Dr. Flor Mayoral is in private practice in Coral Fables, FL, where she performs cosmetic and general dermatology procedures. Dr. Mayoral is also involved in rosacea awareness efforts. Recently, she participated in the “Face to Face with Rosacea: Empowering Professionals and Patients” campaign, featuring actress Cynthia Nixon and supported by the National Rosacea Society and Galderma at the 2013 Annual Meeting of the AAD. Dr. Mayoral discussed the impact of rosacea on patients and strategies for improved adherence in a recent interview with DermTube.com. Ahead are highlights from the interview.

What are some of the ways that rosacea can impact a patient’s psychosocial state?

Rosacea affects both men and women equally, according to Dr. Mayoral. One of the ways rosacea can affect the psychosocial state of a female patient is when she feels insecure about when her rosacea is going to flare up. “You can get all dressed up and have the perfect makeup, and suddenly in the middle of a lecture, or an event, or a party, you feel the heat rise through your face,” says Dr. Mayoral. “You’re not sure if people are seeing your red nose and red cheeks, or if they’re listening to you and looking into your eyes.” Not knowing when their skin is going to flare makes living with rosacea a difficult thing for women and men, according to Dr. Mayoral.

What role should the dermatologist play in counseling and treating patients with rosacea?

According to Dr. Mayoral, dermatologists should always be concerned about the psychosocial effects of any disease, which is why communication is so vital to treatment. “It’s important that we ask the right questions, so that at least if they are worried about how their skin is behaving, they can get it off their chest,” says Dr. Mayoral. “And then once they are able to tell us this embarrassing thing that they don’t want to say to anyone, we are able to help them with the problem.”

Given the importance adherence in managing any skin disorder, Dr. Mayoral feels it is important for dermatologists to let patients know what they are treating and why a particular therapeutic approach may be helpful. “If you let the patient buy into the reason why you’re prescribing certain thing, they are more likely to use it,” notes Dr. Mayoral. “If the patient does not understand why they should use a medication, they won’t use it.” Unless dermatologists can help patients to understand rosacea and the process of treatment, patients are less likely to continue with treatment, according to Dr. Mayoral. “It doesn’t matter how busy a dermatologist is, because if they don’t communicate to a patient why it is that they are doing something, then the patient is not likely to follow the regimen.”

What’s an important lesson you learned about treating patients with rosacea?

“Patients who are bothered by rosacea are sometimes bored by their treatment or they don’t remember why they started using it,” says Dr. Mayoral. “I think the most important thing in keeping a patient active in treating themselves is making sure that they come back for regular visits so that compliance doesn’t go by the wayside.”

To see the full interview, visit DermTube.com. Searchkey: Rosacea http://dermtube.com/video/rosacea-thepatient- s-perspective/