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I decided to write this article as a close friend of mine has been suffering from Rosacea for years. Those of you who’re familiar with this condition are probably aware of the everyday battle and its emotional consequences. Unfortunately, Rosacea is one of those nasty conditions that’s not easy to get rid of. So, after gathering all the available medical research online, our team went to see the true specialist – Dr Ariel Haus. Dr Haus is a London-based, leading dermatologist who has extensive experience in treating patients with Rosacea and Acne.


Rosacea is a rash (predominantly of the face), which affects some middle-aged women and men. It usually starts with a tendency to blush easily. And after a while, it develops into more permanent redness, with dilated blood vessels, small red bumps and puss-filled spots.


  1. Type I –  Erythematotelangiectatic Rosacea involves facial redness, flushing, and visible blood vessels;
  2. Type II –Papulopustular (or acne) Rosacea is associated with flashing, redness, and breakouts;
  3. Type III –Rhinophyma is a rare form that is associated with thickening of the skin of your nose. It usually affects more men than women.  And it’s often accompanied by another type of Rosacea;

It’s a common observation that middle-aged people with sensitive fair skin are more prone to Rosacea than others. However, this isn’t necessarily the case, says Dr Haus, “I saw younger people suffering from Rosacea acquired due to their lifestyle, excessive exercise or nutrition. Equally, I had patients with darker skins of African and Asian origins seeking Rosacea treatment.”

Unfortunately, the cause of Rosacea is still unknown. It is neither genetic nor a bacterial infection. However, there’s a variety of factors that may trigger the condition or make it worse. And these include nutrition, lifestyle and environment-related factors.  For instance, alcohol, caffeine, extreme temperatures, sun exposure, excessive exercise, makeup, spicy food, or even hot drinks – could each trigger Rosacea.


Rosacea doesn’t have a cure. Since its exact cause is unknown, you cannot get rid of it completely. But the good news is that you can control it with series of treatments.

According to Dr Haus, when tackling Rosacea your primary focus should be on your nutrition, environment, and lifestyle. These are the only common and consistent triggering factors in patients with Rosacea. Once you have these sorted, consider yourself half-way through the battle. The rest lies in the hands of a specialist dermatologist.

To keep the condition under control, Dr Haus recommends the following treatments:

  1. Erythematotelangiectatic Rosacea (Type I) –  this type is normally accompanied with Telangiectasias (dilated veins).  Flushing and redness occur due to increased blood flow through the skin reacting to the environment. The best treatment for this type of Rosacea is a gentle laser such as ELOS (electro-optical synergy) ¹. There’s a topical treatment called Brimonidine Gel (Mirvaso) that some dermatologists recommend, however, Dr Haus is not a fan of this treatment. In his experience, Brimonidine may cause rebound symptoms such as more severe Telangiectasias.
  2. Papulopustular Rosacea (Type II) – this type requires a combination of treatments. Dr Haus recommends a combination of antibiotics (topical or oral) and laser. In his practice, he found Doxycycline to be the most effective. Topical Azelaic Acid also works very well for Rosacea unless you suffer from dry skin.
  3. Rhinophyma (Type III) – this type is treated with surgical interventions (lasers, surgical blade or electrosurgery) and medication such as Isotretinoin.
  4. When symptoms are centered around your eyes (Ocular Rosacea), treatment usually consists of daily lid cleansing with water and antibiotics such as Doxycycline.

In Dr Haus’s opinion, the best way to treat Rosacea is combining ELOS technology, skin peels and antibiotics.


If you suffer from Rosacea then choosing the correct skin care products is essential. Most people suffering from this condition have sensitive skin. Therefore, you need to choose your skincare products from those specially formulated for Rosacea or sensitive skin types.


If you suffer from Rosacea, you should avoid oily products and wet wipes at all cost regardless of your skin type! However, people with dry skin may find this challenging. Therefore, Dr Haus recommends substituting oily moisturizers with ones that contain Hyaluronic Acid, Ceramides or Glycerin. For instance, SkinCeuticals Moisturize Hydrating B5 would be a perfect addition to your skincare routine. You can also use Thermal water such as Caudalie Beauty Elixir or Jurlique Calendula Redness Rescue Calming Mist.


You can add products with ingredients such as Azelaic and Salicylic Acids. These two are extremely helpful against Rosacea related breakouts. I would highly recommend SkinCeuticals Blemish Age Cleansing Gel. It contains a high percentage of BHA and AHA and it really helps keep acne at bay without drying your skin too much.


As a part of your anti-ageing routine avoid using products with Vitamin A (Retinol) and Vitamin C – they will irritate your skin. If you’re considering more invasive anti-ageing treatments such as Botox, Mesotherapy or Hyaluronic Acid fillers – these will not affect Rosacea. In fact, quite the opposite, Dr Haus has observed significant improvement in his patients who had HA fillers, partly due to HA’s natural calming benefits and its ability to replenish lost moisture from the skin due to the excessive heat generated from Rosacea.


Rosacea, just like acne, has a massive impact on one’s self-esteem. Some women will try to cover outbreaks with make-up. However, makeup may aggravate the problem. You need to choose your make-up just as carefully as your skincare products. Avoid oily make-up and make-up removers. Do not use wet wipes or baby wipes to clean your face as they’re full of chemicals and will cause severe irritation (in fact, you shouldn’t be using these such wipes regardless of whether you have Rosacea or not).


Since the sun aggravates Rosacea, you should avoid it at all costs. It’s also a bit of a vicious circle as sunscreens tend to irritate Rosacea and make it worse. Therefore, it’s important to use natural sunblock. Mineral-based sunscreen causes less irritation to Rosacea prone skin such as No Sun High Protection or  SkinCeuticals Protect Sheer Mineral UV Defense SPF 50.


I hope you find this post informative enough, if you do have any questions, please ask us and we will gladly research any topic related to this condition with the help of consultants.


Written by

I'm a London based beauty researcher who is continuously on the hunt for the preventative and corrective skincare products and treatments and award-winning spas around the globe.

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My Beauty Insider a one-stop-shop for information on the best preventative and corrective skincare products and treatments, and award-winning spas around the globe. Our mission is to inform you of the latest innovations in the beauty industry and provide an honest opinion based on personal experience. Finally, our readers' input is invaluable to us - so please leave comments and let us know if there is any particular product or treatment you would like to know about! Maria x