Rosacea Skin Care

Rosacea Skin Care, At A Glance

  • Best Results4-12 weeks
  • Treatment RecoveryNA
  • Procedure Time1-3 min daily
  • Skin SpecialistDermal therapist, nurse
  • Duration of ResultsVariable
  • AnaestheticNA
  • Back to WorkNA
  • Cost$

Rosacea Skin Care

Skin care can make all the difference in treating rosacea. Dermatologists recommend formulations for sensitive skin. Brands include La Roche Posay, Aveene, & Cetaphil. Choosing low irritant skin care lines lays the foundation for managing rosacea. 

FactsFacts on Rosacea Skin Care

  • Start off by learning how to apply sunscreens properly
  • Correct amount & frequency are the key steps
  • Choose an SPF 50+, La Roche makes great formulations
  • Incorrect skin care is one of the most frequent causes of rosacea flares
  • Initiate low irritant anti-inflammatory agents such as niacinamide & azelaic acid
  • Use good formulations; skin care products from Obagi, Murad, La Roche, Neostrata, Aspect Dr, Cerave & Avene
  • Do not exfoliate, this includes physical brushes or chemical acids
  • Always test patch ascorbic acid
  • The order of skincare in rosacea patients goes B, then A then C if tolerated. Always titrate your application with frequent breaks if required

Why is accurate skin care important for rosacea patients?

Precise & gentle skin care, in addition to effective application of makeup can make a visible difference in managing rosacea and improving the look of your skin. The key to product selection and technique is to minimize potential skin irritation. Look for specific ranges that cater for sensitive skin or skin with rosacea — and avoid any products that sting, burn or cause irritation. Eczema, dermatitis & baby formulation are generally well tolerated.

Medically orientated brands including La Roche Posay, Avene, Aveeno, Cetaphil, Cerave & Neostrata will have a sensitive/rosacea line of specific products.

Why are sunscreens important for managing rosacea?

According to research, UV is a common flare factor for rosacea patients (81%). Sunscreens protect against UVB & UVA.

The majority of rosacea patients will have super sensitive skin, hence physical sunscreens are best. Look for zinc oxide and or titanium dioxide. Chemical sunscreens are excellent options if you can tolerate them. My suggestion is that you try before you buy. It is paramount that you like the formulation (not too greasy, nor too occlusive), otherwise you simply will not use it.

The main pointers with sunscreen is the proper use; namely adequate amount (around 3mls) & frequency; twice a day. Formulations to consider include Invisible Zinc, Elta, Unsun, Cancer Council.

What is the best face wash for rosacea - sensitive skin?

Gentle cleansers without exfoliants are recommended for rosacea. Do not clean more than twice a day. Choose your cleanser with care according to your skin type. Non-soap cleansers may be the best option — they have a pH of around 7.0 (neutral), contain less than 15% soap, & rinse off easily.

  • Dry to normal or combination skin. A wide range of non-soap cleansers is available, including a number of options developed specifically for sensitive or redness-prone skin. La Roche Posay Rosaliac or Toleriane range.
  • Very dry skin. A creamy, low-foaming, non-soap cleanser may be ideal for skin that’s very dry — these types of formulas often leave behind a thin film that helps skin hold moisture. Aveeno & Cerave are good options.
  • Oily skin. For very oily skin, wash with a mild soap, taking care to avoid scrubbing. Aggressive rubbing or over-cleansing can irritate skin.

What are some simple washing tips for rosacea skin types?

Adapt these hints based on your routine-

  • Use lukewarm water, never hot. Heat can irritate your skin.
  • Most importantly keep your showers to less than 3 minutes.
  • Wash with your fingers and hands, not a brush. You do not need rotating brushes/Clarisonic, nor potentially abrasive brushes. Simple is best.
  • To dry, blot with a thick pile cotton towel, don’t rub. Minimise trauma.
  • Wait till your skin dries before applying any topicals.
  • Re-apply moisturizer if you are using actives (wait 30 minutes)

What is the best moisturizer for rosacea skin?

You are better off using a medical grade moisturizer if you have rosacea or other causes of sensitive skin.

As a guide, La Roche Posay, Avene, Cerave, & Cetaphil make special ranges for sensitive skin. The Toleriane & Cicaplast range from LRP are cost effective options.

Davin’s Viewpoint on Managing Rosacea

The more you pay attention to the details, the more you understand your skin. The most important aspect of skin care is to really understand your skin’s threshold for skin irritation, irrespective of disease. In the context of rosacea, this irritation threshold is markedly less than with normal skin types. Put simply, rosacea patients do not have the luxury of time to ‘try’ products. Skin irritation in normal individuals may last a day or so, for rosacea patients, inflammation may last weeks or months. On this basis, consider seeing a skin care professional like an aesthetician, dermal therapist, dermatology nurse or a medical dermatologist for guidance. Finding your blueprint will make skin care a lot easier.

Above all, keep things really simple. This includes cleansers, moisturizer, as well as active skin care. Under guidance, most patients can tolerate low dose formulation of retinol, and some even an attenuated routine with retinoids. To start off with, initiate low irritant options including niacinamide, or even azelaic acid. As always, formulations matter, this is especially important in rosacea patients.

Disclaimer: My role in the management of rosacea is a very narrow one, namely my job is procedural. I treat end stage rosacea including phyma patients. I also employ lasers to reduce inflammation & redness. Lasers are not monotherapy. Ideally you should be under the guidance of a medical dermatologist as treatments with topicals & orals are frequently needed. Skin irritation & allergic reactions are also in the realm of medical dermatology.

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