Skin problem on my face; Acne or Rosacea or Eczema or what?

[plyp]

Hello, I am 28 year old female. I have redness around my cheeks and nose, sometimes itchy, more red and dry after washing my face and/or taking shower.

I noticed it about 2 years ago. I thought I was allergic to shampoo or facial foam, but changing shampoo/foam didn't solve the problem.

I have attached the pictures. Does anyone know about this?

Do you recommend doctor or self treatment? Which doctor/specialist do I need? I am a visitor, currently visiting New York City. How much does it cost to see a doctor? I have no health insurance. Is there any place offers a free consultation?

http://i315.photobucket.com/albums/ll478/pixbay/PA030002c1.jpg
http://i315.photobucket.com/albums/ll478/pixbay/PA140020p1.jpg

Thank you

[Bhupinder Kaur, MD]

Hello,
From the symptoms it can be eczema or rosacea. Eczema is a form of chronic dermatitis (rash).Allergic reaction is one of the important causes of eczema. Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. You can take some OTC oral antihistamine medications like Benadryl or Claritin and see if it helps.

For mild-moderate eczema a weak steroid may be used whilst more severe cases require a higher-potency steroid which are available under prescription.

Eczema can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin. If still the symptoms do not improve then please get a clinical examination done by a dermatologist.

I hope it helps. Take care and regards.

[Angebelle]

Quite honestly your skin pores look a little clogged, but I wouldn't call it acne and I wouldn't call it rosacea (both which run in my family).  You could visit a dermatologist (a skin doctor), but without insurance it can be $$$ costly.  Instead, self-treatment is a good alternative.  

It sounds like your skin is sensitive.  Therefore, look for products that are alcohol-free (Nuetrogena has an alcohol-free toner), hypo-allergenic, non-acneic (aka non-comdegenic), or otherwise meant for sensitive skin.  Light exfoliation with a washcloth or soft facial scrubber can help loosen any dead skin cells that currently clog the skin.  Rinse the skin with cold water, if you don't already, to keep inflamation and redness to a minimum.  If you use makeup, wash the brushes or sponges frequently to keep bacteria from growing in them and transferring to your face.  If you have the means, another suggestion is to visit a facialist or aesthetician as part of your regimen.  Even going every 4-6 weeks can help improve the skin's surface.  Good luck!