Probiotic use improved acne, rosacea symptoms

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"Probiotic masks, creams or cleansers have been introduced by some cosmeceutical manufacturers based on early research, according to the release..."

Probiotic use improved acne, rosacea symptoms
by Whitney Bowe, MD, Healio Health, February 7, 2014

Dr. Bowe serves as a volunteer for the RRDi MAC

Probiotics in acne and rosacea.
Cutis. 2013 Jul;92(1):6-7
Authors: Bowe WP
PMID: 23961518 [PubMed]

The Beauty of Dirty Skin
Dirty Looks: The Secret to Beautiful Skin

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"Now, emerging research is finding that the benefits of probiotics may extend beyond the digestive tract to the skin. In fact, skin prone to acne or rosacea has shown improvement with daily probiotic use, giving dermatologists reason to consider supplementing traditional acne therapy with a dose of this beneficial bacteria."

Could probiotics be the next big thing in acne and rosacea treatments, AAD News

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"We’re mainly concentrated on the gut microbiome (because it seems to be linked to so many modern plagues like obesity, depression and loads of autoimmune diseases), but the skin microbiome is now coming into focus, too....I think in five years no one will use antibacterials anymore, but instead try to grow beneficial bacteria... we’re looking forward to prebiotic skincare becoming a wider-researched and formulated area of the beauty industry." Source

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"The skin microbiota in individuals with rosacea displays changes from that of healthy skin, suggesting that further studies examining a potential role for the skin microbiota in the pathophysiology of rosacea may be warranted. 

Am J Clin Dermatol. 2019 Sep 09;:
Characterization and Analysis of the Skin Microbiota in Rosacea: A Case-Control Study.
Rainer BM, Thompson KG, Antonescu C, Florea L, Mongodin EF, Bui J, Fischer AH, Pasieka HB, Garza LA, Kang S, Chien A

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One paper describes using probiotic therapy ((Bifidobacterium breve BR03, Lactobacillus salivarius)) along with Oracea for scalp rosacea.

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Nonpathogenic E. coli strain Nissle 1917, also known as Mutaflor

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Clinical studies were conducted to determine the effect of lactobacillus extract on improvement of skin barrier and reduction of erythema from chemical irritant, skin microflora, and acne. Results show that lactobacillus extract was effective in reducing skin erythema, repairing skin barrier, and reducing skin microflora, thereby exhibiting an effective reduction in acne lesion size and erythema at 5%, but not at 1%.

J Cosmet Sci. 2012 Nov-Dec;63(6):385-95.
Physiological effect of a probiotic on skin.
Muizzuddin N, Maher W, Sullivan M, Schnittger S, Mammone T.

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"Further investigation of the ocular surface microbiome, as well as the microbiome of other areas of the body such as the oral mucosa and gut, and their role in the pathophysiology of diseases is a significant, emerging field of research, and may someday enable the development of novel probiotic approaches for the treatment and prevention of ophthalmic diseases"

Yale J Biol Med. 2016 Sep; 89(3): 325–330. Published online 2016 Sep 30. PMCID: PMC5045141
Human Microbiota and Ophthalmic Disease
Louise J. Lu and Ji Liu

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"Oral probiotics can modulate the intestinal microbiome and have demonstrated to be efficacious in treating topical skin conditions, such as atopic dermatitis, acne and rosacea."

The Role of Topical Probiotics on Skin Conditions: A Systematic Review of Animal and Human Studies and Implications for Future Therapies.
Exp Dermatol. 2019 Sep 08;:
Knackstedt R, Knackstedt T, Gatherwright J