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Dry flaking of skin on the chin and nose due to sun exposure. Blood vessels showing on the cheeks. Any advice?

Hi, Im a 39yr old male and I ve lived in Southern California for around ten years, Im from Scotland and have fair skin and I had to work outside and didn t always give due diligence with the sunscreen. Its at the stage were my skin is just hammered. I have small vessels showing on the cheeks which are constantly red, and I have dry flaking on my chin and nose and behind one ear. I literally have tried all the mild moisturizers recommended by the cvs girls etc.....and I cant find one that doesn t instantly burn and turn my face crimson. Its now so bad my skin is just flaking constantly and its spreading to the scalp . I tried anti dandruff for the scalp which seems to work quite well, but Im at my wits end with the skin problems. I also fell against a wall about 3 years ago playing racquetball and took the skin off around one off my eyes and cheek quite badly and its alwayd been red and tender since then.........Any advice would be hugely appreciated, Thank you very much guys
Asked On : Mon, 4 Feb 2013
Answers:  1 Views:  34
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Dermatologist 's  Response
From the description it seems you are probably having seborrheic dermatitis alone or seborrheic dermatitisand rosacea together which may coexist.
Seborrheic dermatitis is characterised by dry flaky skin over eyelids, eyebrows, nasolabial folds, behind ear, scalp, upper chest, back , groin, limbs ( flexors) etc.
To treat the same use an anti dandruff shampoo containing ketoconazole three days in a week
To treat dry skin over face, use cetaphil cleanser and moisturiser and apply a mild steroid antifungal cream( you may mix and apply hydrocortisone and clotrimazole cream) for not more than a week. As steroid can exacerbate rosacea if used for too long.

With the above suggestions, your skin would be better. To take care of rosacea, use of sunscreen daily is mandatory. Avoid spicy, hot food, alcohol etc. Vascular form of rosacea responds best to IPL. You may also try applying Azelaic acid cream to reduce redness and swelling.
I would recommend a dermatologist's visit so that a proper skin examination can be done to evaluate your skin problems in a better way.
Take care.
Answered: Tue, 5 Feb 2013
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