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How to calm rosacea. Rosacea Management: Effective Strategies to Prevent and Calm Flare-ups

How can you identify rosacea triggers. What are the best ways to manage rosacea symptoms. Which skincare practices can help calm rosacea flare-ups. How does diet affect rosacea. Can lifestyle changes reduce the frequency of rosacea outbreaks. What role do medications play in rosacea treatment. How can you protect your skin from rosacea triggers in different seasons.

Understanding Rosacea: Symptoms, Causes, and Types

Rosacea is a chronic skin condition characterized by facial redness, visible blood vessels, and sometimes small, red, pus-filled bumps. It typically affects the central part of the face, including the cheeks, nose, chin, and forehead. While the exact cause of rosacea remains unknown, several factors are believed to contribute to its development and exacerbation.

There are four main subtypes of rosacea:

  1. Erythematotelangiectatic rosacea: Characterized by persistent redness and visible blood vessels
  2. Papulopustular rosacea: Involves redness, swelling, and acne-like breakouts
  3. Phymatous rosacea: Causes skin thickening and enlargement, particularly of the nose
  4. Ocular rosacea: Affects the eyes, causing redness, irritation, and swollen eyelids

Understanding the specific subtype of rosacea you have can help in developing a targeted treatment approach. Consulting a dermatologist is crucial for accurate diagnosis and personalized management strategies.

Identifying and Avoiding Rosacea Triggers

One of the most effective ways to manage rosacea is by identifying and avoiding triggers that can cause flare-ups. Common rosacea triggers include:

  • Sun exposure and heat
  • Stress and anxiety
  • Spicy foods and hot drinks
  • Alcohol, particularly red wine
  • Extreme temperatures
  • Certain skincare products
  • Exercise
  • Certain medications

Can keeping a trigger diary help manage rosacea? Absolutely. Maintaining a journal to track your daily activities, diet, and skincare routine alongside your rosacea symptoms can help you identify patterns and pinpoint specific triggers. This information can be invaluable in developing a personalized management plan.

Developing a Rosacea-Friendly Skincare Routine

A gentle and consistent skincare routine is crucial for managing rosacea and preventing flare-ups. Here are some key principles to follow:

Cleansing

Use a mild, non-foaming cleanser that is free from harsh chemicals, fragrances, and exfoliants. Lukewarm water is best, as hot water can trigger flushing. Gently pat your face dry with a soft towel instead of rubbing.

Moisturizing

Choose a fragrance-free, non-comedogenic moisturizer to help repair and protect the skin barrier. Look for products containing ingredients like ceramides, niacinamide, or hyaluronic acid, which can help soothe and hydrate sensitive skin.

Sun Protection

Is sunscreen essential for rosacea-prone skin? Undoubtedly. Sun exposure is a major trigger for many people with rosacea. Use a broad-spectrum sunscreen with an SPF of at least 30 daily, even on cloudy days. Opt for mineral-based sunscreens containing zinc oxide or titanium dioxide, as these are less likely to irritate sensitive skin.

Makeup Selection

If you wear makeup, choose products specifically designed for sensitive skin. Mineral-based makeup can be a good option as it typically contains fewer irritating ingredients. Always remove makeup gently and thoroughly at the end of the day.

The Role of Diet in Managing Rosacea

While dietary triggers can vary from person to person, certain foods and beverages are commonly associated with rosacea flare-ups. These include:

  • Spicy foods
  • Hot beverages
  • Alcohol, especially red wine
  • Dairy products
  • Chocolate
  • Citrus fruits

Can dietary changes improve rosacea symptoms? Many individuals find that modifying their diet can significantly reduce the frequency and severity of flare-ups. Consider gradually eliminating potential trigger foods and reintroducing them one at a time to identify which ones affect your rosacea.

On the other hand, certain foods may have a positive effect on rosacea management. These include:

  • Foods rich in omega-3 fatty acids (e.g., salmon, chia seeds, walnuts)
  • Antioxidant-rich fruits and vegetables
  • Probiotic foods (e.g., yogurt, kefir, sauerkraut)
  • Anti-inflammatory herbs and spices (e.g., turmeric, ginger)

Lifestyle Modifications for Rosacea Management

Beyond skincare and diet, several lifestyle changes can help manage rosacea and reduce the frequency of flare-ups:

Stress Management

Stress is a common trigger for rosacea flare-ups. Incorporating stress-reduction techniques into your daily routine can be beneficial. These may include:

  • Meditation and mindfulness practices
  • Regular exercise (while being mindful of overheating)
  • Adequate sleep
  • Yoga or tai chi
  • Deep breathing exercises

Environmental Considerations

How can you protect your skin from environmental triggers? Consider these strategies:

  • Use a humidifier in dry environments to keep skin hydrated
  • Protect your face from wind and cold with a scarf or face mask
  • Avoid overheating by dressing in layers and staying in air-conditioned spaces when possible
  • Use gentle, fragrance-free laundry detergents for items that come into contact with your face

Exercise Modifications

While exercise is important for overall health, it can sometimes trigger rosacea flare-ups due to increased body temperature and flushing. To minimize this:

  • Choose low-intensity exercises or break high-intensity workouts into shorter sessions
  • Exercise in cooler environments or use fans to keep cool
  • Stay hydrated before, during, and after exercise
  • Cool down gradually after workouts

Medical Treatments for Rosacea

While lifestyle changes and skincare practices can significantly help manage rosacea, medical treatments may be necessary for more severe cases or persistent symptoms. Common medical interventions include:

Topical Medications

  • Metronidazole: An antibiotic that can reduce inflammation and redness
  • Azelaic acid: Helps reduce swelling and redness
  • Ivermectin: An anti-parasitic that can help with inflammatory lesions
  • Brimonidine: A gel that can temporarily reduce facial redness

Oral Medications

  • Antibiotics: Such as doxycycline, which can help reduce inflammation
  • Isotretinoin: For severe cases that don’t respond to other treatments

Light and Laser Therapies

These treatments can help reduce visible blood vessels and redness. Options include:

  • Intense Pulsed Light (IPL) therapy
  • Pulsed dye laser
  • CO2 laser (for rhinophyma)

Is it necessary to combine multiple treatments for effective rosacea management? Often, a combination of treatments yields the best results. Your dermatologist can help develop a comprehensive treatment plan tailored to your specific needs and rosacea subtype.

Seasonal Considerations for Rosacea Management

Rosacea symptoms can fluctuate with changing seasons, requiring adjustments to your management strategy throughout the year.

Summer

Summer presents unique challenges for those with rosacea due to increased sun exposure, heat, and humidity. To manage rosacea during summer:

  • Reapply sunscreen frequently, especially when outdoors or swimming
  • Seek shade during peak sun hours (typically 10 am to 4 pm)
  • Use cooling facial mists or keep a cold compress handy for quick relief
  • Opt for lightweight, breathable clothing

Winter

Cold temperatures and dry air in winter can exacerbate rosacea symptoms. Consider these strategies:

  • Use a heavier, more occlusive moisturizer to combat dryness
  • Protect your face from cold winds with a scarf or face mask
  • Use a humidifier indoors to add moisture to the air
  • Avoid sudden temperature changes when moving between heated indoors and cold outdoors

Spring and Fall

These transitional seasons can bring unpredictable weather and allergens that may trigger rosacea. To manage:

  • Be prepared for temperature fluctuations by dressing in layers
  • Monitor pollen counts and limit outdoor exposure on high-pollen days if allergies trigger your rosacea
  • Adjust your skincare routine as needed to accommodate changing weather conditions

How can you maintain consistent rosacea management across seasons? The key is to be proactive and flexible. Regularly assess your skin’s needs and be prepared to adjust your skincare routine, protective measures, and treatment approach as seasons change.

Building a Support System for Rosacea Management

Living with rosacea can be challenging, both physically and emotionally. Building a strong support system can significantly improve your ability to manage the condition effectively.

Healthcare Team

Establish a relationship with a dermatologist who specializes in rosacea. Regular check-ups can help monitor your condition and adjust treatments as needed. Consider including other healthcare professionals in your team, such as:

  • An allergist, if allergies exacerbate your rosacea
  • A nutritionist, to help develop a rosacea-friendly diet plan
  • A mental health professional, if rosacea affects your emotional well-being

Support Groups

Joining a rosacea support group, either in-person or online, can provide valuable benefits:

  • Share experiences and coping strategies with others who understand your challenges
  • Learn about new treatments and management techniques
  • Find emotional support and reduce feelings of isolation

Education and Advocacy

Educating yourself about rosacea can empower you to take control of your condition. Stay informed about the latest research and treatment options. Consider participating in rosacea awareness initiatives to help others understand the condition better.

Can sharing your rosacea journey help others? Absolutely. By openly discussing your experiences and the strategies that have helped you, you can provide valuable insights and support to others living with rosacea. This can also help reduce stigma and increase public understanding of the condition.

Remember, managing rosacea is an ongoing process that may require adjustments over time. By combining a comprehensive skincare routine, lifestyle modifications, appropriate medical treatments, and a strong support system, you can effectively manage your rosacea and maintain healthy, comfortable skin. Always consult with your dermatologist before making significant changes to your rosacea management plan to ensure the best possible outcomes for your individual case.

How to prevent rosacea flare-ups

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Dermatologist’s Top Tips for Calming Rosacea Flare-Ups in the Winter

The winter season transforms the world into a glistening wonderland with softly falling snow and a festive feel that warms the soul. However, the winter season also brings along icy winds, chilly temperatures, and dry air that instigates skin flushing and triggers rosacea flare-ups. 

Dealing with skin issues, like rosacea or eczema, in the winter can be a challenge. Not to mention, the constant redness and physical symptoms of rosacea can often be embarrassing and troublesome for those who have this chronic inflammatory condition. 

Our experts at the Center for Surgical Dermatology have put together a few tips to help you better manage and calm rosacea flare-ups during the winter and chillier months.

Manage Stress Levels 

Stress is a common trigger for not only rosacea but other skin conditions, like psoriasis and eczema. The colder months and holiday season can bring on a wave of stress, further inflaming rosacea symptoms. 

It’s essential to find effective stress management techniques and relaxation strategies, such as meditation or reading a good book, to help keep stress levels low and rosacea flare-ups at bay. 

 

Keep it Cool

Blazing indoor fires, hot drinks, steamy baths, shoveling the driveway, and even a hot kitchen after baking yummy cookies can overheat the body and aggravate rosacea symptoms. 

Make sure to take breaks to cool down and give your steaming drinks a minute to cool off before diving in. Even a little surge of heat can be a trigger for people with rosacea! 

 

Avoid Certain Foods to Reduce Rosacea Flare-Ups

Did you know several foods trigger rosacea flare-ups — especially in the winter when symptoms are already aggravated? Try to avoid the foods listed below to reduce the chances of a troublesome flare-up: 

  • Alcohol 
  • Spicy Foods 
  • Hot Beverages
  • Dairy 
  • Chocolate 

 

Add Moisture to the Air 

Dry air — inside and outside — will often exacerbate rosacea symptoms and flare-ups. Make sure to keep the air inside your home and in your workspace moisturized with a humidifier. Not only does this help calm the skin, but moisturizing is also an essential skincare step to keeping your skin healthy, hydrated, and youthful! 

 

Protect Your Skin 

Keeping your skin shielded from the chilly temperatures and icy winds is crucial to reducing inflammation and redness. Bundle up in light layers that simultaneously allow your skin to breathe but also keep it protected. 

Additionally, don’t forget to cover your face! Use a thick scarf or ski mask to prevent flushing and drying. 

 

Know Your Triggers 

It’s essential to know and respect your triggers! Finding out what sets off your rosacea flare-ups and avoiding those triggering factors can help keep your rosacea in check during the winter months. 

If you aren’t sure what your rosacea triggers are, try keeping a journal where you can track what types of winter activities, foods, or factors seem to be related to your symptom flares.

 

Follow Your Doctor’s Recommendations

If you find your rosacea symptoms and flare-ups getting worse with every winter season, it may be time to visit a doctor for a professional treatment plan and recommendations. At the Center for Surgical Dermatology, our board-certified dermatologists are here to help you find an effective rosacea treatment plan to make sure to stay happy and comfortable during the winter! 

Additionally, at our offices, we offer several prescription topical treatments to help mitigate symptoms of eczema! Take a look at our skincare brands here. For a more thorough evaluation, schedule an appointment today.  

 

Center for Surgical Dermatology is ready to help you achieve healthy, beautiful skin! If you’d like to visit with a dermatologist to develop your perfect skincare routine or need help addressing eczema, call (614) 847-4100 to schedule an appointment. 

how to relieve redness and soothe the skin

Choosing the right care for skin with rosacea can sometimes be a real challenge. Indeed, even during the period of remission, this disease can provoke a sharp skin reaction in the form of redness, inflammation or itching. Skin with rosacea instantly “flares up”, but this is not a death sentence. At such moments, it is important not to give up and remember that in addition to treatment, skin with rosacea also needs proper care: gentle cleansing, moisturizing and sun protection. Funds for each of these stages are in the collection Rosacellin LIBREDERM , designed specifically for skin with rosacea and couperose.

STEP 1. Cleansing

The skin should be cleansed twice a day: morning and evening. The cleanser should be gentle and not irritate your skin, but at the same time clean it well from sebum, makeup and impurities. Opt for cleansers for sensitive and reactive skin. Gentle Rosacellin LIBREDERM facial wash for skin with rosacea is based on a cleansing bio-complex of plant origin. It gently removes impurities and make-up from the skin without overdrying. Clinically proven active ingredients provide a moisturizing and soothing effect. Does not contain soap and sulfates, does not irritate the eyes.

ROSACELLIN GENTLE FOAM WASH 160 ML

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STEP 2. care

Toning care

Restore pH the skin after washing and prepare it for the application of care products will help the soothing tonic-gel Rosacellin LIBREDERM. Upon contact with the skin, the product changes texture, turning from a gel into a liquid tonic. The innovative technology at the heart of the formula allows you to dose the beneficial components into the skin for a long time, thereby achieving a prolonged effect. The composition of the product includes caffeine, which has a vasoconstrictive effect, and a prebiotic to maintain a healthy skin microflora.

Basic care. Day

Moisturize your skin whether you have dry or oily skin. Rosacellin LIBREDERM SPF30 Soothing Day Cream has a unique formula containing a vascular growth factor blocker. The cream formula is aimed at combating the expansion and formation of a new capillary network, has a calming and moisturizing effect. SPF30 provides complete skin protection from UVA and UVB rays of the sun throughout the day. Licorice root extract soothes, softens, moisturizes, relieves irritation, eliminates tightness, restores a healthy look to the skin. Blackcurrant oil – a natural source of omega-3 polyunsaturated fatty acids – has a protective and regenerating effect.

ROSACELLIN SOOTHING DAY CREAM SPF30 50 ML

Add to cart

Important! Sun protection for rosacea is essential all year round. The sun is one of the most common causes of rosacea flare-ups. To reduce sun-induced flare-ups, dermatologists recommend applying sunscreen 30 minutes before going outside. Even on cloudy days, be sure to use sunscreen, because. despite cloudiness, the UV index can be high.

Basic care. Night

Night normalizing cream-active fights persistent vasodilation, normalizes their tone: reduces the permeability, fragility and growth of the capillary network, reducing its visibility. All thanks to the innovative formula of the product. The composition includes 5% azelaic acid with a pronounced anti-inflammatory activity, prebiotic inulin, caffeine and licorice root extract, as well as dogwood extract.

Collection Rosacellin LIBREDERM are recommended by dermatologists in the complex therapy for the treatment and prevention of skin with rosacea and
rosacea.


* Study on patients with rosacea on the basis of the Central State Medical Academy of the Russian Federation, n=20, 2018.
**Research center Radiant Ltd, Republic of Korea.

Rosacea skin care: effective remedies, expert advice

Cosmetic bag

Reader F⁠—⁠F talks about skin care and an expert helps improve it

This text was written by a reader in the Community T⁠—⁠F. Carefully edited and formatted according to editorial standards.

Alexandra Soboleva

picked up rosacea skin care

Author profile

I’m 27. Three years ago I found out that my red cheeks are not just redness, but rosacea. This is a common vascular disease that tends to worsen.

I had an aggravation during a trip to Japan, when I had already bought a bunch of aggressive Asian foams, creams and cleansers, which, as it turned out, I couldn’t. The disease passed into the papular stage, and the cheeks went into small white pimples, and the skin around became very red and dry.

I never had problems with acne, so I was in a panic and started smearing my cheeks with everything. I tried to solve the problem with expensive brands of moisturizers, but this is complete nonsense. My advice: if something bothers you, immediately go to a dermatologist, which I eventually did.

See a doctor

The article contains expert advice written with love for evidence-based medicine. We refer to authoritative sources, but remember: the responsibility for the health of your skin lies with you. We don’t write prescriptions, we give recommendations. Relying on our point of view or not is up to you.

How I coped with the aggravation

Initially, I approached the choice of care, starting from the fact that I have combination skin, oily in the T-zone and with black dots in the enlarged pores of the nose. It seemed that if you attack with scrubs, cleansers for oily skin with green tea and drying lotions, the skin will stop shining. But it’s exactly the opposite.

On the advice of a dermatologist, I gave up all products and masks, leaving only La Roche-Posay Toleriane cleansing gel for washing and Cetaphil moisturizing pharmacy cream for normal and dry skin with a protective UV factor. Sun protection for my skin turned out to be important at any time of the year.

I gave up masks and scrubs for more than a year. My care shelf has never been so empty, but it worked. It turned out that an excess of care is worse than a lack, and multi-stage Korean procedures are more like marketing. And, of course, I had to follow the doctor’s instructions: give up hot baths, reduce the amount of spicy and fatty foods, adjust my diet and smear my cheeks with a healing ointment for a while.

My Makeup Bag: How I Found Care for Acne-Prone Rosacea

What I Use Now

A year after my rosacea treatment, I started adding new products to my routine. My approach to skincare has changed dramatically. No more washes to squeak and hard scrubs, masks ten times a week. All this washes away the protective barrier of the skin. If masks, then only nourishing for sensitive skin.

Here is my set:

  1. Enzyme foam for sensitive and problematic skin Dr. Jart+ Cicapair Enzyme Cleansing Foam. After washing La Roche-Posay Toleriane, I wanted something new, and this foam suited me. It washes out a little better, but does not cause redness and dryness. I wash my face in the morning and in the evening.
  2. Janssen Cosmetics Dry Skin Radiant Firming Toner. It has become the second step of an obligatory routine. Alcohol-free, soft and perfectly evened out my skin. I have already translated three bottles and I do not want to change it. Thanks to a colleague for the recommendation. The tonic has one drawback, like all my cosmetics, perhaps – the price. But I’m not ready to give it up. Besides, it lasts for a long time.
  3. Shiseido Essential Energy Cream is the final step in skincare. Still, I believe that Japanese chemistry and cosmetics are one of the best in the world. The cream is quickly absorbed and does not feel on the skin. It is a pity that, due to an oversight, I bought a version of this cream without SPF protection, pay attention.
  4. Shiseido Essential Energy Eye Definer. It is pleasant, nourishes and moisturizes, but I think that the eye cream is just what you can save on for now. Next time I will pick up a cheaper Korean analogue, there is no wow effect.
  5. Dr. Recovery Serum Jart + Cicapair Serum. Sometimes I put it on at night instead of a moisturizer. In the morning, the skin is nourished and moisturized.

Brand Dr. Jart+ is generally very pleased: the mask – alginate cocktail “Softness and Relaxation” produced an instant effect after application. This was the first time that the skin was evenly nourished, moisturized, not greasy after masks, but seemed to become matte. However, with the depreciation of the ruble, their alginate masks became too expensive for me even sometimes.

My cosmetic bag: how I take care of dry sensitive skin

I try their sheet masks, they are good if you blot a little bit of the remnants on the skin and go to bed like that. You can’t keep masks for longer than ten minutes either: they begin to dry on the skin and draw moisture out of it. Therefore, in terms of masks, I switched to reusable ones and settled on a nourishing mask with avocado from Kiehl’s. If you don’t smear it as thickly as in the advertisement, then it lasts for a long time.

How much do I spend on skin care products

Properly chosen care has qualitatively changed my skin for the better, but everything has its price. For example, the cheapest pharmacy cream Cetaphil costs 1000 R. But all the means, except for masks, are enough for a long time. I bought the washbasin seven months ago, and it still lasts for a month of everyday use. Similarly with tonic and creams. The two that I already have will probably last a year.

I noticed that cheap products run out faster, and the sensations are worse. But you can save on hand creams, especially since the skin sits on them.

Expert Tip: Which products can irritate sensitive skin

Asya Popova

Science Journalist

Author profile

Skin with rosacea is highly sensitive, so the American Dermatology Society recommends that people with rosacea avoid products with fragrances, dyes, alcohols, camphor , glycolic and lactic acids, menthol, urea and SLS. If you suddenly notice that irritation occurs on the skin – itching, burning or redness – the following products in your care may be the cause.

Janssen Cosmetics Dry Skin Radiant Firming Toner.