Some skin sensitivity is self-induced. Stripping skin with drying, strong cleansers + peels/exfoliation will trigger sensitive skin conditions. I personally have self-inflicted sensitive skin when I had 70% glycolic peel treatments from a dermatologist. Along with acne drying cream + overwashing the aggressive peel treatment depleted my barrier function + increased my skin’s photosensitivity (sun sensitivity). It is important to be cautious when using AHA’s, retinols + exfoliants. While those with Rosacea + sensitive skin may be able to use them once their condition is under control, these peeling agents should not be used on inflamed skin types. The best way to lessen inflammation + redness is with gentle cooling products like the Holistic Vanity Rosacea Care Line .
Steroid induced rosacea can be caused by the prolonged (usually daily) use of a topical steroid on the face. The presentation is typically of inflammatory acne lesions consisting of pustules, papules, and cysts. We treat steroid induced rosacea by gradually weaning the patient off the topical steroid while simultaneously treating with either a topical or systemic antibiotic. In my experience, steroid induced rosacea is not permanent when treated correctly. I recommend you consult with a board-certified dermatologist to make sure your condition gets resolved in a proper manner and time frame.
Transdermal patches (adhesive patches placed on the skin) may also be used to deliver a steady dose through the skin and into the bloodstream. Testosterone-containing creams and gels that are applied daily to the skin are also available, but absorption is inefficient (roughly 10%, varying between individuals) and these treatments tend to be more expensive. Individuals who are especially physically active and/or bathe often may not be good candidates, since the medication can be washed off and may take up to six hours to be fully absorbed. There is also the risk that an intimate partner or child may come in contact with the application site and inadvertently dose himself or herself; children and women are highly sensitive to testosterone and can suffer unintended masculinization and health effects, even from small doses. Injection is the most common method used by individuals administering AAS for non-medical purposes.