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Rosacea: understanding and managing your skin condition

Updated: Mar 7

Rosacea is a chronic inflammatory skin condition that exclusively affects the face. It can be difficult to deal with, especially emotionally. Besides severely impacting self-confidence, it can limit skincare and makeup choices. Understanding what causes rosacea, characterised by facial redness and sometimes small, pus-filled spots, is the first step to reclaiming your face. Learning how to effectively manage the condition is crucial.


A woman with rosacea

How to recognise rosacea


Many people assume they have rosacea when they may actually have a different skin condition, such as eczema or an allergy. Only a qualified medical professional can determine if facial redness is indeed rosacea. It is important to note your symptoms before seeking a diagnosis. Patterns in redness fluctuations, skin texture and other visible signs can help a dermatologist reach the correct diagnosis quickly.


The signature hallmark of rosacea is persistent facial redness. This flushing of the skin is most often concentrated on the cheeks and nose, but it can also occur on the chin and forehead. If the redness on your face fluctuates, becoming more intense during flare-ups, it could be rosacea. During these flare-ups, you may notice small blood vessels, known as telangiectasia, which further enhance the redness. In some cases, rosacea may present with pustules that resemble acne. However, these pustules do not have accompanying blackheads or whiteheads.


Other symptoms ofrRosacea


  • Flushing of the skin: Does your skin blush or flush easily?

  • Ocular rosacea: For some individuals, rosacea can affect the eyes, causing redness, dryness, and irritation. It can also create a sensation of grit in the eye.

  • Burning or stinging sensations: Do you experience discomfort on the affected skin?

  • Dry and rough skin: Does your skin feel tight and flaky?

  • Rhinophyma: In severe cases, particularly in men, the skin on the nose may thicken. Does your nose appear bloated or bulbous?



Rosacea causes


While the exact cause of rosacea remains unknown, several factors can contribute to its development and flare-ups. Genetics may play a role; if someone in your family has been diagnosed with rosacea, chances are higher that you may experience it too.


Ultraviolet light exposure and extreme weather conditions can trigger flare-ups or exacerbate existing ones, but they are not believed to be the root cause. Studies suggest that faulty blood vessels in the face may play a part. Emerging science is even examining how the skin’s microbiome could influence the onset of rosacea. Some studies have identified particular mites and bacteria living on the skin as possible culprits.


Although the cause of rosacea is still under investigation, certain triggers are well-established. If you suspect you have rosacea, try eliminating spicy foods and limiting hot beverages from your diet. Reducing alcohol consumption and managing stress are also essential. Seek support to alleviate anxiety if it feels overwhelming.


It's important to be cautious with makeup and skincare products, as they can worsen rosacea. Understanding which products you can safely use is key to minimising flare-ups.


A woman about to write on a blank page of a notebook
Keep a record of your symptoms and potential triggers. Charting everyday occurrences, like the weather, your diet and the products you use, can be beneficial for minimising flare-ups.

How to Cope with Rosacea


There is no magic cure for rosacea; it is often a lifelong condition once it develops. However, managing symptoms and minimizing flare-ups is entirely possible.


The first step to dealing with rosacea, following a qualified diagnosis, is to develop the habit of avoiding triggers. Each person may have different triggers. Keeping a record of your experiences can help you identify them. Note what you ate, the weather, and any products used prior to increased redness during flare-ups. By charting your potential triggers, you can work to eliminate them from your life.


Identifying triggers can be time-consuming, but the effort is worthwhile for calmer skin.


Gentle skincare is crucial. Use fragrance-free products with non-irritating ingredients. Avoid retinoids, alcohol-based items, and exfoliants. Interestingly, natural skincare can contain irritants just like synthetic products. A number of skincare brands offer collections specifically designed for sensitive skin, including Balmonds, which recently launched a serum for individuals with skin intolerances.


Avoid complex skincare routines. Stick to simple, gentle daily routines that include a mild cleanser, a hydrating serum, and a moisturizer. Brands such as E45 or CeraVe offer tailored solutions for diverse skin needs.


Never purchase skincare products from unknown brands or unreliable sources, and ignore fleeting skincare trends.


Daily use of a broad-spectrum sunscreen is essential. Choose a sunscreen with at least SPF 50 and apply it every day, regardless of the weather or season.


When it comes to makeup, exercise caution. While it may be tempting to hide redness with concealer, choose products carefully. Opt for well-known brands specifically developed for sensitive skin. You might be surprised by how many mainstream brands cater to individuals like you. The same care applies when selecting foundation. Maintaining hygiene is equally vital — keep brushes and hands clean.


Good makeup choices can significantly diminish the appearance of rosacea. By making informed purchase decisions, you can boost both your self-confidence and appearance.


When removing makeup, avoid elaborate rituals like double cleansing. Use gentle micellar water followed by a mild face wash. Always pat your skin dry carefully. Avoid products with exfoliating attachments or vibrating facial tools.


A doctor examining a patient with rosacea
Only a qualified medical professional can say for sure if your facial redness is rosacea.

When to seek medical help


If you suspect you have rosacea, seek a proper diagnosis from a medical professional. This is essential. Once you know for certain that you have the condition, you can work on a management plan.


Your general practitioner or dermatologist may prescribe treatments to reduce inflammation and redness, such as topical gels or creams.


In the event of a severe flare-up, a practitioner may prescribe a short course of antibiotics or refer you for laser or similar therapy.


If rosacea affects your eyes, you may receive eye drops or specific care instructions.


Rosacea is a long-lasting condition that can significantly impact self-esteem. However, with careful management and smart choices in makeup and skincare, you can overcome many of its drawbacks. By focusing on what’s best for your skin, and avoiding the influence of fads or influencer marketing, you can shift your mindset. This common concern can become a minor irritation rather than a major issue.


Always consult with a qualified medical professional to diagnose any skin condition.

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The features on this website are for general informational purposes only and do not constitute medical advice. If you have a skin concern, consult a specialist or speak to your doctor.

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