How to treat Rosacea

Rosacea is reportedly most common in fair-skinned people of Celtic and northern European origin and in the early stages of the condition, signs can be subtle and often missed. Rosacea typically affects people who are aged 30–50 years, although it is also seen in younger person, however, the symptoms may be more severe in the over 50-year age group.

Rosacea can be devastating for the sufferer with many social stresses and psychological effects, it can be a challenging skin condition to manage and may require long-term treatment on those who suffer from it.

This skin condition often presents with a recognisable pattern of signs and symptoms, and treatment plans should always take into consideration for all of the symptoms observed.

Categorised into different groups of symptoms and severity, let us look at each sub-group in more detail.

Rosacea Treatment

Erythematotelangiectatic Rosacea

The type of rosacea associated with flushing of the face, usually central and across the cheeks with and facial erythema and can be with or without telangiectasia (thread veins).

Papulopustular Rosacea

This is a more advanced form of rosacea that includes persistent central facial erythema with transient papules and/or pustules in the central of the face. Burning and stinging of the skin may also be reported.


Is a rare form of rosacea that is a skin condition affecting the nose in which the skin is thickened and sebaceous glands are enlarged. The nose may often be red and prominent blood vessels seen, this is known as telangiectasia. The skin surface may be irregular and surface nodularity’s seen. Rhinophyma usually affects male patients and this is possibly due to androgens (male hormones), however, it is not unknown to affect women.

Ocular Rosacea

Its symptoms are centred in the eye and affect up to half of rosacea sufferers., symptoms include Ocular rosacea can often be experienced before any skin involvement. Management of mild ocular rosacea may be helpful such as warm compresses, good eyelid hygiene with neutral gentle shampoo and perhaps using lubricating eye drops.

Early signs of rosacea include:

  • Flushing and redness of the centre of the face
  • Visible broken blood vessels, known as telangiectasia
  • Oily skin with large sebaceous pores
  • Acne-type lesions
  • Sensitive or painful skin, i.e. stinging and burning sensation.

A number of lifestyles factors can cause rosacea to flare up. There are some common triggers identified that are thought to affect rosacea, such as extreme hot and cold weather, sun exposure, stress and hot or spicy food and drinks and some skin care products or cosmetics. Triggers can vary from person to person, so it is helpful to identify the triggers in the management of rosacea to find out the causes of symptom flare up and to avoid further exacerbation of the condition. The avoidance of triggers, particularly ultraviolet light exposure, is critical for long-term improvement. Rosacea care must include the daily application of sun protection factor 30 or above to manage this skin condition.

The application of appropriate skin care is essential and often poor in rosacea patients, and this combined with the disease often results in a sensitive skin with a compromised skin barrier function However with appropriate treatment, the skin`s barrier function may be improved within 2–3 weeks, the first consideration to choosing skin care products being to repair and maintain this skin barrier.

The clinical benefits of healthy skin care and the therapeutic benefits of using vitamin A esters of retinal palmitate and acetate in treating and managing rosacea are invaluable. Vitamin A  is used in combination with a high concentration of resveratrol and procyanidin, found in Chilean grape seed extract is very helpful to diminish facial redness and provide antioxidant defence against free radicals. Importantly this is also useful to provide comfort from the redness and stinging of the skin and can be very effective in the ongoing management of the condition.

Rosacea is a skin problem where we can see the many treatment benefits of topical application of vitamin A that include skin barrier restoration, thickening of the skin, exfoliation without visible peeling of the skin, an improved blood supply, altogether a combination that helps to manage the symptoms of rosacea. From the continued use of the Vitamin A cream, there is a notable reduction in sebum production with the added benefit of a reduction in pore size and decreased risk of pigmentation from papules.

If used then moisturisers should be oil-free, as oil that is trapped in the skin causes /blackhead or whiteheads, pustules and inflamed papules.

Consumption of a healthy diet and the application of topical treatments should be implemented as part of a well-balanced treatment plan for patients with rosacea. Advice is best sought from a professional when choosing skin care and prompt referral should be made to a dermatologist for patients who do not respond to treatment.