What can cause redness around the nostrils in a 26-year-old?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

It is rosacea. What is the aggravation factor of your condition? Does it aggravate due to spicy food or hot beverages, stress, heat, sun, or harsh topicals like steroids and retinoids? Is it burning on exposure to the sun? Do you have any history of photosensitivity? Is there excess scratching and rubbing?

Answering these questions will help me provide you with the details of your condition.

Hope this has addressed your concern.

Kind regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Some suggestions for rosacea management:

1. Avoid trigger factors, use a broad-spectrum sunscreen, cleanse with soap-free cleanser, use a gentle emollient, avoidance of harsh products (astringents, toners, menthol, camphor, and sodium lauryl sulfate), makeup (fragrance-based cosmetics).
2. Apply 1 % Metronidazole gel or cream at night for 15 days.
3. For redness, you can apply Brimonidine gel once daily for two weeks. First, we should try to control it with topical creams.
4. If no response is seen, a short course of Doxycycline is suggested.
5. Use sunscreen while on Doxycycline, as it is a photosensitive drug.
6. Avoid direct sunlight. Always apply sunscreen. Use photostable sunscreen daily at 9 AM, 12 PM, and 3 PM. Also, apply 20 minutes before going outdoors. Sun protection is a must.
7. Do not apply any harsh products to the skin. Use Cetaphil cleanser (cetyl alcohol and glycerine) to wash your face twice a day for two weeks.
8. Tablet Antoxid HC (beta carotene and zinc sulfate monohydrate) once daily after breakfast for two weeks.
9. Soapex soap (sodium palmate and glycerine) or Cetaphil soap for a bath for two weeks. Follow up after two weeks.

Hope this has addressed your concern.

Warm regards.

Hi,

Welcome back to icliniq.com.I do understand your concern. I suggest you do the following:

1. Apply 1 percent Brimonidine cream at daytime for 10 days (to reduce redness).
2. Apply 10 percent Aziderm cream/gel at night for 5 days.
3. Tablet Lim-o (vitamin C) once daily after food for 30 days.
4. Increase vitamin A and C intake in your diet.
5. No need of laser. Use a broad-spectrum sunscreen with good SPF factor.

Regards.