Facial Redness

Published on 15/03/2015 by admin

Filed under Dermatology

Last modified 15/03/2015

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Chapter 23 Facial Redness

Facial redness can be due to a variety of dermatologic causes including rosacea, physiologic flushing, telangiectasias, eczema, seborrheic dermatitis, psoriasis, irritant contact dermatitis, etc. All of these conditions have in common activation of the inflammatory cascade, which results in vasodilation and the recruitment of white blood cells. Facial redness is minimized by cosmeceuticals functioning as anti-inflammatories and barrier enhancers. Table 23.1 lists those cosmeceuticals that are currently used in moisturizers designed to improve facial redness. At present, there are no good cosmeceutical vasoconstrictors to deal with the vasoactive component of facial redness.

Table 23.1 Cosmeceuticals to minimize facial redness

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Cosmeceutical Effects on skin physiology Patient selection comments
Prickly pear Mucilage rich in mucopolysaccharides forms protective film Extract used in moisturizers, usually does not provide mucilage properties
Aloe vera Mucilage containing 99.5% water and a mixture of mucopolysaccharides and choline salicylate Salicylate component functions as topical anti-inflammatory, since mucilage properties lost in most moisturizer formulations
Bisabolol Chamomile extract prepared by distillation Potent anti-inflammatory in moisturizers
Allantoin Comfrey root or synthetic manufacture from uric acid Used commonly in sensitive skin formulations
Panthenol Barrier enhancing humectant Used to hydrate the skin and prevent barrier damage
Tea tree oil Polyphenols May cause allergic contact dermatitis
Evening primrose oil Polyphenols Purported to be of benefit in atopic dermatitis
Ginkgo biloba Polyphenol fraction Ginkgolides, bilobalides are active anti-inflammatories
Green tea Polyphenols Epigallocatechin, epigallocatechin-3-gallate are active anti-inflammatories
Saw palmetto