All About Rosacea

Pronounced roh-Zay-shah, this condition afflicts people mainly of northern European (including British) descent, but can be experienced by people of other races as well.  It is marked by a chronic, defuse redness on the cheeks, chin, nose and forehead, with a collection of visible blood vessels that look like a tiny roadmap on any of these areas.  When the condition worsens during a “flare-up”, small pimples with white heads can develop in some people, while in others who are more dry, the redness simply gets worse.  Both calm down after the flare-up subsides.  Generally it starts to show up in our late twenties - early thirties, but can start showing before.

One of the primary ways you can tell a Rosacea breakout from an Adult Acne breakout, is in Rosacea there is not the presence of large blackheads that often exist in the midst of an Adult Acne breakout.  Another way you can tell is that the redness associated with an Adult Acne breakout is only on the blemishes themselves, whereas with Rosacea the redness surrounds the entire area on and around any red bumps.  If you have redness around the entire cheek and chin area and the small pimples there are not accompanied by blackheads, you’re suffering from a Rosacea flare-up, not an Adult Acne breakout.

It was previously thought to be a skin condition, which is why antibiotics used to be prescribed, but it is now understood that Rosacea is actually a vascular disorder and cannot be addressed by antibiotics alone.  The cause is unknown and there is no cure, but it is understood to be genetic, possibly connected to an inherited weakness in the capillary walls, with an added sensitivity to a certain mite living on the skin that all of us get in the hospital when we’re born.

Skin care, therefore, must concentrate on calming and soothing the skin, reducing the intensity of blood flow, strengthening capillary walls, with supplements and lifestyle changes.  In more severe cases, prescription medications, like Oracea, Finacea, Metrogel or Metrocreme are very effective when used in conjunction with the above mentioned remedies.

Lifestyle changes include:

•THE BIGGEST ROSACEA TRIGGER IS SUN EXPOSURE! You must become obsessive about sunscreen, avoiding sun exposure whenever possible.

•Lowered consumption of alcohol, or if the problem is severe, cutting it out completely.

•Eliminating things like spicy or other foods if you notice they cause flare-ups (in most people they actually don’t, but take note and see if this happens to you).

•Exercising in ventilated areas only, or outside before 10am or after 4pm.

  1. Entirely avoiding steam rooms and saunas, which also means no hot yoga.

  2. Turning down the temperature of your shower.

•Standing by an open window when in a heated or intense conversation.

•Covering the face between extreme changes in temperature, i.e. from cold wind to a warm building.

•Opening the passenger side window of your car a crack when the heat is on full blast.

•Increasing consumption of dark green leafy vegetables, orange and yellow vegetables, and the "pith" of citrus fruits (that’s the white stuff you normally throw away).

•Taking a supplement of vitamin C, with extra bioflavanoids added in, such as a supplement called “Quercetin Complex”.

Daily skin care routine for Rosacea, sensitive skin, and capillary redness is as follows :


1.Cleanse : mild foaming cleanser if oily, soothing lotion cleanser if dry

2. Tone :  alcohol-free toner that is calming and reparative

3. Calm : calming, hydrating, repairing, anti-redness serum

4. Sunscreen :  hydrating and designed for sensitive skin, and totally non-clogging

5. Protect : Lipid barrier replacement serum


1.Cleanse : mild foaming cleanser if oily, soothing lotion cleanser if dry

2.Tone :  alcohol-free toner that is calming and reparative

3.Calm : calming, hydrating, repairing serum

4. Moisturize : must be hydrating and calming, and totally non-clogging

5. Protect : Lipid barrier replacement serum

1 to 2 times per week:  a soothing gel mask if dry, or a purifying clearing mask if oily/broken out.

Exfoliation can come in the form of a very light complexion brush, which has bristles very much like a baby’s brush, once a week.  Some skins can handle AHA’s and others can only handle a periodic facial for exfoliation.  Each individual case is different.

If you’d like more personalized help, please feel free to share your concerns!


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