Diet and supplements for pyoderma faciale

If you’re suffering from pyoderma faciale, the most severe form of rosacea, I’ve noticed from personal experience that diet is the No. 1 thing you can change right now to improve symptoms. Over the years I’ve narrowed down the list of trigger foods for me. I’m betting that there is some variation between individuals, but this is a great baseline to help get your skin under control quickly.

The main issue with an autoimmune disorder like PD, like with so many other disorders, is internal inflammation. It took years to build to this critical level, so even though it may seem like it popped up overnight, it was years in the making. The good news is, if you are diligent with diet and supplementation, you can start seeing an improvement in days.

Here’s my diet plan:

• Drink lots of water. Aim for 48 ounces of water or non-carbonated beverages per day, and invest in a good water filter pitcher to eliminate heavy metals AND flouride. I use AquaGear.

• Eliminate gluten first. Do not cheat on this one. I’ve heard that gluten in Europe does not cause inflammation like here in the states, but if you’re living in the U.S., then eliminating gluten is crucial due to the pesticide contamination.

• Eliminate all seafood products and supplements. This one snuck up on me, but I was able to figure it out this summer after eating shrimp during a trip. I had also been taking taking fish oil supplements, and it took me several weeks to figure out it was making things worse, not better. The quality of our seafood is compromised because of all the pollution and heavy metals in the water, so if you’re battling inflammation, skip all seafood.

• Eliminate coffee, chocolate, dairy, and alcohol if needed. Cheap chocolate especially will keep my face flared up for months, but really I need to avoid all forms of chocolate. I have a hard time with coffee, but if I brew my own and limit sweeteners to two packets of raw sugar, I can manage without having a bad flare.

• Eliminate tea – white, green, black, pu-erh and oolong – anything made with actual tea leaves. Tea leaves are high in flouride, as are grapes and raisins.

• Add chia seeds to your diet, preferably soaked. Chia seeds have all 9 amino acids (making it a complete protein) and omega-3s plus calcium and other trace minerals. Win-win-win.

My topical and supplement plan:

• I use emu oil several times a day on my face. If my face starts burning, I apply it and let my skin tell me how many times a day. Emu oil penetrates to the dermal layer, speeding cell turnover and creating healthier skin cells. I use Emu Gold because it comes in a glass bottle with a pump, so there is less chance of contamination.

• I also use Straight Hemp topically on lesions and internally, 3 drops under my tongue before bed, to fight inflammation while I sleep.

• I clean my face three times a week with a gentle, emu-based cleanser and let it rest in between to maintain the acid mantle. My skin has always improved the less I wash it. Unfortunately, the manufacturer of my emu cleanser changed the formulation, so I’m looking for a new one and scraping out the bottom of my current bottle.

• I live in Florida, so sunscreen is important. I use Neutrogena sensitive skin sunscreen 60+ SPF. Added bonus: the whiteness of the sunscreen tones down the redness if I’m having a flare.

• Skin health starts in the gut, so I choose probiotics that are fermented and mostly low-histamine strains. My favorite is Dr. Ohira’s. I will take anywhere from 1 to 5 capsules a day. If I want them to populate my upper GI, I chew them and swallow, and if I want them to populate my lower GI I just swallow them like normal, and swallow a last dose before bed.

Although these recommendations are for pyoderma faciale, this is a good starting point for developing plans of care for other skin conditions instead of trying to figure it out from scratch. If you’ve noticed, many of the food guidelines are due to pesticide and heavy metal contamination, so always buy organic if possible and support groups who address environmental and food safety issues. The diet restrictions may seem too harsh at first, but once you notice what helps your skin and what harms it, it’s pretty easy to make choices that will have you looking and feeling better, too.

Nicole Noles Collins is a licensed acupuncture physician at Vitalichi Acupuncture. Nicole has two bachelor’s degrees – Alternative Medicine and Professional Health Sciences – as well as a master’s degree in Traditional Chinese Medicine. She has a passion for both writing and natural health. Please visit her website at and like her Facebook page at Vitalichi Acupuncture. For more information, call 941-979-9793.


Emu oil helps my pyoderma faciale

Many people just assume that professionals in the health care field have cured all their own health problems. That’s not always the case, but many times, practitioners are brought to the field BECAUSE of their health issues.

That’s how it was for me. One of the issues I’ve struggled with over the past nine years is severe breakouts on my face. It wasn’t until two years ago that I got a more detailed diagnosis of my form of rosacea: Pyoderma faciale (also called Rosacea fulminans.)

When I got that detailed diagnosis, I tried going the traditional route and taking meds. The doxycycline made my face better, but it made me feel so weak that I felt like my heart didn’t have enough energy to beat. It also increased the intracranial pressure in my head, and I’ve noticed that my weather-related migraines are on the worse side since then. My dermatologist had also given me a topical steroid to try after that, and I tried it several times. Within ten minutes of application, no matter what time of day I applied it, I would get an anxiety attack out of nowhere. So that was a no-go too.

Luckily, one of my acupuncture teachers, who I go to for my own acupuncture treatments, referred me to a colleague that she had worked with, Nadine Toriello, who specializes in problem skin like mine. My teacher suggested I try topical emu oil right away while I waited to get in to see Nadine. She was the first esthetician who understood my diagnosis and what my skin needed to heal.

I noticed a difference right away! Emu oil penetrates to the dermis, where the skin is formed, and starts the healing deep down. It takes the incessant burning away, which is a godsend. My rule of thumb is that I apply emu oil when I feel my skin burning, so that could be anywhere from one to several times a day. I use Emu Gold, because it comes in a pump, so I don’t spill my precious oil (I did that once with another brand that had a dropper!) and keeps it from being exposed to air and oxidizing.

A few months ago, my husband brought me samples of Emu Aid, a homeopathic cream with different potencies of Argentum Metallicum. It also includes emu, lysine, tea tree oil and other ingredients. I have to say I was hesitant to try it, because so many things end up making my face worse, not better. But it’s been helping a great deal. So now I use both Emu Gold and Emuaid.

I’ve gotten my skin to the point where it is totally clear for several months at a time, but if I forget to apply emu for too long, or eat a lot of my trigger foods at once, it comes back and stays back for a long time. I also use an emu-based cleanser.

One of the most important times to apply whatever emu oil you’re using is at night. Part of the issue with rosacea is Demodex mites, which everyone has, but seem to be a little more out of control on people with rosacea. They migrate to the top of the skin at night to feed and mate (totally gross!) but keeping a layer of emu oil on seems to help keep that under control. So I rarely skip a nighttime application of emu now.

It’s important to have a two-prong approach to treating your skin issues, whether it’s acne, rosacea, eczema or psoriasis. Topicals alone won’t fix your skin if you don’t take care of the inflammation internally. Check out my blog post for internal fixes here.

If I had to pick only one topical to manage my pyoderma faciale, it would be emu. We’ll talk about my No. 2 remedy in my next post.

Nicole Noles Collins is a licensed acupuncture physician at Vitalichi Acupuncture. Nicole has two bachelor’s degrees – Alternative Medicine and Professional Health Sciences – as well as a master’s degree in Traditional Chinese Medicine. She has a passion for both writing and natural health. Please visit her website at and like her Facebook page at Vitalichi Acupuncture. For more information, call 941-979-9793.