laser
      • Electronic skin needling with Dermapen
      • Fat and cellulite reduction with Lipodissolve ®
      • Hyperhidrosis (excessive sweating)
      • Hyperpigmentation management
      • Male facial rejuvenation
      • Medical strength chemical peels
      • Mesotherapy for skin rejuvenation
      • Neck, décolletage and hand rejuvenation
      • Platelet Rich Plasma (PRP)
      • Silhouette Soft ®Thread Lift
      • Volumising and hydrating dermal fillers
    • By Concern

      • Acne, Large pores, Oily skin
      • Cheek enhancement
      • Chin enhancement
      • Dark under eye circles and hollowness
      • Excess Body and Face Fat
      • Excessive Sweating
      • Facial lines and wrinkles
      • Facial redness, broken capillaries, rosacea
      • Hair loss
      • Hand rejuvenation
      • Jawline enhancement and definition
      • Lip Enhancement
      • Neck and decolletage rejuvenation
      • Non Surgical Facelift
      • Scarring, Stretch Marks
      • Sun damaged, sun spots and ageing skin
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Home > Rosacea and facial redness management

Rosacea and facial redness management

  • Is a frustrating skin disorder that is frequently misdiagnosed by dermatologist and physicians
  • Develops over a long period of time, can come and go
  • Thought to be caused by a microbe called Demodex Follicularis under the skin, other theory as to cause point to it being a generalised vascular inflammatory disorder

Symptoms

  • Tendency to blush easily, exacerbated by alcohol, hot showers, saunas, after exercise
  • Extreme sensitivity to cosmetics

Early Signs

  • Characteristic butterfly redness over nose and cheeks
  • Bumps and pimples over nose and cheeks resembling acne
  • Oily patches of skin interspersed with dry flaky skin

Late signs (if left untreated)

  • Rhinopyma – bulbous nose, rarely occur in women
  • Telangiectasia – broken, enlarged blood vessels. Treatment is with vascular laser KTP 532 or Nd Yag 1064 laser
  • Ocular rosacea – persistently red, irritated eyes, sties – rarely, the cornea is affected

Skin care plan for rosacea

  • Avoid potentially irritant – including alcohol, witch hazel, fragrance, menthol, peppermint, eucalyptus – Go to www.rosacea.org for complete list
  • Lifestyle factors to avoid – sun exposure, spicy foods, alcohol, hot tubs
  • Other irritants to avoid – physical exfoliating scrubs, facials with steam or masks, use of washcloth

AM

Cleanser

  • Use gentle, water based cleanser – eg Cetaphil Gentle Cleanser or Neutrogena Cream Cleanser

Exfoliate

  • Use 2%BHA (beta hydroxy acid) as exfoliant in a base of pH 3-4 – this helps remove the built up dead layer of the epidermis (stratum corneum) and can help with flakiness.
  • BHA is also related to salicylic acid and acts as an anti inflammatory which reduces the redness so often seen in rosacea
  • Can be used long term, especially during periods when you are off the topical antibiotics

Antibiotics

  • Use Metronidazole topical cream. (Source: Journal of Dermatology June 1999, pp 961-965)
  • This works by dampening down the inflammatory response caused by the microbe as opposed to directly killing it
  • Recommendation is to use it for 4 months then stop for 1 month then recommence for 4 months (Note: there is no consensus as to what the ideal time period is )

Sunscreen

  • Use physical (or non chemical) sunscreen – Look for sunscreen with the ingredients  like Titanium Dioxide or Zinc Oxide

PM

Cleanser, Exfoliate, Antibiotics
Moisturise

  • Use lightweight moisturiser which contains anti-oxidants
  • Avoid formulation with “actives” like Vitamin A (although prescription Adapalene is sometimes used as treatment for “breakouts”), vitamin C

About Dr May Marr

Dr May Marr is a graduate of Flinders University Medical School and a Fellow of the Royal Australasian College of Physicians. She has a lifelong interest in aesthetic medical procedures and evidence based skin care and believes passionately that people should have access to medical aesthetic procedures and products that are based on the best available evidence and provided by highly trained professionals. Dr Marr provides best practice, advice and treatment in the areas of injectable rejuvenation. Treatments for localised fat and cellulite reduction, skin tightening and rejuvenation using mesotherapy techniques are also offered. Dr Marr has studied with Dr Jacque Le Coz, one of the pioneers of Mesotherapy at the Institute of Mesotherapy in Paris.


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Concerns we treat

  • Acne, Large pores, Oily skin
  • Cheek enhancement
  • Chin enhancement
  • Dark under eye circles and hollowness
  • Excess Body and Face Fat
  • Excessive Sweating
  • Facial lines and wrinkles
  • Facial redness, broken capillaries, rosacea
  • Hair loss
  • Hand rejuvenation
  • Jawline enhancement and definition
  • Lip Enhancement
  • Neck and decolletage rejuvenation
  • Non Surgical Facelift
  • Scarring, Stretch Marks
  • Sun damaged, sun spots and ageing skin

Treatments we offer

  • Anti-wrinkle injections
  • Clear and Brilliant Laser
  • Electronic skin needling with Dermapen
  • Fat and cellulite reduction with Lipodissolve ®
  • Hyperhidrosis (excessive sweating)
  • Hyperpigmentation management
  • Male facial rejuvenation
  • Medical strength chemical peels
  • Mesotherapy for skin rejuvenation
  • Neck, décolletage and hand rejuvenation
  • Platelet Rich Plasma (PRP)
  • Silhouette Soft ®Thread Lift
  • Volumising and hydrating dermal fillers

Contact Us

42 Ballina Street Lennox Head NSW 2478
02 66875202 admin@drmaymarr.com.au
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