How to treat rosacea?

rosacea treatment

Rosacea is often called adult acne. It’s most common in people who are fair-skinned. Rosacea usually appears after the age of 30.

What are the signs of rosacea? The first signs for rosacea are frequent or constant flushing and redness of the skin. At the beginning of the disease, the flush appears and disappears. Later it becomes permanent with red cheeks, forehead, and chin. Over the years, people with rosacea may have small red acne-like pimples. Unlike the skin with acne, people with Rosacea do not have comedones (Black and white points) and their pimples usually do not appear on the neck and back or chest.

Acne vs. Rosacea:

Here are the main differences between acne and rosacea:

Type of lesions:
Acne: A mix of Different types of lesions; blackheads, whiteheads, red pimples, and deep painful cysts.
Rosacea: Only red pimples — no blackheads or whiteheads.


Acne: redness around the red pimples and cysts.
Rosacea: Redness all over the cheeks and cheekbones. Frequently including the forehead nose and the chin. The red ss can come and go or be permanent.

Visibly enlarged capillaries:
Acne: usually none.
Rosacea: very common.

Acne: possible.
Rosacea: uncommon

Skin sensitivity:
Acne: for most people, normal and oily skin. Minimal sensitivity to acne, medications, and sun exposure.
Rosacea: Skin highly sensitive to topical medications and sun exposure

What are the causes of Rosacea?

In a study on 1066 patients with rosacea, it was found that these were the most common causes:



Hot weather


Strenuous exercise




Hot bath


Cold weather


Spicy food




The heat inside the home


Hot drinks


Cosmetic products


Certain medications


Corned Beef


Certain vegetables


Dairy products


If you have rosacea, these are the most effective treatments.

Topical creams:
There are a few types of topical medications that help with rosacea.

Benzoyl peroxide, the most effective topical ingredient used in acne, can also help in rosacea. For optimal results, one should use lower percent BPO (2.5%), applying only tiny amounts of the cream every other night.

Niacinamide is also very useful for people with rosacea. When applied topically, niacinamide has been shown to have anti-inflammatory effects on the skin and protect the natural skin protective layer. In addition to its anti-inflammatory effects, niacinamide was shown to increase the skin's synthesis of ceramides and collagen. Those effects are believed to help in the treatment of fo acne and rosacea, improve skin texture, and help reduce signs of skin aging.

Sulfur is another excellent option for people with rosacea. At least in some cases, the rosacea is due to a response to a parasite called Demodex. This parasite populates the sebaceous glands. Sulfur and a few prescription treatment gels that contain metronidazole or ivermectin reduce the number of those skin parasites and, by that, reduce the signs and symptoms of rosacea.

Pink clay masks are one of the good over the counter options to calm down teh redness related to rosacea.

Oral antibiotics, especially minocycline, can destroy p. acnes bacteria and reduce skin inflammation in rosacea.

Lasers or intense pulsed light devices (IPL) can collapse the enlarged blood vessels in the rosaceous skin and reduce skin redness.

Photodynamic therapy (PDT) is one of the newest treatments for rosacea. In PDT, a substance called Amino Levulinic Acid (ALA) is applied to the skin. This material is selectively absorbed by the sebaceous glands and some of the superficial skin capillaries. After about an hour, the skin is exposed to blue light or red light. These special wavelengths of light trigger a chemical reaction in the skin called a photodynamic reaction. The advantage of PDT for rosacea is that it doesn’t require expensive laser treatments, hospitalization or anesthesia. PDT has frequently good cosmetic results without the risk of hyperpigmentation after treatment.

Foods to avoid when you have rosacea:

Spicy and thermally hot foods.
Alcohol all types especially red wine.
Hot drinks, including cider, hot chocolate, coffee or tea
Citrus fruits, tomatoes, bananas, red plums, raisins, figs.
Vinegar, Eggplant, Beans,
Yogurt, Sour cream, cheese (except cottage cheese).
Chocolate, Vanilla, Soy sauce, Cinnamon, Nutmeg.

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