column (e.g. in newspaper)
2025.08.14
How to treat facial redness?
As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.
Treating facial redness is actually one of the more difficult treatments.
This was also the reason I decided to thoroughly study cosmetic dermatology, as insurance-covered treatments have significant limitations.
When it comes to facial redness, diagnosis is essential.There are two main causes.Vasodilation or lymphocyte infiltrationis.
Eczema (including seborrheic dermatitis and contact dermatitis), rosacea (facial redness associated with vasodilation), rosacea-like dermatitis, post-inflammatory erythema due to acne, lupus erythematosus, dermatomyositis...
When it comes to insurance-covered treatments, rosacea is definitely where you hit the wall.
I am Dr. Aya Hayama, a board-certified dermatologist.
Treatment for redness caused by post-inflammatory erythema
Lymphocyte infiltration, that is,Redness caused by inflammationRegarding this, it can be managed with insurance-covered treatment, and spontaneous improvement can also be expected.
In the field of cosmetology, post-inflammatory erythema—the redness that often follows acne—is quite common, but it typically improves naturally within 3 to 4 months.
If it's early enoughCosmetics containing tranexamic acid and centella asiatica with anti-inflammatory and soothing effects, introduced via Mesona J and Target CoolThat would be good.
However, I believe that angiogenesis likely occurs during the subsequent healing process,If vasodilation persists, consider using vitamin C cosmetics or Mesona J for delivery.We recommend.
To boost skin metabolism while treating acnepeelingto performI think that's fine too.
Treatment for Redness Associated with Vasodilation
Dai Laser (V-Beam)やYAG laserSince it destroys the blood vessels themselves, purpura (bruising) may appear after irradiation due to the destruction of blood vessels, but it is considered highly suitable.
However, since blood vessels vary in thickness and depth, multiple treatments may be necessary by adjusting the irradiation area and output.
Additionally, for rosacea, one of the guidelines from the Japanese Dermatological Association states thatIPLIt is also being raised.
Unlike lasers, which use a single wavelength, IPL—also known as phototherapy—utilizes a broad spectrum of wavelengths ranging from 500 to 1000 nm. This treatment is effective across a wide range of areas, from the epidermis to the dermis,Not only does it remove spots, but it also improves vasodilation and stimulates dermal fibroblasts to produce collagen.There is.
The principle behind improving vasodilation is that hemoglobin absorbs light and converts it into heat, causing damage to the vascular endothelial cells. This gradually leads to the formation of thrombi, which are then absorbed. Additionally, larger vessels constrict and become less noticeable, allowing them to fade without leaving purpura, unlike with laser treatments. Wavelengths around 580nm are particularly effective because oxidized hemoglobin absorbs them well. For individuals with pronounced redness, we target these areas for treatment.
At our hospital,CERECWe recommend IPL treatment even for those concerned about redness.
Reference Blog
What is IPL Therapy? | Japan's Leading Clinic for Aesthetic and Regenerative Medicine｜BIANCAGINZA
Also,RejuranやprurialPN formulations are also said to promote vascular regeneration, improve abnormal blood vessels, and be effective against redness.
Reference Blog
Here's a personal musing from me, a dermatologist...
Since retinol can also cause redness as an A reaction, those using high concentrations may want to try spacing out applications or lowering the concentration.
To make your skin look beautiful,It is important that the color tone is uniform.is.
By improving not only dark spots but also redness, I believe we can achieve more translucent skin. Please feel free to consult with us.
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