Rosacea Tips

  • Best ResultsVariable
  • Treatment RecoveryNA
  • Procedure Time2 minutes
  • Skin SpecialistDermatologist
  • Duration of ResultsLong lasting
  • AnaestheticNA
  • Back to WorkNA
  • Cost$

Rosacea Tips

I call it the one percent rule. Each lifestyle modification can potentially improve one percent of your rosacea. With thought & precision you can improve your flare ups without the need for tablets or other medical intervention. Patients are encouraged to consider tips to understand the impact of topical creams, sunscreen, diet, supplements, stress, face washing, weather changes, emotion, hormones & other factors that may contribute to their rosacea. Every patient has a unique blueprint.

FactsFacts on the best rosacea tips

  • Understanding your pattern of rosacea takes time
  • Everyone has their own unique rosacea blueprint
  • Keep skincare simple yet precise
  • Focus on anti-inflammatory ingredients including niacinamide & azelaic acid
  • Avoid peels, ascorbic & retinoic acid
  • Understanding dietary flare ups that pertain to you
  • Keep a rosacea diary
  • Lasers can reduce rosacea flare ups, facial veins & redness

What to do before seeing me?

My job is primarily focused on lasers, acknowledging there are many ways to treat rosacea. Start by reviewing the section on skin care & creams for rosacea patients. I have also written a section on tablets for rosacea & natural therapies.

Keeping a rosacea diary is important as it can give you (& me) some guidance as to anything that may trigger, or conversely, improve your skin condition. Finally, I am a specialist dermatologist, hence a referral is required to see me. This will save you money when I perform laser treatments.

How do I approach rosacea?

I am the last line of rosacea management. My job is to decrease skin inflammation with lasers & to come up with novel solutions when all else fails. Most rosacea patients can be controlled on what I term a conventional approach. This includes.

  • Anti-inflammatory washes
  • Medically prescribed tablets including anti-inflammatories, & vitamin A
  • Good skin care including cleansers, SPF & niacinamide
  • Diet
  • Stress management
  • Alternative medicine

Your medical dermatologist can guide you through their own management algorithms. If you are after a natural alternative, do not see a dermatologist. Consult a naturopath & a dietician. Failing that (or in addition), I employ the use of energy devices including V Beam vascular lasers such as the Prima, Perfecta, Alex laser wavelengths, LP Nd Yag including Laser Genesis, IPL, BBL & LED Healite – Omnilux to help control your condition. I also employ Tixel & Botox in combination in some cases.

How long will it take to get my rosacea under control?

Depends on the complexity of your rosacea, your level of understanding & ability to analyse potential triggers & flare ups. Also depends on your level of comfort about taking mainstream medications & lasers for your condition.

Every dermatologist has a different mode of practice, mine is to get your condition under control in the fastest way possible, bearing in mind safety. Hence for most of my patients, it is a prescription of lasers, anti-inflammatories & topicals as discussed on this site.

Some patients prefer a step-up approach (this is fine, it is more conservative). This means you start on simple topicals, diet, supplements, then progress to prescription creams, possibly tablets, etc. If you are more inclined towards this approach, see a medical dermatologist to discuss options. Control takes between 1 to 12 months depending on the factors discussed above.

Why a rosacea diary?

Keeping a diary will give you a map of how to manage your rosacea in the shortest possible time & with precision. Keep a diary of your flare up factors. This will help you & your dermatologist understand your triggers. Annotate what makes your condition better & what flares it up.

This enables your medical dermatologist to be more precise with prescription patterns, rather than ‘having a go at stuff.’ Sure, in the initial phases of rosacea management, it will be a wee bit of trial and error. Rosacea is an adjustment disorder. The more analytical you and your dermatologist are, the faster you can figure things out.

Disclaimer: I am a procedural dermatologist. My role in the management of rosacea is laser. Medical management is complex, please see a medical dermatologist for ongoing care.

What are simple face washing rules?

Use a gentle cleanser, La Roche Posay makes good ones in the Effaclar & Rosaliac range.  If you want cheap & nasty, Cetaphil is recommended by most older dermatologists.

  1. Wash twice a day.
  2. Water should be tepid, not hot
  3. Clean with your fingers/hands
  4. Pat, don’t rub with a washcloth

Some patients can tolerate salicylic acid washes. This beta hydroxy acid has anti-inflammatory properties in low concentrations. A good brand is La Roche Effaclar Micropeel, 2%. Another is Cerave with a lower concentration. This ingredient can act as a gentle exfoliant & potentially reduce inflammation, if you use it correctly. It is not for everyone with rosacea. Start twice a week, increasing as tolerated. Annotate the effects in your rosacea diary.

Davin’s Viewpoint on Rosacea Tips

Rosacea is a type of adjustment disorder. It is chronic, there is no cure, but with careful thought & analysis, most patients can figure it out. Some take 6 months, a minority may take 2-3 years, & a smaller number won’t (or refuse to) figure it out.

A dermatologist’s job is to guide rosacea patients accordingly. My job is to treat the ones that are recalcitrant to conventional therapy, this includes naturopathic treatments if patients are so inclined. My colleagues will prescribe medication (not fairy dust), so before seeing them you should modify (or try to at least) lifestyle factors including UV exposure, diet, alcohol intake (if it pertains to your flare up) & all aspects of skincare. This includes cleansers, moisturizes, makeup & skin care actives. I have summarized as much as I can on this page, for more tips, goto rosacea.org

A good way to manage your condition is to seek advice from peers, namely rosacea patients. Join a supportive forum & start posting. I know Australia has a great rosacea site run by David Pascoe.

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