So many derms talk about what to do about rosacea . Knowing you have personal experience with it makes a world of difference. Thank you for this video.
I love though how the picture of her rosacea at its worst is better than my best rosacea day. Just looks like she’s put on some blush, it’s smooth and even. No wonder she’s got it under control.
@@Elyse27 Her old flare-up pic looks way worse than just some extra blush, lol. But yeah, it can be much more severe than that. Doesn't mean the same treatment won't work for you, though. It'll probably just take longer.
I love the insight from a derm who has rosacea. I’ve grown so tired of seeing deems try to explain it and instruct on it without having the condition themselves. It’s always preaching the same stuff: use cetaphil, never go near retinols, stay out of the sun, stop drinking coffee and alcohol. It’s all very repetitive like reading a script of what they’ve read in literature. In reality, you can have sensitive skin and rosacea and still need something more cleansing than cetaphil, you may be able to tolerate and even benefit from retinol usage, and can moderate triggers rather than cut out entirely. Thank you for putting this out there because speaking on a derm condition you HAVE is very reassuring and comforting to those who have it and look to you for real life advice/tips.
So true! My rosacea improved and was banished by proper use of tretinoin. It was so hard to find a derm that would finally agree to prescribe it. I had a feeling that it would work because otc retinoids helped and didn’t seem to irritate my skin (ie most info says to stay away from retinoids). In my case tretinoin is my #1 treatment.
I actually don't believe she has rosacea. Many are on the internet saying the same thing. They know more than they teach about root causes (gut = immune system).
wearing sunscreen indoors was a huge game changer for me. i work from home and my home has huge windows getting a lot of natural light throughout the day. and i noticed that if i weren’t wearing sunscreen, my skin would get red and hot even if i stayed at home all day. then dr dray informed me about uv rays from the sun penetrating the windows and basically being in all visible light so… yes, you need to wear sunscreen indoors unless you have light blocking curtains in every room of your home
Thank you for sharing this information and also mentioning skin of color. I’m African American. I was 37 years old before a great dermatologist diagnosed me with rosacea. It presents differently on my Carmel brown skin tone than fairer skin. Game changer. I also grew up being told to wash my face twice a day. I was embarrassed to tell people I didn’t wash my face in the morning. It hurt! Now, I use Bioderma Micellar water in the mornings, and Bioderma Oil Cleanser at night. I live in Arizona. The desert has been frying my face. I diligently use and reapply sunscreen to no avail. Thank you for suggesting making life changes. I’ve decided that from 12pm-sundown, I’m not going outside in this desert heat. My skin can’t handle it.
I always wondered if the desert was helpful. I'm in NJ, and it's very wet, a lot of mold and when I started working in a moldy environment and then found it at the gym and in my home. What are your thoughts of castor oil? My mom who is Sicilian (I'm half Sicilian, half Italian) and used olive oil and even at 77 her face and overall skin is smooth like baby's butt :) I take after dad's fairer skin with freckles, but he doesn't have a bump or issue at all). For me, it was mold - with out a doubt. I highly disagree with the 'sunscreen' thing. Didn't grow up with it, and for good reason....it's toxic, AND it prevents what we need to activate vitamin D, the parts from the sun we can't get from a pill.
@@Jennifer-gr7hn sunscreen is NOT toxic lol this is wrong. It also does not prevent you from getting vitamin D from the sun. If you have fair skin and don't wear sunscreen, lol good luck to you in old age!
I'd like to chime in and say an often overlooked trigger for rosacea is hair products. These products get on our skin and all over our pillows. If you're handling your other triggers but still flushing for unknown reasons, try using fragrance free hair care for a while and avoid aerosol hairsprays to see if there's an improvement.
Gosh! I have your exact problems with rosacea. I’m 67 and have always used SOMETHING to keep it quieted. There was a period of time where I developed some, well, CYSTS! Not the kind you would have drained or have to remove, but these bumps about the size of a nickel and very firm, always painful! One was to the left of my nose and just under my eyebrow. It actually HUNG THERE. My derm doc did the sulfur route and also helped me get a “special needs” scrub cap because the fibers from the caps falling on my face was causing this! Ugh. So that cleared up and now, I have every symptom you have. Avoiding the triggers is #1. I use Prosacea after CeraVe hydrating wash, which is nice but it doesn’t make me feel fresh and clean. Dermatologist recommended it and I’ve been at it for 2 years. I would like to firstly, find a cleanser that refreshes my skin and plumps a little but protects my barrier. The very same goes for my night cream. CeraVe again. I feel like it’s weighty and gummy and sticky, very mildly so but, as you said, you want to feel comfortable skin and I would like freshness with those two. What REALLY makes me feel skin happy is the CeraVe Vitamin C. Loved it from day one and actually look forward to it. I stopped their Retenol. I tend to get milia and it got worse with retinol. I’m looking into the azeliac acid. Trying it next. Thank you so much for going in depth with YOUR experiences. It was uplifting and I learned so much from hearing your approach to your own care. I had blepharoplasty for invasive 😊 hooded eyelids. There was an additional laser treatment done just above my cheeks and after it healed, I really didn’t notice much difference. Okay. I just really loved this video and your channel. I am like you in so many ways, you could be my daughter! When I was out and about it was ALWAYS 1n nature. I still have horses, ride my old lady 26 speed bicycle (with the basket option), go mud riding with a Polaris SXS, swim, play golf, and sit by the fire and sing 60s & 70s rock with other old hippies. My habits have drastically changed, as yours have, to keep my face QUIET. But let’s got give up nature & MINERAL sunscreen! BLESSINGS, Dr. Sam, AND BE SAFE ❤
I was diagnosed with rosacea years ago. The dermatologist told me I had rosacea scribbled out a prescription and sent me on my way. Sadly she explained nothing. The prescription she wrote did nothing because it wasn’t right for the type of rosacea that I have. I have since found a better doctor and have it under control. I will be talking to him about laser treatment for the blood vessels. This is something I would love to have done as well. Thank you so much for this video.
I was diagnosed with rosacea in my 30s and was prescribed a number of topical products. It wasn’t until I switched my skin care products to all sensitive, no scent products that my skin cleared. No flares for the past 35 years. Throw out all your scented products for your best health.
@@tashaharrison1158 - I have used Aveeno fragrance free gentle foaming face wash and cepaphil no fragrance lotion with SPF 15 every day for years. I recently added using Avene fragrance free products from France. They are fabulous products but a much higher price point than Aveeno and Cetaphil. Avene was suggested to my husband after skin cancer removal on his face. I don’t wear any makeup other than mascara. Good luck.
cetaphil has also been my favorite cleanser, although I have to use other stuff to keep control. I wear a hat outside and driving. I’m bad at sunscreen so that’s why I’m following this type of RUclips. so many make my skin burn.
@@bonnie_nelms the Cetaphil cleanser for normal skin. I don't like the oily skin cleanser. I can't use it around my eyes as it burns them. Then I use the Cetaphil lotion in the morning and night after cleansing. I will not switch to anything else!
Thank you for sharing your experience with Rosacea. I recently had 2 VBeam treatments and I am trying to protect my investment. I bought one of the large brimmed hats you recommended and now reviewing my skincare products to see if I can improve my situation more consistently. I think a big trigger for me, in addition to what you mentioned, is sugar consumption. If I get a sugar high I know I will get red and pimples the next morning! What really keeps it clear is eating a lot of salads and fresh vegetables. Thank you again. You are lovely and inspiring for me that I can keep it under control and feel good again 😊
Sara age 75 here in Israel. When I was young I thought I was allergic to the sun. Only in the past few years did I get diagnosed. I have seen improvement in my skin with niacinamide both orally and topically and the best thing to fight the lumps and bumps is vitamin B 5 orally. If i do get a rare occasional pimple, using neem oil on it clears it up quickly. the cream my doctor prescribed did nothing for me.
I've been researching my rosacea for months and this is the best video I've seen so far. Mostly the fact that you distinguish different symptoms of rosacea. I never understood why my redness didn't go away, but now I know those are blood vessels that can only be treated with a laser treatment. THANK YOU!
Thank you so much for speaking about this, and about your personal journey with it! Seeing the picture of your flare was helpful, too. Your skin is so beautiful, it’s encouraging to see that rosacea-prone skin can get so much better with the right care.
Thanks for the video, Dr. Ellis! Unfortunately Rosacea is not studied as in depth as other skin conditions (Derm rep here). Nonetheless it can and does significantly impact the quality of life for those that suffer from it. I developed rosacea a month before I turned 38. No family history. I was flushing all day and all night for well over a year. I was unable to sleep and basically participate in life. I was even evaluated for carcinoid tumors (also due to some test results). About a year and a half into this a Derm where I live put me on Hydroxychloriquine to drive down some inflammation. It took a few months, but has has take the edge off for the most part. I do avoid triggers, such as alcohol and direct sunlight. I do have natural light sensitivity as well. Things are way better than they were. I am about to have my second V-beam treatment. It has taken 2.5 years, but I am getting better at dealing with and managing the condition. I do hope that there is more information in the coming years about the gut/skin connection and what lifestyle changes may be helpful in that regard.
Roseaca sufferer here. The only two cleansers I have found that work for me are the 1) Aveeno Calm and Restore (in the clear cylinder bottle) and 2) Geek and Gorgeous Jelly cleanser. The Aveeno leaves my skin just good not quite moisturized but good. If I only used that cleanser, I'd think I had normal skin. It's my first choice. The Geek and Gorgeous leaves my skin just skin (not stripped or dry or moisturized; just skin) but I can tell within about 30 minutes that my skin really is dry and needs hydration and moisture. failures for me: La Roche Posay Toleriane Hydrating Gentle Face Cleanser (stings), Glow Recipe Avocado Ceramide Moisture Barrier Cleanser (left my skin feeling dry and tight), Hydrating Facial Cleanser (skin felt stripped and tight while using, let alone after rinsing), Fresh Soy Hydrating Gentle Face Cleanser (stripped and tight), Krave Beauty Matcha Hemp Hydrating Cleanser (same result as Glow recipe; fine while using and seemed good but left my skin feeling dry and tight in a bad way). *I have not tried the reformation from Cetaphil so I don't know how it works for me (but it wasn't good in the past).
I have mild rosacea and I have acne-prone skin. I've been using the Neutrogena salicylic acid body wash on my face and body and it makes my skin feel so soft and it doesn't strip my skin at all. I got one of my friends hooked on it too. In terms of other things I do, I wear sun protection and I eat a balanced low inflammation diet (low-ish sugar, low processed poor nutrient foods, etc). Edit: the sunscreens I like are: - EltaMD broad-spectrum SPF 41 tinted mineral sunscreen (can pill over skincare) - Australian Gold Botanical broad-spectrum SPF 50 water-resistant tinted mineral sunscreen (slightly dry under my eyes if I don't hydrate my skin properly bc that area is rly dry for me) - Make p:rem UV defense me daily sun fluid SPF50+/PA++++ hybrid sunscreen (very liquidy, the cheapest out of the 3) Also if anyone has recommendations of sunscreens available in Canada that are mineral spf50+ broad spectrum and no white cast (for a pale human) of the same price as the Australian Gold (~$0.3/mL) or cheaper please let me know!
Thank you so much for pointing out how high altitude and extreme temperatures can affect your skin! I live in Colorado Springs and it’s been so hard to find the right products to use because of the crazy temp swings! I would love to see more videos that address these issues.
I am Native American, dark skin tone, my parents never got rosacea, so guess I am the lucky one of 3... was diagnosed in 2017 in im mid 50's. I attribute it to that time in my life and all I can think of is stress related... I spent many years in the sun when I was a young girl playing softball, at the lake or beach, then after had 2 sons who were 3 sport athletes, so in the sun during the week and tournaments on the weekend. My mother was always in the sun as well, she had a beautiful complexion until she passed in 2019. My rosacea is not so much of the uncomfortable flushing, some redness, but the bumps are bothersome that are mostly on my forehead and right cheek near my nose. Before rosacea I used the "Calm line of Dermalogica" cleanser, very nice, cream based and this oil based booster serum that they no longer make was clutch. I found it on Amazon, so I will be ordering online. As far as sunscreen, never thought to apply it, it wasn't a thing when I was growing up, but I keep seeing the tinted Elta MD in other vids, so I will try that out first. Thank you for your story, Dr Sam ❤ Much love from the Bay Area of Cali
I was diagnosed with rosacea acne over 10 years ago and some of my acne is also hormonal which is SO FUN :) I'll say finally finding skincare products that worked for me and avoiding certain foods/situations has helped so much. - Neutrogena ultra gentle creamy cleanser - (hydrating cleanser creamy formula) I like this more than other creamy non-foaming cleansers because it has very few ingredients, no fragrance, no bells or whistles - I also use it on my body in the shower for my sensitive skin everywhere! - The ordinary 10% azelaic acid - love this during the day - it's pretty silicone heavy but my skin likes that as it almost acts as a protective barrier, absorbs oil, reduces redness, helps my bumps not get huge and angry, and it's so cheap! - curology - cerave moisturizing lotion - holy grail moisturizer head to toe for the past 12 years. - skin aqua super moisture gel - this sunscreen is spf 50 and is very liquid-y, but my skin likes that - the super thick, chauky sunscreens require lots of rubbing and tugging to rub it in, which exacerbates my rosacea. This sunscreen glides on and soaks in with hardly any rubbing. - food/situation triggers are: alcohol, stress, heat, super hot (temperature) food, tomato-based spicy foods (pasta sauces, salsa, etc.), dairy, gluten, whey, foods with lots of color dyes and super high sugar (candy and high processed high sugar foods), friction/lots of touching on my face
Face theory porebright N10 serum (contains Azelaic acid and niacinamide), La Roche Posay Rosaliac Intense serum, La Roche Posay cicaplast Baumé B5+, no alcohol, no wheat, very little sugar
I was hoping to see someone mention sugar. I don’t drink, rarely in the sunshine but my vice is sugar and it may be my trigger (still trying to figure it out).
I got my rosacea diagnosis in April of this year. I use metrogel (topical for face) in the morning and 15% azelaic acid in the evenings. My triggers seems to be stress, and the cold Canadian winters. I had very bad pustule/pimples from my rosacea. The treatment worked, but unfortunately I was left with awful scarring. I did 2 rounds of IPL photo facial which worked with helping it not spread and have my redness lessen. My dermatologist then said my skin was in a state were I could undergo mirco-needling to help with the scarring. I will be going to my appointment this week so hoping I will have results. The only way I have been able to afford these treatments is by getting it done my students in training. They are always supervised by professional (as well as have prior training before doing it on someone's skin) so that definitely made me feel better. I have had no bad experience yet. Hope this helps :)
Thank you so much for this video . The fact that you have rosacea as well and are speaking on it makes this video more reliable. For cleanser I found that la Roche Posay’s Toleraine face wash (the blue one) is super gentle on my rosacea skin 💙
I have been using the vanicream face wash and love how it is for sensitive skin but still suds up and makes my face feel very clean unlike some other sensitive face washes that I have tried and didn't feel good on my skin like cerave and some others. Thanks for the recommendations and tips!
After trying to deal with acne rosacea for years I finally cleared it up with Rosivor. I used it for 3 months and finally my skin was clear. I use it twice a week for maintenance. It's for demodex. My favourite cleanser is Neutrogena Ultra gentle daily cleanser CREAMY not the foaming. Tried many sunscreens and my holy grail is Blue Lizard Sensitive Face. Never go outside without sunscreen and hat. Face has remained clear first time in years. Also only use Clinique Dramatically Different moisturizer morning and night.
I have had rosacea for years. I was diagnosed with PsA about 10 years ago. The meds I’m on for that has helped my inflammation and thus my rosacea. I flush in heat and cold. Exercise, sun, alcohol, spicy food all triggers. I don’t drink any more. I walk in early morning or after nightfall. Spicy food I still eat, just not very often. I used to get the little bumps with it. I changed my whole skin care routine. Double cleans, hyaluronic acid, and really good moisturizer. I really like La Roche- Posey products. I was able to start Tretinoin as well. I have decided it is a miracle drug! Malasma, rosacea all under control. My skin is smoother than it was in my 30’s and I’m 56 now. I would love to have laser treatments. Not in my budget.
Hi, a subscriber from the Netherlands here. What a comprehensive, helpful, honest and down to earth video! I can totally relate because a lot of my symptoms and triggers are the same. Thanks a lot for sharing in such a friendly yet professional way. I own remission of my rosacea to advice of my dermatologist, oral isotretinoin, and then sunscreen and IPL and my own dedication to stick to the routine in terms of gentle skincare and less wine. Your baby son is very adorable!
Hi here also a subscriber from the Netherlands. I have a mild form of rosacea, but have been using the products of the brand "by Dr. Jetske Ultee" for a long time, which I really like. Maybe something to look at
My new favorite find was adding the supplement Heliocare to my daily pill popping lol. If I know it's going to be particularly hot or I'm heading out mid day for a walk I'll take a pill and it really helps my skin stay stable without flares for far longer than if I skipped the pill. Instead of becoming red and hot within 10 mins or so I can go about 45 before I feel the burn/stinging start up. It's really been helping, if you're super reactive like I am I highly recommend you try it.
@@Maria.meriem-j3w nope, I just use the basic, not advanced. There are health considerations, like thyroid functions, that the advanced formula can mess with so I stick with the basic. Works really well for me
I have rosacea and after seeing the dermatologist I gave up on big pharma options and started seeking my own treatments. I went to arabic store and bought rose water and I use that on my skin daily when I want to cleanse my face. I'll use it to dilute any essential oils I want to use on my skin and probably won't spend money on anything else because I can't think of a healthier option.
Your skin is radiant! I don’t have a major issue with redness, just a little on cheeks, nose and chin. But I DO have pimples in those areas, which IS a major issue. The typical rosecea treatments have not worked for me. Sulphur cleanser dries my skin and I’ve seen no improvement. Azelaic acid made my face sting and increased redness and pimples. Metronidazole cream is virtually worthless. I eat a clean diet, no alcohol, caffeine, or spicy foods, very little diary or sugar. I’m not out in the sun other than normal coming and going for errands. I haven’t been able to determine specific triggers, except the treatments! I’m very frustrated at this point. Just purchased a red light panel and hope to see some benefits from that, but only 4 days in and no difference so far.
hi doc! can you do a similar video on seborrheic dermatitis of the face? there are solutions out there but barely any advice on long-term management and recurring flare-ups, what products to use, what to avoid, etc. thank you
Very helpful. There are also so many food triggers for rosacea… tomatoes/tomato sauce is a big trigger for me. If I eat it I look like I have a sunburn across my face shortly after. Coffee can also be a tigger.
Great video, Dr. Ellis! V-Beam has been a total game changer for me personally, and diligent sun protection of course. Since being diagnosed with rosacea, my skincare motto is KEEP IT SIMPLE, which I’ve embraced and enjoy 😊
Hi, can you share your AM/PM skincare routine? I am still trying to figure it out as I was diagnosed with rosacea not that long ago (at age 38). It's so hard with active ingredients with rosacea (I do tolerate retinal really well tough!). But antioxidants/vitamin c - now that is hard to something that's not irritating. Same for SPF :( I would highly appreciate if you can share!
Regarding Rosacea and the theory it is caused or worsened by demodex mites I‘d like to know your opinion on a certain skincare product called Demoderm. Main active substances are sulfor and zinc. It also contains menthol. This skincare product is supposed to detox the skin and doing so it is said it can lead to an intense worsening of the skin in the beginning as part of the detox process. The skin is supposed to heal itself eventuall so that - according to the Demoderm-thoery - the skin doesn‘t need any skincare at all and should regulate itself. During that detox period it is said, that Demoderm is drying out the sebum in the skin so demodex mites would basically starve and die and the skin can recover. The pores on Rosacea-skin are referred to as Demodex-pores. I‘d really like to know your opinion on these theories because I can‘t find any statement by a dermatologist, not on Google nor on RUclips and I would like to know if Demoderm is worth a try. Many Thanks!
Actually, I do believe in the Demodex mite theory. When I was diagnosed with rosacea almost 20 years ago now I used a cream I bought from China. I honestly don’t remember what it was called but it was very cooling but very drying and I used it for several months off and on and boy did my skin improve. It did get worse for about a month before it got better because they say the mites die off and cause your skin to get worse but then it eventually got better and better. I also took doxycycline a prescription antibiotic a couple months on a couple months off a couple months on for a year and that really helped. Since then I got rid of everything with fragrance I stripped down my routine to Vanicream face wash, and Vanicream lite lotion and sunscreen. My skin likes chemical and now I use Korean sunscreen. All these years later, there is no trace of rosacea. It has never returned. I stick with minimal skin care. I do use Tretinoin at the lowest percent every night I use Azelaic acid occasionally . I avoid my triggers which are spicy foods and red wine.
Dr Sam buntings products which are Azelaic acid and niacinamide based have helped me get on top of my rosecea. Her gentle cleanser is fabulous. I also used finacea every night, which I now replace with dr Sam’s flawless nightly serum which contain granactive retinoid. My led home face mask I also swear by. I would love to be able to use more and higher strength actives, maybe one day. Thankyou for the video.
Hello 😊! I was diagnosed with the Type 2 Rosacea. I’ve been trying to get it under control for approximately 2 years. It has been quite challenging living with this condition. I won’t get into the details…. I’ll just tell you what has helped me get it under control. Initially, I had severe flushing that seemed like it just wouldn’t let up no matter what I did or didn’t do. So right now I’ve just given up on the most common triggers that are talked about. I ve never really been a big wine drinker but I did enjoy a cocktail or two when we would go out to a restaurant or most social occasion. At this time, I just choose to stay away from alcohol. So, long story short my dermatologist has tried numerous different products for my skin and also oral medications as well as IPL and the red light laser. It’s sometimes difficult to know exactly which products are working because it seems as though none of the products or lasers have that immediate serendipity moment. But over time we’ve found that what works best for me is just washing my face 1-2 times per day with warm tap water. The only product I currently use is Winlevi cream, and I really can only use a scant amount. Otherwise it just will make my skin feel very dry especially over a long period of time. I also find that showers are better for me at just a nice warm temperature rather than sitting in a warm bath!!😮 I’m still learning every day what to use to decrease the breakouts. I also really love love Epicerum lotion and I do use Elta MD as far as any lotions. I still have to be careful with the lotions because the skin is extremely sensitive. I’m still experimenting with my diet because I’ve learned that many advisors feel that Rosacea could be related to any gut issues. I’ve read some articles that say if you have Irritable bowel syndrome that it could have an impact on the Rosacea. Also, as much as possible I’ve cut back on some of my prescription medication and I’m just taking the absolutely necessary meds and a few vitamins and minerals. I live in Florida so naturally I do carry my wide brim hats with me, sunscreen, umbrella and always a large cold bottle of water. This may be going over board but I have this unconscious or conscious?? fear of running out of gas in this hot and humid weather 😂. Not really funny! So I’m very conscious of wear my gas gauge is and I never let it get below half full before I fill it up. And of course I have road side assistance. 🎉😢 It’s unfortunately, a bit of a challenge but I’m at least just trying to find what works best and keep trying to avoid dryness, stinging, flare ups and itching. I’m sure there’s something I’ve left out. I hope this has at least helped someone else out there who is maybe new to this disorder. Good luck! 😊 Thanks for your information!💯
My gentle cleanser that I like and use the most is La Roche Posay Toleriane :) ( I think in US it is called Toleriane Hydrating Gentle Facial Cleanser).
I had really really bad rosacea- my derm said I had one of the worst cases he’d ever seen! It took a really long time for me to seek treatment as I just thought it was skin sensitivity and acne….yeah I was wrong and I was making my skin worse. I was on various different antibiotics for around 3 years or so, which worked really well in the beginning and then my skin kind of leveled off to where my skin was still kinda of red, but the bumps and skin sensitivity were gone. Finally just a little over a year ago my derm put me on a different topical treatment- one of them has azaelic acid as well- and it’s worked so well for me. I use cereve for my cleanser and double cleanse before bedtime, as well as use sunscreen. For my rosacea chemical sunscreens can irritate myskin so I tend to stick to chemical ones.
My sister has rosacea, and her derm recommended the all-mineral SkinCeuticals Physical Fusion UV Defense SPF50 (Tinted) sunscreen, and she loves it. She's been using it for years. If you haven't already, you may want to give it a try. Even though it's SkinCeuticals, it's not that expensive.
Hello, Silvia! My sister just uses her regular cleanser and then a toner afterwards. She says it's not difficult to remove. I also wear sunscreen everyday, and I do find some of them more difficult to remove. I, personally, like to "Double Cleanse" by using a cleansing balm first (Clinique Take the Day Off Cleansing Balm - the regular one, not the charcoal one). It will remove all makeup and sunscreen. Apply it to dry skin and then when you add water, while rinsing, it emulsifies so that it doesn't leave a greasy film on your skin. Once it's rinsed, I use my "regular" cleanser to make sure all the sunscreen and makeup is ;thoroughly removed. If I don't double cleanse, I don't feel like the sunscreen is all off. @@Emerald-u4m
I love Avene Tolerance Extremely gentle cleanser. I use it as a second cleanse after by balm in the evening and I use it in the morning after I get back from the gym. I agree avoiding triggers is key and sunscreen. That has made a big difference for me.
I don't know why, but I get along best with the Defence Cleanser from Paula's Choice. It took me over 20 years to find a cleanser I can tolerate. So I am very happy to have finally found the right one for me.
The problem with rosacea is it's coming back! I received laser treatment at the dermatologist and he says it will come back. So we have to know this. Always be careful of aggravating factors if you can (direct sun, winds, etc. always wear each day protection for your skin). The cie "LaRoche Posay' are making great protections for your face.
@@giameoghost1985 It was a series of 2 treatments. They treated the neck and the face. Even if I take good care of my skin for years now, the sun, the wind during winter times when I exercise outside, are enough. The prices are terrible (close to 1,000,$ each time, but I guess I go somewhere it's expensive). Now I have a dermatologist and it's less at his office than that special treatment place.
So true! No two rosacea cases are alike! I totally agree no face wash in the morning! Sunscreen application is huge! Literally have found any Oil of Olay with SPF within the moisturizer works well. Even applying the Oil of Olay and Hawaiian Tropic SPF 70 helps when I go outdoors for an extended period of time. It also seems like liquid serum style make up works nicely to cover up the redness. I do use the miscellar cleansing water. I follow it up with Dove unscented beauty bar or original to wash my face. I appreciate all the products others have recommended! Literally will try anything that will work! Also it is nice to hear a professional who has had rosacea discuss it!
Hi, just to clarify so without washing your face in the morning does that mean your applying your day time skincare ontop of your nighttime routine? Probably a stupid question but I’m a male suffering from rosacea no idea about skincare lol
Since Insurance does not pay for the laser tx...can you give a ballpark cost estimate for what each appointment might cost? Intend to seek it out and don't want to be blindsided!
Have you tried the moisturizer from that line? I found it doesn't work, but I would def love to try both of those products, but what moisturizer takes away the redness?
@@Kiera_R I love that moisturizer! It’s one of my favorites. Definitely helps with redness for me for me, but everyone is different. Another one that is also good for redness is the Vanicream Daily Face Moisturizer.
Love you, Dr. Ellis!!! I started my skincare journey at 23/24 . I never used skincare and never had skin issues UNTIL I started trying out skincare and my face freaked out 😅 I went and saw the dermatologist, and she said that I had triggered rosacea- I had and still am treating red bumps around my mouth, chin, and around my nose. I am so glad we caught it early. I am turning 26 this month- so it’s been a couple years. My face is super sensitive and freaks out at 99.99999% of all products 😂 BUT: The Peach Slices Redness Relied cleanser is my HOLY GRAIL. I also love the Facetheory Azelaic acid serum (though I am going to try the peach slices one next) I also stand by the Naturium Sulfur Spot treatment- I put it around my rosacea prone areas every night as a preventative measure ;AND as a spot treatment in conjunction with other exfoliants when I do break out 🩵 I hope this helps another rosacea warrior out there!!!
Sounds like the same trigger story as mine and at the same age! I’ll definitely try the peach slice stuff. I miss how durable my skin used to be but, like yours, I flare up with just about anything I put on it now
I have extremely reactive skin and found most cleansers that gave me that squeaky clean would break me out. I now use apricot oil from silk naturals for cleansing, redness solutions moisturizer from Clinique, and eucerin age defense sunscreen
@@annam5733 I really hope you try it and like it!!! It doesn’t irritate my face and cleanses it well…, and that’s all I can ask for! 🥰 glad I am not alone on my journey! 🙏🏻
Laser treatments are the most effective for my rosacea, followed by topical skincare, sunscreen and avoiding triggers ❤ Unfortunately lasers also tend to be the most expensive
I have to be very careful with trying new sunscreens. Even mineral ones. They’re definitely a trigger for me and now I stick to the ones I know that work and don’t trigger a flareup. My dermatologist recommended Vanicream Moisturizer with SPF in it. It works really well for my skin. I have a couple of others that don’t bother my face either but that one saved me in the beginning and I still use it every morning.
What if your trigger is sleeping and what stopped it before like roo,m fans , sleeping elevated etc won't stop it? Clonidine doesnt help. Flushing at night is terrible and now affects my day
Thank you Dr Ellis for this informative video on your journey with rosacea. I have been newly diagnosed with rosacea and I'm using azelaic acid and brimonidine cream on alternate days with a gentle facial cleanser and sunscreen. This morning I woke up, my face flushed and itchy so will be going to my dermatologist for his opinion on laser therapy. Except for being very fair-skinned, I don't have any trigger factors. Thank you once again.
My mother had rosacea when she got older. I think the air in her apartment was just too dry for her and her blood pressure meds did not agree with her. My cheeks would redden now and then when I was younger, ie I blushed easily. My big problem occurred when my PCP prescribed a calcium channel blocker which not only caused rosacea but made me ill. Now when I’m outdoors in the summer, Western Pennsylvania, I wear sunscreen. My sunscreen discovery is still occurring because some are too moisturizing and some are supper drying.
I discovered that mineral sunscreen was causing more redness because I did not use a moisturizer first. The sunscreen said "moisturizing" and I thought I didn't need a moisturizer, but zinc is very drying. The solution is to cleanse, apply a good moisturizer, then the zinc suncsreen. Very, very happy with the results.
Nice video, your voice is easy to listen to. I find the low music distracting. Thanks for all the product tips and especially the advice to look for lifestyle triggers.
What a great video! For me it was also a combo of genetics, too much sun exposure in childhood and in my 20's, unhealthy lifestyle choices and autoimmune disease. Overall, what works is the Bioderma Sensibio Cleansing Oil, the La Roche Posay Toleriane line, Cerave Foam cleanser (combination skin) and Cetaphil's Redness Control line. I also use The Ordinary's Buffet, Niacinamide serums without any problem, recently started to use Cerave's resurfacing retinol serum and planning to try azelaic acid in the future. Best sunscreen tried so far is the Beauty of Joseon one. I am curios if laser treatment would help furthermore.
@@Meg_I_am Yes, I am using this one from BOJ (I haven't tried others from them). I alternate this with the Purito Daily Soft Touch and the Skin1004 Madagascar Centella Hyalu Cica Water Fit Sun Serum sunscreens, I like both of them, no flares or rashes, but texture wise I think BOJ is the best.
Thanks@@monikab3413. What is it about the texture that you like? Is it creamy? I am slowly figuring out that sunscreens that say that they are hydrating tend to have some form of Hyaluronic Acid in them which doesn't work for me. HA on dry skin in a dry environment tends to suck the hydration out of my skin.
@@Meg_I_am BOJ is very lightweight, almost watery, blends in immediately. The Skin1004 is semi-creamy, but has HA, so it is a bit shinier too. The Purito one is the creamiest, but blends in ok and it's hydrating. Depending on the weather and how I feel my skin I alternate them. None of them leaves a white cast (I am caucasian), my skin tolerates them all well and they are hydrating enough for my combination, rosacea prone, very sensitive skin.
In Traditional Chinese Medicine, a symptom of “Yin Deficiency” is the ‘red butterfly rash ‘ across the cheeks and nose. This is exacerbated by lack of sleep, staying up too late, .. burning the candle at both ends, or resting when you need to etc.
I love and use Elta MD products. Daily I use Elta UV tinted Restore; and recently got Elta MD UV Sport, SPF 50+ body sunscreen. I do wear a hat when I walk the dog 2 - 3 days a week. I'm almost 80, so I have a dog walker 3 days a week; this really helps with my energy and stamina. I think we senior citizens should use all available sources that are available to us. Cheers! Love your channel!
I have Type I Erythematotelangiectatic Rosacea and have had it for years. Just signed up for my first IPL Laser treatment this August. I've changed my skincare regimen and have begun incorporating an azelaic acid derivative to condition my skin before I start using my prescription cream. I've also become very regimented about caring for my skin by using better, more hydrating products and largely sticking with fragrance free lines (I have a few guilty pleasures though I can't lie LOL). I've never used retinoids of any kind as I'm afraid of the retinization process (hate the feeling of peeling, red skin) As for triggers, I hate sunlight anyway and keep myself covered at all times when outdoors during the daylight hours (which is almost constant this time of year in Alaska) and keep my home cooler than most people will. I like wine but have significantly cut down my intake. And though I hate the way it feels, I've forced myself to incorporate sunscreen (mineral) if I am going to be outdoors during peak daylight hours (always wear a giant visor and giant Rx shades regardless along with keeping my body covered in UV protective materials). A major trigger for me is stress and light sensitivity (light eyes, mydriatic pupils). As soon as I'm upset or stressed about something I feel the heat rising to my face and the flushing sensation. In winter because stores keep the heat so high, I've actually been asked if I had a sunburn by cashiers because I turn so red. It's horrible and I'm sick of it. I have fair skin and would rather just stay pale than this red crap. I can thank my NW Euro ancestors for this LOL Thankfully I don't have the pustules or swelling but I do have the redness and visible capillaries. Rosacea sucks lol My skin is starting to look better. Plus because I've always stayed out of the sun, I have no wrinkles and very few lines at age 56. Moreover, I am now lacto-ovo vegetarian (seafood too at times) which means I'm eating much better.
I have acne type rosacea and my dr prescribed a sulfur cleanser and it is my holy grail - if I do nothing else at night I use my sulfur cleanser and I know that will keep my acne flare ups at bay
I've been using the Yes to Avocados cleanser, and it is LOVELY. I had zero expectations when I picked it up, but I think it's really helped keep my skin happy.
I have rosacea which is now under control with no flare ups. I was prescription Oracea, which I now don't take every day only Monday, Wednesday and Friday. I also use prescription azaleic acid. I also use Dr. Hauschka cream cleanser which is great at removing makeup.😊
So glad you stopped using makeup wipes every night! They can be very rough on your skin leading to irritation from both the wipe and the chemicals within and don't properly cleanse as well as a cleansing balm would (as I am sure you know!). We all have those nights where something is better than nothing, but I think it's much more beneficial for everyone's skin to not make it a habit.
My husband’s dermatologist had him on a prescription hydrocortisone cream for many years to treat his rosacea. My husband finally switched dermatologists after his doctor told him there was no other treatment for it. Imagine my husband’s surprise when his new dermatologist put him on Soolantra Ivermectin 1% cream and his rosacea cleared up….I mean totally cleared up!! He now has to use the Soolantra only once a week. Turns out the rosacea was a reaction to mites that we all have on our skin, that certain people react to. Always be your own advocate people. If you aren’t getting results with one doctor, find another!!!
In fact steroids are very bad for rosacea and can make it worse or trigger it, that's how I got mine... I'm blown away by the fact that a dermatologist could prescribe steroids for rosacea 😮.
@@liviusss that’s why I mentioned getting a second opinion with another doctor. I realize that there are various things that cause rosacea, but you would expect a dermatologist to know what they are and try different treatments.
@@zzyyxxzzyyxx I don’t know the official medical name of his type of rosacea, but he had the kind that was caused by microscopic mites on the skin. The rosacea in his case, was his skin’s reaction to the mites living in his skin.
Thank you for saying you use laser treatment! This is something I've been looking into! I've had Rosacea since I was a teenager and never treated it. Hit my 30's and it went into massive overdrive! Now I am researching how to help calm it down!
For me it was diet that got rid of my rosacea. Many years of being sold different products by dermatologists that did absolutely nothing ( these drs just making $). I even asked if diet could be the problem? And was told to just not eat spicy foods and no coffee. Eventually a relative introduced me to keto, which lead me to ketovore/ carnivore which basically removes most inflammatory foods. I now do not have rosacea flare ups and my skin no longer sunburns as it used to. All that inflammatory food had my skin very sensitive. I too only cleanse at night and rinse with water in morning 😊👍🏻
Such an informative video! I was diagnosed with rosacea about a year ago. I first noticed a pronounced redness to my cheeks in 2020. As a healthcare worker, I attributed this to the necessity a that time of wearing a mask 8-10 hours per day at my job. Fast forward to 2023, the redness and now pimples were still there. Glad to know some of the options available for rosacea maintenance. I've found the azelaic acid 15% topical to work wonder, also.
Ha! I’m having that burning weird facial feeling as I watch this vid! The weather change always gets me!! Haven’t had an outbreak of this since last spring
Just at the beginning of the video. Although I don't envy that you have struggled with rosacea, my mom's rosacea was much worse than yours! It was visibly worse, deeper red and all over, not just on the cheeks but also she said her skin would get hot and hard. She's allergic to so many things. When she would eat something she was allergic to (tomatoes so no Italian food and sesame so no Asian food with sesame oil in it) her rosacea would flare up. Thankfully, in a weird way, she was on the Atkins diet for a while and ate bacon and other fatty foods so she ended up with a lot of gall stones and had to very painfully pass a gall stone. She had to have her gall bladder removed which ended up clearing most of her rosacea! She can now enjoy some of the things she's allergic to as long as she doesn't over do it.
I typically have a mild rosacea and use the Azelaic Acid 15% in the morning and then metronidazole cream .75% in the evening along with my Retin A and I am happy with the results. That being said last night coincidently I had an evening meal of cod fish with an Asian sauce and about an hour later I had a very bad flare up on my cheeks. I had to apply cold compresses and Cortisone cream to calm everything down. I woke up this morning and all is well so I guess something in the sauce caused this flare up. I would love to know what does your skin look like after the laser treatments. That would be very interesting. I once had and it looked like someone had put a cigarette out on my skin for about 7 days. Please let us know and such great content, thank you.
Same, I also use azelaic acid, metronidazole cream and tretinoin as well. For makeup removal I use Farmacy Clearly Clean or micellar water and Ren Evercalm cleansing milk. Products I can’t use that others have loved: Anything from CeraVe(burns like a thousand bees), lactic acid/peptide products. The way peptides work by triggering your skins “trauma/repair” response is too much for my skin and sends it into overdrive. I also do only iced coffee/tea and keep a big cold pack in my fridge and apply to my face after I get out of the shower. That has helped a lot as far as heat triggers.
Isn't Cortisone a steroid cream? I thought steroids were terrible for Rosacea and can even cause it (ie steroid-induced rosacea). Or is it OK if you only use them occasionally?
I use 15% Gel and no issues, I typically put on my sunscreen directly after applying the AA and then a primer followed by my foundation, no issues.@@Kiera_R
Indoor heating is the worst. I run hot and i turn into a tomato when I'm in other people's houses. I don't need anything above 18 or 19 degrees C inside. Sadly can't cut out alcohol because i don't drink already (doesn't taste good to me). I have never washed my face as a daily routine because I don't wear makeup (or sunscreen, which i probably should). I started applying moisturizer (only after I shower, so every other day) because of dry skin a few years ago. I sued effaclar H by La Roche Posay because of dry skin, but they changed the recipe I think, and now my face turns red when I use it
I've tried many products over the years and nothing seemed to make my skin happy other than selected products of Clarins, Clinique and Avene. I use Clinique Take the Day Off cleansing balsam as the first step of dubbel cleansing which cleans all the oil solubles including the sunscreen. For the second step, I use Clarins Soothing Gentle Foaming Cleanser (pink one with shea butter). Clarins also have calm-essential restructuring oil which helped me a lot. Because of extreme dryness, my skin doesn't absorb the products well, to hydrate better I use Gulsha rose water, as micellar water before applying my moisturizer. During the day, I use the Moisture Surge facial spray by Clinique multiple times to keep my skin moisturized. I use SPF day creme and night creme from one of the brands I've mentioned above based on the climate. In general shea butter and rose water were bets for my skin and I need to avoid Aloe Vera at all costs.
Cofee makes me flare up. Luckily I stopped drinking in 2018 so its just coffee right now but have noticed Native Sunscreen and removal of ALL scented / fragrance items including body lotions really helps. I switched to Ponds lotion and ive noticed improvement in just a full week.
Wind sun cold heat, intense exercise. I do everything she’s mentioned , for years and I rarely have flare ups- and I do all Of my triggers , I just am very conscious of skin care and protection and Retin A I also have used for years- just skip flare up weeks
I am beginning to suspect that I have rosacea. I cannot use many moisturizers I tend to have many facial cleansers that I cycle around to keep from getting allergic to them. I get swelling and then my face peels. Many times I don't know why but I tend to become allergic to things I have used for a long time.
The thing I hate about the avoid triggers advice is that my triggers are literally unavoidable. My rosacea flares up terribly any time I shower (even just luke-warm body showers), and when I eat: meat, dairy, anything acidic, alcohol, caffeine, spicy food, or anything hot. You geard that right, food that is WARM. I cannot live off of cold plain vegetables and never shower.
Loved the eloborative video! The cleanser I use (as well as most of the other products of this brand), is 'the cleanser' from dr. Jetske Ultee, a Dutch cosmetic dermatologist. I also visit her clinic and my skin has never been this good (eczema and rosacea sensitive, fair skin tone)
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So many derms talk about what to do about rosacea . Knowing you have personal experience with it makes a world of difference. Thank you for this video.
The only thing that took care of it was laser treatment, at the end of the video the truth comes out
I love though how the picture of her rosacea at its worst is better than my best rosacea day. Just looks like she’s put on some blush, it’s smooth and even. No wonder she’s got it under control.
@@Elyse27 Her old flare-up pic looks way worse than just some extra blush, lol. But yeah, it can be much more severe than that. Doesn't mean the same treatment won't work for you, though. It'll probably just take longer.
I learned more in the first 5 minutes of this video than from multiple visits with Doctors over years. Thank you for sharing this information.
I love the insight from a derm who has rosacea. I’ve grown so tired of seeing deems try to explain it and instruct on it without having the condition themselves. It’s always preaching the same stuff: use cetaphil, never go near retinols, stay out of the sun, stop drinking coffee and alcohol. It’s all very repetitive like reading a script of what they’ve read in literature. In reality, you can have sensitive skin and rosacea and still need something more cleansing than cetaphil, you may be able to tolerate and even benefit from retinol usage, and can moderate triggers rather than cut out entirely. Thank you for putting this out there because speaking on a derm condition you HAVE is very reassuring and comforting to those who have it and look to you for real life advice/tips.
So true! My rosacea improved and was banished by proper use of tretinoin. It was so hard to find a derm that would finally agree to prescribe it. I had a feeling that it would work because otc retinoids helped and didn’t seem to irritate my skin (ie most info says to stay away from retinoids). In my case tretinoin is my #1 treatment.
I actually don't believe she has rosacea. Many are on the internet saying the same thing. They know more than they teach about root causes (gut = immune system).
wearing sunscreen indoors was a huge game changer for me. i work from home and my home has huge windows getting a lot of natural light throughout the day. and i noticed that if i weren’t wearing sunscreen, my skin would get red and hot even if i stayed at home all day. then dr dray informed me about uv rays from the sun penetrating the windows and basically being in all visible light so… yes, you need to wear sunscreen indoors unless you have light blocking curtains in every room of your home
Thank you for sharing this information and also mentioning skin of color. I’m African American. I was 37 years old before a great dermatologist diagnosed me with rosacea. It presents differently on my Carmel brown skin tone than fairer skin. Game changer. I also grew up being told to wash my face twice a day. I was embarrassed to tell people I didn’t wash my face in the morning. It hurt! Now, I use Bioderma Micellar water in the mornings, and Bioderma Oil Cleanser at night. I live in Arizona. The desert has been frying my face. I diligently use and reapply sunscreen to no avail. Thank you for suggesting making life changes. I’ve decided that from 12pm-sundown, I’m not going outside in this desert heat. My skin can’t handle it.
I always wondered if the desert was helpful. I'm in NJ, and it's very wet, a lot of mold and when I started working in a moldy environment and then found it at the gym and in my home. What are your thoughts of castor oil? My mom who is Sicilian (I'm half Sicilian, half Italian) and used olive oil and even at 77 her face and overall skin is smooth like baby's butt :) I take after dad's fairer skin with freckles, but he doesn't have a bump or issue at all). For me, it was mold - with out a doubt. I highly disagree with the 'sunscreen' thing. Didn't grow up with it, and for good reason....it's toxic, AND it prevents what we need to activate vitamin D, the parts from the sun we can't get from a pill.
@@Jennifer-gr7hn sunscreen is NOT toxic lol this is wrong. It also does not prevent you from getting vitamin D from the sun. If you have fair skin and don't wear sunscreen, lol good luck to you in old age!
I've learned more about my rosacea in this video than I've learned in any of my dermatology appointments. Thank you for this!
Same
I'd like to chime in and say an often overlooked trigger for rosacea is hair products. These products get on our skin and all over our pillows. If you're handling your other triggers but still flushing for unknown reasons, try using fragrance free hair care for a while and avoid aerosol hairsprays to see if there's an improvement.
And laundry detergent
@@lisawyckoff7070 and fabric softener 😉😊
Yesssss! Same!
Hair products are a toxic wonderland 🤣
Gosh! I have your exact problems with rosacea. I’m 67 and have always used SOMETHING to keep it quieted. There was a period of time where I developed some, well, CYSTS! Not the kind you would have drained or have to remove, but these bumps about the size of a nickel and very firm, always painful! One was to the left of my nose and just under my eyebrow. It actually HUNG THERE. My derm doc did the sulfur route and also helped me get a “special needs” scrub cap because the fibers from the caps falling on my face was causing this! Ugh. So that cleared up and now, I have every symptom you have. Avoiding the triggers is #1. I use Prosacea after CeraVe hydrating wash, which is nice but it doesn’t make me feel fresh and clean. Dermatologist recommended it and I’ve been at it for 2 years. I would like to firstly, find a cleanser that refreshes my skin and plumps a little but protects my barrier. The very same goes for my night cream. CeraVe again. I feel like it’s weighty and gummy and sticky, very mildly so but, as you said, you want to feel comfortable skin and I would like freshness with those two. What REALLY makes me feel skin happy is the CeraVe Vitamin C. Loved it from day one and actually look forward to it. I stopped their Retenol. I tend to get milia and it got worse with retinol. I’m looking into the azeliac acid. Trying it next.
Thank you so much for going in depth with YOUR experiences. It was uplifting and I learned so much from hearing your approach to your own care. I had blepharoplasty for invasive 😊 hooded eyelids. There was an additional laser treatment done just above my cheeks and after it healed, I really didn’t notice much difference. Okay. I just really loved this video and your channel. I am like you in so many ways, you could be my daughter! When I was out and about it was ALWAYS 1n nature. I still have horses, ride my old lady 26 speed bicycle (with the basket option), go mud riding with a Polaris SXS, swim, play golf, and sit by the fire and sing 60s & 70s rock with other old hippies. My habits have drastically changed, as yours have, to keep my face QUIET. But let’s got give up nature & MINERAL sunscreen! BLESSINGS, Dr. Sam, AND BE SAFE ❤
I was diagnosed with rosacea years ago. The dermatologist told me I had rosacea scribbled out a prescription and sent me on my way. Sadly she explained nothing. The prescription she wrote did nothing because it wasn’t right for the type of rosacea that I have. I have since found a better doctor and have it under control. I will be talking to him about laser treatment for the blood vessels. This is something I would love to have done as well. Thank you so much for this video.
I was diagnosed with rosacea in my 30s and was prescribed a number of topical products. It wasn’t until I switched my skin care products to all sensitive, no scent products that my skin cleared. No flares for the past 35 years.
Throw out all your scented products for your best health.
Can you tell me the products you used to help clear it? & what kind of makeup products is good to use for rosacea?
@@tashaharrison1158 - I have used Aveeno fragrance free gentle foaming face wash and cepaphil no fragrance lotion with SPF 15 every day for years. I recently added using Avene fragrance free products from France. They are fabulous products but a much higher price point than Aveeno and Cetaphil. Avene was suggested to my husband after skin cancer removal on his face.
I don’t wear any makeup other than mascara.
Good luck.
@@tashaharrison1158 -cetaphil and ceravie no scent products and sorry, I don’t use makeup
I only use products that are fragrance free but I have yet to find something that doesn’t trigger my rosacea or give me breakouts
Do u mind or ok with sharing the no scent products you used to help with share ups. I need some help I would appreciate the help
I've been using Cetaphil cleanser and lotion for 40+ years, and it totally keeps my Rosacea in check. My skin looks fabulous for a 61 year old.
cetaphil has also been my favorite cleanser, although I have to use other stuff to keep control. I wear a hat outside and driving. I’m bad at sunscreen so that’s why I’m following this type of RUclips. so many make my skin burn.
Vanicream is also good
@@hollyoswald7808try cotz tinted mineral sunscreen spf 50
Please say which specific Cetaphil cleanser and lotion have worked best for you. I’m still searching. Thank you.
@@bonnie_nelms the Cetaphil cleanser for normal skin. I don't like the oily skin cleanser. I can't use it around my eyes as it burns them. Then I use the Cetaphil lotion in the morning and night after cleansing. I will not switch to anything else!
Thank you for sharing your experience with Rosacea. I recently had 2 VBeam treatments and I am trying to protect my investment. I bought one of the large brimmed hats you recommended and now reviewing my skincare products to see if I can improve my situation more consistently. I think a big trigger for me, in addition to what you mentioned, is sugar consumption. If I get a sugar high I know I will get red and pimples the next morning! What really keeps it clear is eating a lot of salads and fresh vegetables. Thank you again. You are lovely and inspiring for me that I can keep it under control and feel good again 😊
Off topic but that paint color is absolutely beautiful and soothing.
changing my diet cured my rosacea. It comes back after dairy, too much salt, alcohol, tomatoes, etc. You can find your foods and fix it.
If it flares back up when you start back up or stop doing something, it's not cured
@@kelseywittenbarger4304 if Rosacea is the “disease” I can cure or create it any time I want to.
@@kelseywittenbarger4304 you can cure your type 2 diabetes by changing diet but you can’t cure rosacea by changing diet?
@@MargaretBrunoit is not curable. hope that helps
@@softergreen I guess that’s true in the sense that chigger bites aren’t curable. Just cause and effect.
Sara age 75 here in Israel. When I was young I thought I was allergic to the sun. Only in the past few years did I get diagnosed. I have seen improvement in my skin with niacinamide both orally and topically and the best thing to fight the lumps and bumps is vitamin B 5 orally. If i do get a rare occasional pimple, using neem oil on it clears it up quickly. the cream my doctor prescribed did nothing for me.
I thought I was allergic to the sun too! And heat, exercise, and alcohol!
I've been researching my rosacea for months and this is the best video I've seen so far. Mostly the fact that you distinguish different symptoms of rosacea. I never understood why my redness didn't go away, but now I know those are blood vessels that can only be treated with a laser treatment.
THANK YOU!
Thank you so much for speaking about this, and about your personal journey with it! Seeing the picture of your flare was helpful, too. Your skin is so beautiful, it’s encouraging to see that rosacea-prone skin can get so much better with the right care.
Thanks for the video, Dr. Ellis! Unfortunately Rosacea is not studied as in depth as other skin conditions (Derm rep here). Nonetheless it can and does significantly impact the quality of life for those that suffer from it. I developed rosacea a month before I turned 38. No family history. I was flushing all day and all night for well over a year. I was unable to sleep and basically participate in life. I was even evaluated for carcinoid tumors (also due to some test results). About a year and a half into this a Derm where I live put me on Hydroxychloriquine to drive down some inflammation. It took a few months, but has has take the edge off for the most part. I do avoid triggers, such as alcohol and direct sunlight. I do have natural light sensitivity as well. Things are way better than they were. I am about to have my second V-beam treatment. It has taken 2.5 years, but I am getting better at dealing with and managing the condition. I do hope that there is more information in the coming years about the gut/skin connection and what lifestyle changes may be helpful in that regard.
Roseaca sufferer here. The only two cleansers I have found that work for me are the 1) Aveeno Calm and Restore (in the clear cylinder bottle) and 2) Geek and Gorgeous Jelly cleanser. The Aveeno leaves my skin just good not quite moisturized but good. If I only used that cleanser, I'd think I had normal skin. It's my first choice. The Geek and Gorgeous leaves my skin just skin (not stripped or dry or moisturized; just skin) but I can tell within about 30 minutes that my skin really is dry and needs hydration and moisture.
failures for me: La Roche Posay Toleriane Hydrating Gentle Face Cleanser (stings), Glow Recipe Avocado Ceramide Moisture Barrier Cleanser (left my skin feeling dry and tight), Hydrating Facial Cleanser (skin felt stripped and tight while using, let alone after rinsing), Fresh Soy Hydrating Gentle Face Cleanser (stripped and tight), Krave Beauty Matcha Hemp Hydrating Cleanser (same result as Glow recipe; fine while using and seemed good but left my skin feeling dry and tight in a bad way). *I have not tried the reformation from Cetaphil so I don't know how it works for me (but it wasn't good in the past).
I have mild rosacea and I have acne-prone skin. I've been using the Neutrogena salicylic acid body wash on my face and body and it makes my skin feel so soft and it doesn't strip my skin at all. I got one of my friends hooked on it too.
In terms of other things I do, I wear sun protection and I eat a balanced low inflammation diet (low-ish sugar, low processed poor nutrient foods, etc).
Edit: the sunscreens I like are:
- EltaMD broad-spectrum SPF 41 tinted mineral sunscreen (can pill over skincare)
- Australian Gold Botanical broad-spectrum SPF 50 water-resistant tinted mineral sunscreen (slightly dry under my eyes if I don't hydrate my skin properly bc that area is rly dry for me)
- Make p:rem UV defense me daily sun fluid SPF50+/PA++++ hybrid sunscreen (very liquidy, the cheapest out of the 3)
Also if anyone has recommendations of sunscreens available in Canada that are mineral spf50+ broad spectrum and no white cast (for a pale human) of the same price as the Australian Gold (~$0.3/mL) or cheaper please let me know!
I've heard that the Sunscreen Company out of Canada has some great mineral based high UV protection sunscreens.
Thank you so much for pointing out how high altitude and extreme temperatures can affect your skin! I live in Colorado Springs and it’s been so hard to find the right products to use because of the crazy temp swings! I would love to see more videos that address these issues.
I am Native American, dark skin tone, my parents never got rosacea, so guess I am the lucky one of 3... was diagnosed in 2017 in im mid 50's. I attribute it to that time in my life and all I can think of is stress related... I spent many years in the sun when I was a young girl playing softball, at the lake or beach, then after had 2 sons who were 3 sport athletes, so in the sun during the week and tournaments on the weekend. My mother was always in the sun as well, she had a beautiful complexion until she passed in 2019. My rosacea is not so much of the uncomfortable flushing, some redness, but the bumps are bothersome that are mostly on my forehead and right cheek near my nose. Before rosacea I used the "Calm line of Dermalogica" cleanser, very nice, cream based and this oil based booster serum that they no longer make was clutch. I found it on Amazon, so I will be ordering online. As far as sunscreen, never thought to apply it, it wasn't a thing when I was growing up, but I keep seeing the tinted Elta MD in other vids, so I will try that out first. Thank you for your story, Dr Sam ❤ Much love from the Bay Area of Cali
Finally a derm who loves Elta MD sunscreen. This sunscreen is the GOAT !!
what? pretty much every derm online recomends this.
I was diagnosed with rosacea acne over 10 years ago and some of my acne is also hormonal which is SO FUN :) I'll say finally finding skincare products that worked for me and avoiding certain foods/situations has helped so much.
- Neutrogena ultra gentle creamy cleanser - (hydrating cleanser creamy formula) I like this more than other creamy non-foaming cleansers because it has very few ingredients, no fragrance, no bells or whistles - I also use it on my body in the shower for my sensitive skin everywhere!
- The ordinary 10% azelaic acid - love this during the day - it's pretty silicone heavy but my skin likes that as it almost acts as a protective barrier, absorbs oil, reduces redness, helps my bumps not get huge and angry, and it's so cheap!
- curology
- cerave moisturizing lotion - holy grail moisturizer head to toe for the past 12 years.
- skin aqua super moisture gel - this sunscreen is spf 50 and is very liquid-y, but my skin likes that - the super thick, chauky sunscreens require lots of rubbing and tugging to rub it in, which exacerbates my rosacea. This sunscreen glides on and soaks in with hardly any rubbing.
- food/situation triggers are: alcohol, stress, heat, super hot (temperature) food, tomato-based spicy foods (pasta sauces, salsa, etc.), dairy, gluten, whey, foods with lots of color dyes and super high sugar (candy and high processed high sugar foods), friction/lots of touching on my face
Face theory porebright N10 serum (contains Azelaic acid and niacinamide), La Roche Posay Rosaliac Intense serum, La Roche Posay cicaplast Baumé B5+, no alcohol, no wheat, very little sugar
I was hoping to see someone mention sugar. I don’t drink, rarely in the sunshine but my vice is sugar and it may be my trigger (still trying to figure it out).
I would love to hear your thoughts on rosacea + melasma. Also, ocular rosacea! Thanks!!
I got my rosacea diagnosis in April of this year. I use metrogel (topical for face) in the morning and 15% azelaic acid in the evenings.
My triggers seems to be stress, and the cold Canadian winters.
I had very bad pustule/pimples from my rosacea. The treatment worked, but unfortunately I was left with awful scarring. I did 2 rounds of IPL photo facial which worked with helping it not spread and have my redness lessen. My dermatologist then said my skin was in a state were I could undergo mirco-needling to help with the scarring. I will be going to my appointment this week so hoping I will have results. The only way I have been able to afford these treatments is by getting it done my students in training. They are always supervised by professional (as well as have prior training before doing it on someone's skin) so that definitely made me feel better. I have had no bad experience yet. Hope this helps :)
Thank you so much for this video . The fact that you have rosacea as well and are speaking on it makes this video more reliable. For cleanser I found that la Roche Posay’s Toleraine face wash (the blue one) is super gentle on my rosacea skin 💙
So relieved you didn't suggest antibiotics, a healthy gut balance being essential for rosacea treatment! Thanks for this excellent video!
I have been using the vanicream face wash and love how it is for sensitive skin but still suds up and makes my face feel very clean unlike some other sensitive face washes that I have tried and didn't feel good on my skin like cerave and some others. Thanks for the recommendations and tips!
Sorry if it’s invasive to ask - have you ever had any plastic surgeries? Or implants? Your bone structure is looking better and better with time!!
After trying to deal with acne rosacea for years I finally cleared it up with Rosivor. I used it for 3 months and finally my skin was clear. I use it twice a week for maintenance. It's for demodex. My favourite cleanser is Neutrogena Ultra gentle daily cleanser CREAMY not the foaming. Tried many sunscreens and my holy grail is Blue Lizard Sensitive Face. Never go outside without sunscreen and hat. Face has remained clear first time in years. Also only use Clinique Dramatically Different moisturizer morning and night.
There is a generic version of Ivermectin 1% cream available in the states.
I have had rosacea for years. I was diagnosed with PsA about 10 years ago. The meds I’m on for that has helped my inflammation and thus my rosacea.
I flush in heat and cold. Exercise, sun, alcohol, spicy food all triggers. I don’t drink any more. I walk in early morning or after nightfall. Spicy food I still eat, just not very often. I used to get the little bumps with it. I changed my whole skin care routine. Double cleans, hyaluronic acid, and really good moisturizer. I really like La Roche- Posey products. I was able to start Tretinoin as well. I have decided it is a miracle drug! Malasma, rosacea all under control. My skin is smoother than it was in my 30’s and I’m 56 now. I would love to have laser treatments. Not in my budget.
My daughter has rosacea and we have found that cleansing her cheeks with selsun blue shampoo (one without menthol) 1-2 times a week has been helpful!
Hi, a subscriber from the Netherlands here. What a comprehensive, helpful, honest and down to earth video! I can totally relate because a lot of my symptoms and triggers are the same. Thanks a lot for sharing in such a friendly yet professional way. I own remission of my rosacea to advice of my dermatologist, oral isotretinoin, and then sunscreen and IPL and my own dedication to stick to the routine in terms of gentle skincare and less wine. Your baby son is very adorable!
Hi here also a subscriber from the Netherlands. I have a mild form of rosacea, but have been using the products of the brand "by Dr. Jetske Ultee" for a long time, which I really like. Maybe something to look at
Thanks!
@@YvonneVanKampe-kl9eh another person from the Netherlands so thanks for sharing that
My new favorite find was adding the supplement Heliocare to my daily pill popping lol. If I know it's going to be particularly hot or I'm heading out mid day for a walk I'll take a pill and it really helps my skin stay stable without flares for far longer than if I skipped the pill. Instead of becoming red and hot within 10 mins or so I can go about 45 before I feel the burn/stinging start up. It's really been helping, if you're super reactive like I am I highly recommend you try it.
Thanks for sharing...IS it ultra D??
@@Maria.meriem-j3w nope, I just use the basic, not advanced. There are health considerations, like thyroid functions, that the advanced formula can mess with so I stick with the basic. Works really well for me
I have rosacea and after seeing the dermatologist I gave up on big pharma options and started seeking my own treatments. I went to arabic store and bought rose water and I use that on my skin daily when I want to cleanse my face. I'll use it to dilute any essential oils I want to use on my skin and probably won't spend money on anything else because I can't think of a healthier option.
Your skin is radiant!
I don’t have a major issue with redness, just a little on cheeks, nose and chin. But I DO have pimples in those areas, which IS a major issue. The typical rosecea treatments have not worked for me. Sulphur cleanser dries my skin and I’ve seen no improvement. Azelaic acid made my face sting and increased redness and pimples. Metronidazole cream is virtually worthless. I eat a clean diet, no alcohol, caffeine, or spicy foods, very little diary or sugar. I’m not out in the sun other than normal coming and going for errands. I haven’t been able to determine specific triggers, except the treatments! I’m very frustrated at this point. Just purchased a red light panel and hope to see some benefits from that, but only 4 days in and no difference so far.
hi doc! can you do a similar video on seborrheic dermatitis of the face? there are solutions out there but barely any advice on long-term management and recurring flare-ups, what products to use, what to avoid, etc. thank you
Very helpful. There are also so many food triggers for rosacea… tomatoes/tomato sauce is a big trigger for me. If I eat it I look like I have a sunburn across my face shortly after. Coffee can also be a tigger.
I appreciate your honesty, I was just diagnosed and looking for understanding my options
Great video, Dr. Ellis! V-Beam has been a total game changer for me personally, and diligent sun protection of course. Since being diagnosed with rosacea, my skincare motto is KEEP IT SIMPLE, which I’ve embraced and enjoy 😊
Hi, can you share your AM/PM skincare routine? I am still trying to figure it out as I was diagnosed with rosacea not that long ago (at age 38). It's so hard with active ingredients with rosacea (I do tolerate retinal really well tough!). But antioxidants/vitamin c - now that is hard to something that's not irritating. Same for SPF :( I would highly appreciate if you can share!
@@KasiaZ Vanicream cleanser + CeraVe cream at night, sunscreen in the morning! That’s all!
Regarding Rosacea and the theory it is caused or worsened by demodex mites I‘d like to know your opinion on a certain skincare product called Demoderm. Main active substances are sulfor and zinc. It also contains menthol. This skincare product is supposed to detox the skin and doing so it is said it can lead to an intense worsening of the skin in the beginning as part of the detox process. The skin is supposed to heal itself eventuall so that - according to the Demoderm-thoery - the skin doesn‘t need any skincare at all and should regulate itself. During that detox period it is said, that Demoderm is drying out the sebum in the skin so demodex mites would basically starve and die and the skin can recover. The pores on Rosacea-skin are referred to as Demodex-pores.
I‘d really like to know your opinion on these theories because I can‘t find any statement by a dermatologist, not on Google nor on RUclips and I would like to know if Demoderm is worth a try. Many Thanks!
Actually, I do believe in the Demodex mite theory. When I was diagnosed with rosacea almost 20 years ago now I used a cream I bought from China. I honestly don’t remember what it was called but it was very cooling but very drying and I used it for several months off and on and boy did my skin improve. It did get worse for about a month before it got better because they say the mites die off and cause your skin to get worse but then it eventually got better and better. I also took doxycycline a prescription antibiotic a couple months on a couple months off a couple months on for a year and that really helped. Since then I got rid of everything with fragrance I stripped down my routine to Vanicream face wash, and Vanicream lite lotion and sunscreen. My skin likes chemical and now I use Korean sunscreen. All these years later, there is no trace of rosacea. It has never returned. I stick with minimal skin care. I do use Tretinoin at the lowest percent every night I use Azelaic acid occasionally . I avoid my triggers which are spicy foods and red wine.
Dr Sam buntings products which are Azelaic acid and niacinamide based have helped me get on top of my rosecea. Her gentle cleanser is fabulous. I also used finacea every night, which I now replace with dr Sam’s flawless nightly serum which contain granactive retinoid. My led home face mask I also swear by. I would love to be able to use more and higher strength actives, maybe one day. Thankyou for the video.
@KazHampson Which is the led face mask that you use?
I’d love to know which LED mask you use as well? ❤️
Hello 😊! I was diagnosed with the Type 2 Rosacea. I’ve been trying to get it under control for approximately 2 years. It has been quite challenging living with this condition. I won’t get into the details…. I’ll just tell you what has helped me get it under control. Initially, I had severe flushing that seemed like it just wouldn’t let up no matter what I did or didn’t do. So right now I’ve just given up on the most common triggers that are talked about. I ve never really been a big wine drinker but I did enjoy a cocktail or two when we would go out to a restaurant or most social occasion. At this time, I just choose to stay away from alcohol. So, long story short my dermatologist has tried numerous different products for my skin and also oral medications as well as IPL and the red light laser. It’s sometimes difficult to know exactly which products are working because it seems as though none of the products or lasers have that immediate serendipity moment. But over time we’ve found that what works best for me is just washing my face 1-2 times per day with warm tap water. The only product I currently use is Winlevi cream, and I really can only use a scant amount. Otherwise it just will make my skin feel very dry especially over a long period of time. I also find that showers are better for me at just a nice warm temperature rather than sitting in a warm bath!!😮 I’m still learning every day what to use to decrease the breakouts. I also really love love Epicerum lotion and I do use Elta MD as far as any lotions. I still have to be careful with the lotions because the skin is extremely sensitive. I’m still experimenting with my diet because I’ve learned that many advisors feel that Rosacea could be related to any gut issues. I’ve read some articles that say if you have Irritable bowel syndrome that it could have an impact on the Rosacea. Also, as much as possible I’ve cut back on some of my prescription medication and I’m just taking the absolutely necessary meds and a few vitamins and minerals. I live in Florida so naturally I do carry my wide brim hats with me, sunscreen, umbrella and always a large cold bottle of water. This may be going over board but I have this unconscious or conscious?? fear of running out of gas in this hot and humid weather 😂. Not really funny! So I’m very conscious of wear my gas gauge is and I never let it get below half full before I fill it up. And of course I have road side assistance. 🎉😢
It’s unfortunately, a bit of a challenge but I’m at least just trying to find what works best and keep trying to avoid dryness, stinging, flare ups and itching. I’m sure there’s something I’ve left out. I hope this has at least helped someone else out there who is maybe new to this disorder. Good luck! 😊 Thanks for your information!💯
Hey Dr. Ellis, could you do a video on in office procedures for rosacea and how to know which ones to do?
My gentle cleanser that I like and use the most is La Roche Posay Toleriane :) ( I think in US it is called Toleriane Hydrating Gentle Facial Cleanser).
I had really really bad rosacea- my derm said I had one of the worst cases he’d ever seen! It took a really long time for me to seek treatment as I just thought it was skin sensitivity and acne….yeah I was wrong and I was making my skin worse. I was on various different antibiotics for around 3 years or so, which worked really well in the beginning and then my skin kind of leveled off to where my skin was still kinda of red, but the bumps and skin sensitivity were gone. Finally just a little over a year ago my derm put me on a different topical treatment- one of them has azaelic acid as well- and it’s worked so well for me. I use cereve for my cleanser and double cleanse before bedtime, as well as use sunscreen. For my rosacea chemical sunscreens can irritate myskin so I tend to stick to chemical ones.
My sister has rosacea, and her derm recommended the all-mineral SkinCeuticals Physical Fusion UV Defense SPF50 (Tinted) sunscreen, and she loves it. She's been using it for years. If you haven't already, you may want to give it a try. Even though it's SkinCeuticals, it's not that expensive.
No point in using sunscreen before bed. You should be putting in on in the morning and reapply during the day if you're outside often.
@@michellekelly2937how does She remove the sunscreen?
Hello, Silvia! My sister just uses her regular cleanser and then a toner afterwards. She says it's not difficult to remove. I also wear sunscreen everyday, and I do find some of them more difficult to remove. I, personally, like to "Double Cleanse" by using a cleansing balm first (Clinique Take the Day Off Cleansing Balm - the regular one, not the charcoal one). It will remove all makeup and sunscreen. Apply it to dry skin and then when you add water, while rinsing, it emulsifies so that it doesn't leave a greasy film on your skin. Once it's rinsed, I use my "regular" cleanser to make sure all the sunscreen and makeup is ;thoroughly removed. If I don't double cleanse, I don't feel like the sunscreen is all off. @@Emerald-u4m
@@michellekelly2937 Do You use the same sunscreen as your Sister and which cleanser to do 2nd cleanse .
I love Avene Tolerance Extremely gentle cleanser. I use it as a second cleanse after by balm in the evening and I use it in the morning after I get back from the gym. I agree avoiding triggers is key and sunscreen. That has made a big difference for me.
Very important question: What is the lipstick you are wearing, I love it, Natural but with character.
Low dose antidepressants dealt really well with my evening flushing.
Yes this works so well in the right patient! So happy it helped you ☺️
I would suggest Prosacea. It has sulphur and costs $ 12. It helps with papules and pustules of a really bad rosacea
What about for super sensitive skin? Did it work right away?
I don't know why, but I get along best with the Defence Cleanser from Paula's Choice. It took me over 20 years to find a cleanser I can tolerate. So I am very happy to have finally found the right one for me.
The problem with rosacea is it's coming back! I received laser treatment at the dermatologist and he says it will come back. So we have to know this. Always be careful of aggravating factors if you can (direct sun, winds, etc. always wear each day protection for your skin). The cie "LaRoche Posay' are making great protections for your face.
How many laser treatments did you go through?
@@giameoghost1985 It was a series of 2 treatments. They treated the neck and the face. Even if I take good care of my skin for years now, the sun, the wind during winter times when I exercise outside, are enough. The prices are terrible (close to 1,000,$ each time, but I guess I go somewhere it's expensive). Now I have a dermatologist and it's less at his office than that special treatment place.
So true! No two rosacea cases are alike! I totally agree no face wash in the morning! Sunscreen application is huge! Literally have found any Oil of Olay with SPF within the moisturizer works well. Even applying the Oil of Olay and Hawaiian Tropic SPF 70 helps when I go outdoors for an extended period of time. It also seems like liquid serum style make up works nicely to cover up the redness. I do use the miscellar cleansing water. I follow it up with Dove unscented beauty bar or
original to wash my face. I appreciate all the products others have recommended! Literally will try anything that will work! Also it is nice to hear a professional who has had rosacea discuss it!
Hi, just to clarify so without washing your face in the morning does that mean your applying your day time skincare ontop of your nighttime routine? Probably a stupid question but I’m a male suffering from rosacea no idea about skincare lol
@@GeorgeMcDougall-gz4tp Just some water, I guess.
Since Insurance does not pay for the laser tx...can you give a ballpark cost estimate for what each appointment might cost? Intend to seek it out and don't want to be blindsided!
My favorite cleaners: the Aveeno Calm and Restore ones. I love the gel cleanser & the foaming face wash.
Have you tried the moisturizer from that line? I found it doesn't work, but I would def love to try both of those products, but what moisturizer takes away the redness?
@@Kiera_R I love that moisturizer! It’s one of my favorites. Definitely helps with redness for me for me, but everyone is different. Another one that is also good for redness is the Vanicream Daily Face Moisturizer.
@@eobrien1 thank you so much, maybe bcuz you use the whole Aveno line it helps, I'll have to try
Love you, Dr. Ellis!!!
I started my skincare journey at 23/24 . I never used skincare and never had skin issues UNTIL I started trying out skincare and my face freaked out 😅 I went and saw the dermatologist, and she said that I had triggered rosacea- I had and still am treating red bumps around my mouth, chin, and around my nose. I am so glad we caught it early.
I am turning 26 this month- so it’s been a couple years.
My face is super sensitive and freaks out at 99.99999% of all products 😂 BUT:
The Peach Slices Redness Relied cleanser is my HOLY GRAIL.
I also love the Facetheory Azelaic acid serum (though I am going to try the peach slices one next)
I also stand by the Naturium Sulfur Spot treatment- I put it around my rosacea prone areas every night as a preventative measure ;AND as a spot treatment in conjunction with other exfoliants when I do break out 🩵
I hope this helps another rosacea warrior out there!!!
Sounds like the same trigger story as mine and at the same age! I’ll definitely try the peach slice stuff. I miss how durable my skin used to be but, like yours, I flare up with just about anything I put on it now
I have extremely reactive skin and found most cleansers that gave me that squeaky clean would break me out. I now use apricot oil from silk naturals for cleansing, redness solutions moisturizer from Clinique, and eucerin age defense sunscreen
@@annam5733 I really hope you try it and like it!!! It doesn’t irritate my face and cleanses it well…, and that’s all I can ask for! 🥰 glad I am not alone on my journey! 🙏🏻
Laser treatments are the most effective for my rosacea, followed by topical skincare, sunscreen and avoiding triggers ❤ Unfortunately lasers also tend to be the most expensive
What type of lasers? Does it leave those bruises all over?
I have to be very careful with trying new sunscreens. Even mineral ones. They’re definitely a trigger for me and now I stick to the ones I know that work and don’t trigger a flareup. My dermatologist recommended Vanicream Moisturizer with SPF in it. It works really well for my skin. I have a couple of others that don’t bother my face either but that one saved me in the beginning and I still use it every morning.
Can you share other sunscreens that have worked for you?
What if your trigger is sleeping and what stopped it before like roo,m
fans , sleeping elevated etc won't stop it? Clonidine doesnt help. Flushing at night is terrible and now affects my day
I tried all the cleansers you mentioned and currently use Aquanil cleanser as my second cleanse. My dermatologist suggested it, and my skin loves it.
Thank you Dr Ellis for this informative video on your journey with rosacea. I have been newly diagnosed with rosacea and I'm using azelaic acid and brimonidine cream on alternate days with a gentle facial cleanser and sunscreen. This morning I woke up, my face flushed and itchy so will be going to my dermatologist for his opinion on laser therapy. Except for being very fair-skinned, I don't have any trigger factors.
Thank you once again.
My mother had rosacea when she got older. I think the air in her apartment was just too dry for her and her blood pressure meds did not agree with her. My cheeks would redden now and then when I was younger, ie I blushed easily. My big problem occurred when my PCP prescribed a calcium channel blocker which not only caused rosacea but made me ill. Now when I’m outdoors in the summer, Western Pennsylvania, I wear sunscreen. My sunscreen discovery is still occurring because some are too moisturizing and some are supper drying.
I discovered that mineral sunscreen was causing more redness because I did not use a moisturizer first. The sunscreen said "moisturizing" and I thought I didn't need a moisturizer, but zinc is very drying. The solution is to cleanse, apply a good moisturizer, then the zinc suncsreen. Very, very happy with the results.
Nice video, your voice is easy to listen to. I find the low music distracting. Thanks for all the product tips and especially the advice to look for lifestyle triggers.
What a great video! For me it was also a combo of genetics, too much sun exposure in childhood and in my 20's, unhealthy lifestyle choices and autoimmune disease. Overall, what works is the Bioderma Sensibio Cleansing Oil, the La Roche Posay Toleriane line, Cerave Foam cleanser (combination skin) and Cetaphil's Redness Control line. I also use The Ordinary's Buffet, Niacinamide serums without any problem, recently started to use Cerave's resurfacing retinol serum and planning to try azelaic acid in the future. Best sunscreen tried so far is the Beauty of Joseon one. I am curios if laser treatment would help furthermore.
Does Beauty of Joseon have only one sunscreen? Is it the Relief Sun: Rice + Probiotics (SPF50+ PA++++) that you used?
@@Meg_I_am Yes, I am using this one from BOJ (I haven't tried others from them). I alternate this with the Purito Daily Soft Touch and the Skin1004 Madagascar Centella Hyalu Cica Water Fit Sun Serum sunscreens, I like both of them, no flares or rashes, but texture wise I think BOJ is the best.
Thanks@@monikab3413. What is it about the texture that you like? Is it creamy? I am slowly figuring out that sunscreens that say that they are hydrating tend to have some form of Hyaluronic Acid in them which doesn't work for me. HA on dry skin in a dry environment tends to suck the hydration out of my skin.
@@Meg_I_am BOJ is very lightweight, almost watery, blends in immediately. The Skin1004 is semi-creamy, but has HA, so it is a bit shinier too. The Purito one is the creamiest, but blends in ok and it's hydrating. Depending on the weather and how I feel my skin I alternate them. None of them leaves a white cast (I am caucasian), my skin tolerates them all well and they are hydrating enough for my combination, rosacea prone, very sensitive skin.
One of my main triggers unfortunately is fatigue or exhaustion. Does anyone else has that trigger and have you found a way of dealing with that?
In Traditional Chinese Medicine, a symptom of “Yin Deficiency” is the ‘red butterfly rash ‘ across the cheeks and nose. This is exacerbated by lack of sleep, staying up too late, .. burning the candle at both ends, or resting when you need to etc.
I love and use Elta MD products. Daily I use Elta UV tinted Restore; and recently got Elta MD UV Sport, SPF 50+ body sunscreen. I do wear a hat when I walk the dog 2 - 3 days a week. I'm almost 80, so I have a dog walker 3 days a week; this really helps with my energy and stamina. I think we senior citizens should use all available sources that are available to us. Cheers! Love your channel!
I have Type I Erythematotelangiectatic Rosacea and have had it for years. Just signed up for my first IPL Laser treatment this August. I've changed my skincare regimen and have begun incorporating an azelaic acid derivative to condition my skin before I start using my prescription cream. I've also become very regimented about caring for my skin by using better, more hydrating products and largely sticking with fragrance free lines (I have a few guilty pleasures though I can't lie LOL). I've never used retinoids of any kind as I'm afraid of the retinization process (hate the feeling of peeling, red skin)
As for triggers, I hate sunlight anyway and keep myself covered at all times when outdoors during the daylight hours (which is almost constant this time of year in Alaska) and keep my home cooler than most people will. I like wine but have significantly cut down my intake. And though I hate the way it feels, I've forced myself to incorporate sunscreen (mineral) if I am going to be outdoors during peak daylight hours (always wear a giant visor and giant Rx shades regardless along with keeping my body covered in UV protective materials).
A major trigger for me is stress and light sensitivity (light eyes, mydriatic pupils). As soon as I'm upset or stressed about something I feel the heat rising to my face and the flushing sensation. In winter because stores keep the heat so high, I've actually been asked if I had a sunburn by cashiers because I turn so red. It's horrible and I'm sick of it. I have fair skin and would rather just stay pale than this red crap. I can thank my NW Euro ancestors for this LOL
Thankfully I don't have the pustules or swelling but I do have the redness and visible capillaries. Rosacea sucks lol
My skin is starting to look better. Plus because I've always stayed out of the sun, I have no wrinkles and very few lines at age 56. Moreover, I am now lacto-ovo vegetarian (seafood too at times) which means I'm eating much better.
I have acne type rosacea and my dr prescribed a sulfur cleanser and it is my holy grail - if I do nothing else at night I use my sulfur cleanser and I know that will keep my acne flare ups at bay
The idea of looking for personal triggers is so fascinating. I've just felt burning cheeks just being cold at home.
I've been using the Yes to Avocados cleanser, and it is LOVELY. I had zero expectations when I picked it up, but I think it's really helped keep my skin happy.
I have rosacea which is now under control with no flare ups. I was prescription Oracea, which I now don't take every day only Monday, Wednesday and Friday. I also use prescription azaleic acid. I also use Dr. Hauschka cream cleanser which is great at removing makeup.😊
So glad you stopped using makeup wipes every night! They can be very rough on your skin leading to irritation from both the wipe and the chemicals within and don't properly cleanse as well as a cleansing balm would (as I am sure you know!). We all have those nights where something is better than nothing, but I think it's much more beneficial for everyone's skin to not make it a habit.
My husband’s dermatologist had him on a prescription hydrocortisone cream for many years to treat his rosacea. My husband finally switched dermatologists after his doctor told him there was no other treatment for it. Imagine my husband’s surprise when his new dermatologist put him on Soolantra Ivermectin 1% cream and his rosacea cleared up….I mean totally cleared up!! He now has to use the Soolantra only once a week. Turns out the rosacea was a reaction to mites that we all have on our skin, that certain people react to. Always be your own advocate people. If you aren’t getting results with one doctor, find another!!!
In fact steroids are very bad for rosacea and can make it worse or trigger it, that's how I got mine... I'm blown away by the fact that a dermatologist could prescribe steroids for rosacea 😮.
@@liviusss that’s why I mentioned getting a second opinion with another doctor. I realize that there are various things that cause rosacea, but you would expect a dermatologist to know what they are and try different treatments.
What kind of rosacea did your husband have, that responded to Soolantra?
@@zzyyxxzzyyxx I don’t know the official medical name of his type of rosacea, but he had the kind that was caused by microscopic mites on the skin. The rosacea in his case, was his skin’s reaction to the mites living in his skin.
Thank you for saying you use laser treatment! This is something I've been looking into! I've had Rosacea since I was a teenager and never treated it. Hit my 30's and it went into massive overdrive! Now I am researching how to help calm it down!
Thanks for the double cleansing at night tip. I use CeraVe dry skin cleansing bar and their hydrating cleansing gel gel and they work great for me.
For me it was diet that got rid of my rosacea. Many years of being sold different products by dermatologists that did absolutely nothing ( these drs just making $). I even asked if diet could be the problem? And was told to just not eat spicy foods and no coffee. Eventually a relative introduced me to keto, which lead me to ketovore/ carnivore which basically removes most inflammatory foods. I now do not have rosacea flare ups and my skin no longer sunburns as it used to. All that inflammatory food had my skin very sensitive.
I too only cleanse at night and rinse with water in morning 😊👍🏻
Did you get a list of what to eat ? Thanks.
Can you do a video on how you were able to incorporate tretinoin into your routine with rosacea.
Has anybody had Rosacea that also affects the neck and chest (seems to be triggered possibly by sunshine exposure?)
I use cetaphil gentle cleanser & cerva hydrating cleanser!! My skin is totally good with it.
Along with the azelaic acid, I also use .05% tretinoin and take oral zinc, which I believe have both helped.
how much and what zinc do you take
Yes very useful video, God bless you for that, good intentions on guiding people yes blood vessels are embarrassing, I wonder how much is it
I use a K beauty 2nd cleanser that is very gentle and soothing - Make Prem Safe Me, relief moisture cleansing milk.
Such an informative video! I was diagnosed with rosacea about a year ago. I first noticed a pronounced redness to my cheeks in 2020. As a healthcare worker, I attributed this to the necessity a that time of wearing a mask 8-10 hours per day at my job. Fast forward to 2023, the redness and now pimples were still there. Glad to know some of the options available for rosacea maintenance. I've found the azelaic acid 15% topical to work wonder, also.
Ha! I’m having that burning weird facial feeling as I watch this vid! The weather change always gets me!! Haven’t had an outbreak of this since last spring
Just at the beginning of the video. Although I don't envy that you have struggled with rosacea, my mom's rosacea was much worse than yours! It was visibly worse, deeper red and all over, not just on the cheeks but also she said her skin would get hot and hard. She's allergic to so many things. When she would eat something she was allergic to (tomatoes so no Italian food and sesame so no Asian food with sesame oil in it) her rosacea would flare up. Thankfully, in a weird way, she was on the Atkins diet for a while and ate bacon and other fatty foods so she ended up with a lot of gall stones and had to very painfully pass a gall stone. She had to have her gall bladder removed which ended up clearing most of her rosacea! She can now enjoy some of the things she's allergic to as long as she doesn't over do it.
I typically have a mild rosacea and use the Azelaic Acid 15% in the morning and then metronidazole cream .75% in the evening along with my Retin A and I am happy with the results. That being said last night coincidently I had an evening meal of cod fish with an Asian sauce and about an hour later I had a very bad flare up on my cheeks. I had to apply cold compresses and Cortisone cream to calm everything down. I woke up this morning and all is well so I guess something in the sauce caused this flare up. I would love to know what does your skin look like after the laser treatments. That would be very interesting. I once had and it looked like someone had put a cigarette out on my skin for about 7 days. Please let us know and such great content, thank you.
Same, I also use azelaic acid, metronidazole cream and tretinoin as well. For makeup removal I use Farmacy Clearly Clean or micellar water and Ren Evercalm cleansing milk. Products I can’t use that others have loved: Anything from CeraVe(burns like a thousand bees), lactic acid/peptide products. The way peptides work by triggering your skins “trauma/repair” response is too much for my skin and sends it into overdrive. I also do only iced coffee/tea and keep a big cold pack in my fridge and apply to my face after I get out of the shower. That has helped a lot as far as heat triggers.
Isn't Cortisone a steroid cream? I thought steroids were terrible for Rosacea and can even cause it (ie steroid-induced rosacea). Or is it OK if you only use them occasionally?
Hi what A acid do you use? A lot of them pill and so using it in the a.m for me stinks bcuz I wear foundation
I use 15% Gel and no issues, I typically put on my sunscreen directly after applying the AA and then a primer followed by my foundation, no issues.@@Kiera_R
@@owlishroamer4041 good to read such informations Many thanks ..would you plz tell me thé Brand of azelaic acide and retinal you are using??
Indoor heating is the worst. I run hot and i turn into a tomato when I'm in other people's houses. I don't need anything above 18 or 19 degrees C inside. Sadly can't cut out alcohol because i don't drink already (doesn't taste good to me). I have never washed my face as a daily routine because I don't wear makeup (or sunscreen, which i probably should). I started applying moisturizer (only after I shower, so every other day) because of dry skin a few years ago. I sued effaclar H by La Roche Posay because of dry skin, but they changed the recipe I think, and now my face turns red when I use it
Laroche-pose gentle foaming face wash is MY HOLY GRAIL! It leaves my skin feeling so young, elastic, plumped, and not stripping AT ALL.
I've tried many products over the years and nothing seemed to make my skin happy other than selected products of Clarins, Clinique and Avene. I use Clinique Take the Day Off cleansing balsam as the first step of dubbel cleansing which cleans all the oil solubles including the sunscreen. For the second step, I use Clarins Soothing Gentle Foaming Cleanser (pink one with shea butter). Clarins also have calm-essential restructuring oil which helped me a lot. Because of extreme dryness, my skin doesn't absorb the products well, to hydrate better I use Gulsha rose water, as micellar water before applying my moisturizer. During the day, I use the Moisture Surge facial spray by Clinique multiple times to keep my skin moisturized. I use SPF day creme and night creme from one of the brands I've mentioned above based on the climate.
In general shea butter and rose water were bets for my skin and I need to avoid Aloe Vera at all costs.
Cofee makes me flare up. Luckily I stopped drinking in 2018 so its just coffee right now but have noticed Native Sunscreen and removal of ALL scented / fragrance items including body lotions really helps. I switched to Ponds lotion and ive noticed improvement in just a full week.
Coffee is definitely a trigger for me. Tea doesn't do it.
Wind sun cold heat, intense exercise. I do everything she’s mentioned , for years and I rarely have flare ups- and I do all
Of my triggers , I just am very conscious of skin care and protection and Retin A I also have used for years- just skip flare up weeks
I am beginning to suspect that I have rosacea. I cannot use many moisturizers I tend to have many facial cleansers that I cycle around to keep from getting allergic to them. I get swelling and then my face peels. Many times I don't know why but I tend to become allergic to things I have used for a long time.
The thing I hate about the avoid triggers advice is that my triggers are literally unavoidable. My rosacea flares up terribly any time I shower (even just luke-warm body showers), and when I eat: meat, dairy, anything acidic, alcohol, caffeine, spicy food, or anything hot. You geard that right, food that is WARM. I cannot live off of cold plain vegetables and never shower.
LRP all the way for cleansers. Biossance moisturizer (both cream and gel) are among my faves. My other fave is 21 peptides cream with pump.
Loved the eloborative video! The cleanser I use (as well as most of the other products of this brand), is 'the cleanser' from dr. Jetske Ultee, a Dutch cosmetic dermatologist. I also visit her clinic and my skin has never been this good (eczema and rosacea sensitive, fair skin tone)
How to know if it's rosacea or seborrheic dermatitis?
What are your thoughts on the red light face masks and devices for rosacea?
I was wondering that as well
Very helpful video thanks. My question - how do you go about re-applying sunscreen if you’re outdoors all day but you’re wearing makeup????
Ugh, think this is what I have, 45 and perimenopause has brought it this winter. My skin feels awful. 😢 I live in the UK, any tips?