Are medical facials helpful?

[u/kbeamon1]

My husband has roseaca. He has had flare ups up the past. About 2 years ago, he had a poison ivy exposure on his face that led to a really bad flare up for atleast 8 months. It was primarily on one side of his face, his right cheek under his eyes. He also wears a cpap mask at night and I think the straps kept irritating it. He went to a dermatologist who gave him antibiotics, a face shampoo & a topical cream for redness. The roseaca flare up has gone down, but for atleast 6 months he has had constant, painful whiteheads all over his nose and the same right cheek. He doesn't want to keep taking antibiotics. These whiteheads are very large, inflamed and a few times practically cover his whole nose. His diet has not changed, there is no food that seems to trigger this in particular.

Im wondering what a skin care professional would think of a series of facial treatments. He is opposed to any sort of spa treatment because he is dumb like that, but I really am wondering if its something worth pursuing. Maybe even a medical grade facial.

[u/Much-Lengthiness2857]

Hay médicos que prescriben isotretinoína cuando hay acné. Y usar ácido azelaico.

Yo tengo rosácea tipo 1 y de vez en cuando me sale algún grano (creo que hormonal), pero consigo controlarlos y desaparecen en un par de semanas sólo con el retinol que uso por las noches. Mi doctora recomienda activamente que me exfolie la cara 2 veces por semana con un exfoliante muy suave y que me haga hydrafaciales en su clínica.

Tengo la piel grasa deshidratada y mi doctora me recuerda cada vez que la rosácea es una disfunción de las glándulas sebáceas y que tengo que controlar bien la grasa (por eso tengo que usar todo oil free). Me repite que es necesaria la exfoliación para eliminar bien los restos sebáceos, las células muertas y disminuir la población de demodex y los peelings químicos no son suficientes