ZELL CLINIC

LASER & SKIN

Skin laser

Your diagnosis may have been wrong

Rosacea and seborrhoeic dermatitis are misdiagnosed far too often. The wrong treatment follows, the barrier breaks down, and the skin gets worse.

I was a patient before I was a doctor. Eighteen years of looking for my own answer became ZELL's barrier-based renewal solution.

Most dermatologists treat from theory. I treat from experience — I know on my own skin what works and what is wasted effort.

Medication alone is not enough. Neither is laser.

What I offer is the solution I found for my own skin.

POINT 01

The problem begins with a lesion of the sebaceous gland

In rosacea-prone and seborrhoeic skin, the problem starts in the sebaceous gland.

It is not just that the gland makes too much sebum. The gland itself overgrows, and it stays inflamed.

POINT 02

The unseen adversary — the vicious circle of microbial overgrowth

Demodex mites, acne bacteria and Malassezia yeast all live deep in the sebaceous glands and follicles.

Excess sebum and a struggling immune system let them multiply out of control.

Rosacea patients commonly show raised Demodex density; seborrhoeic dermatitis commonly shows a disturbed skin microbiome.

Demodex mite

DEMODEX

Demodex mite

  • Normal: fewer than 5 per cm²
  • Rosacea patients: overgrowth in 79.1%
  • Multiplies rapidly on sebum
  • Lives deep within the sebaceous gland
  • Triggers an immune response and keeps inflammation going
Acne bacteria

P. ACNES

Acne bacteria

  • Lives in the sebaceous gland
  • Activates the TLR2 and TLR4 receptors
  • Floods the skin with inflammatory cytokines
  • Breaks sebum down into fatty acids
  • Keeps inflammation running
Yeast

MALASSEZIA

Yeast

  • The main driver of seborrhoeic dermatitis
  • Breaks sebum into irritating fatty acids
  • Excess oleic and arachidonic acid
  • Irritated, inflamed skin
  • Heavy flaking
Inflammatory mediators

INFLAMMATORY MEDIATOR

Inflammatory mediators

  • Increased IL-8, IL-1β and TNF-α
  • Excess cathelicidin peptide
  • Dilated vessels and redness
  • Ongoing chronic inflammation
  • A broken skin barrier
Rosacea-prone and seborrhoeic skin is a condition to be managed

Rosacea-prone and seborrhoeic skin is a condition to be managed

The goal is control, not cure.

That is no reason to give up.

The right treatment, pore cleansing and a few changes at home bring it back to skin you can live with.

I am the proof. I struggled with it all my life, and now it gives me no trouble.