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ROSACEA
 Rosacea (pronounced rose-AY-shah) is often called “adult acne”. Its exact cause is unclear, however, researchers believe it is from both internal and external
factors. Possible related internal conditions include gastrointestinal infection (Helicobacter pylori) or high blood pressure. External causes may be related to a
mite infestation (Demodex folliculorum) of the skin. In any event, it is a common problem shared by an estimated 13 million Americans.
The presentation of Rosacea varies among individuals. It may be subtle and persistent with reddened areas or blood vessels (telangiectasias) on the
cheeks. Some people show intermittent “acne-like” eruptions. Severe cases can present with “drinkers nose” or rhinophyma, which is not related to drinking alcohol.
Rosacea differs from acne in that rosacea patients do not get blackheads or whiteheads. Rosacea is also limited to the face and does not affect the chest
or back. It is more common in women; however, men generally have more severe cases.
Rosacea is a condition and not a disease. It is the body’s response to an unclear stimulus or irritation. It usually presents in individuals 30 to 50 years
old. These people share common traits such as fair skin, and may blush or flush easily. It presents without warning and may run in families. Often, they fail
to seek medical attention thinking that a “flushed” face or red nose is simply an inherited trait.
Can rosacea be treated? Rosacea is a lifelong condition that usually can be controlled but not cured. Generally, the sooner it is brought under control, the
less severe the involvement. Both men and women benefit equally from treatment. In fact, many dermatologists feel that early treatment may keep the condition from getting worse.
 Recommendations:
Cleansing: Mild soaps or cleansers should be used. The face should be washed with the fingertips. Cosmetics and lotions (including shaving
creams and lotions) should be fragrance free and non-alcohol base.
Sensitive Skin Cleansing Lotion>
 Anti-Aging: Exfoliating Agents can be too harsh to those
affected with Rosacea. An alternative to an hydroxy acid treatment would be the use Topical Vitamin C. It has many of the same benefits and it is better tolerated both those with sensitive skin.
Read more about Topical Vitamin C...
<Topical Vitamin C
Moisturizers: Use mild and non-irritating moisturizers daily.
 Sun protection: Sunscreen or sunblock is strongly recommended to
prevent rosacea flares as well as overall sun damage. Sunscreen or sunblock should offer UVA/UVB protection and have a SPF 15 or greater. Ideal products are chemical free and non-alcohol based.
Look for ingredients with titanium dioxide, zinc oxide and Parsol 1789®. Apply every 3-4 hours for best protection.
Chemical Free Sunblock>
Make-up: Cosmetics may be sensitizing and contribute to the flushing and blushing associated with rosacea. Non-irritating make-up may be used to
cover the red areas. Non-alcohol based yellow to green undertones are best. Apply light powder over the foundation. Use a sable brush, as this will
minimize irritation. Stay away from iridescent powders (mica products) as this can irritate the skin.
Black crayon or soft pencil eyeliners cause the least amount of irritation around the eyes. Liquid eyeliners are latex based and tend to sting. Eyeshadow can
be applied with a wet brush. Look for eyeshadow without emulsifiers and preservatives. Water-resistant products, rather than waterproof, are easiest to
remove. A cosmetologist can help you select the right products.
Avoid Triggers: Each individual has different “triggers” that can make their condition worse. Common “triggers” that can aggravate rosacea include:
- Weather: sun, strong wind, humidity
- Emotions: stress, anxiety, anger
- Physical exertion: exercise, occupational labor
- Temperature: saunas, hot baths, overheating, warm rooms, cold outdoors
- Hormones: testosterone and estrogen
- Foods: dairy products, liver, citrus fruits, vegetables including legumes, vinegar
- Beverages: hot drinks, alcoholic beverages – especially red wine, caffeinated beverages
- Skin Care Products: cosmetics – especially products with alcohol or fragrance, topical cortisone creams, any cream causing irritation
Keep a daily log to identify your “triggers.”
Prescription options: If conservative at home measures do not control the redness, it is time to be evaluated by a dermatologist. There are a variety of
topical and oral medications that can control rosacea. A dermatologist will often prescribe an antibiotic, such as tetracycline, along with a topical
medication to control the condition. After improvement, most people do well on a topical regimen alone.
National Rosacea Society®
The National Rosacea Society® is a nonprofit organization with headquarters in Barrington, Illinois. This foundation is committed to education and research
for the millions of people with rosacea. It is an invaluable resource for patient education and information. The National Rosacea Society® does not
endorse specific medications, products or treatments. (See National Rosacea Society® link.)
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