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By The National Rosacea Society | Contributor
While individuals suffering from rosacea now have access to more treatment options, dermatologists emphasize that proper skincare is crucial to enhance the effectiveness of these treatments. The National Rosacea Society (NRS) has declared April as Rosacea Awareness Month to raise public understanding of this chronic skin condition that is estimated to impact over 16 million Americans. They urge anyone who suspects they have rosacea to consult a dermatologist for correct diagnosis, treatment, and advice regarding gentle skincare.
Importance of Skincare in Rosacea Treatment
“Skincare and cosmetics play a frequently overlooked yet essential role in managing rosacea,” stated Dr. Hilary Baldwin, an associate professor of dermatology at Rutgers Robert Wood Johnson Medical School and a member of the NRS medical advisory board. “Utilizing gentle cleansers, moisturizers that help maintain the skin’s moisture barrier, and sunscreens that prevent rosacea flare-ups can complement and even enhance medical treatments.”
The primary indicator of rosacea is persistent redness in the center of the face—specifically on the cheeks, nose, forehead, and chin. This redness may be associated with sensations such as itching, burning, or stinging, and those affected might surface bumps or pimples or develop small visible blood vessels on their skin. Before receiving a diagnosis, many rosacea patients often resort to skincare products and cosmetics to mask or treat these symptoms, confusing them with a sunburn or acne.
Potential Negative Effects of Incorrect Products
However, many of these approaches may exacerbate the condition. Harsh cleansers, certain acne medications, and even traditional bar soap can irritate or dry the skin and impair the moisture barrier. Prolonged usage of topical whitening or lightening creams can lead to a painful condition known as steroid-induced rosacea. Furthermore, numerous gentle skincare and cosmetic products can contain components that may trigger rosacea flare-ups.
In a survey conducted by the NRS involving 1,104 rosacea patients, 82% indicated that specific skincare products and cosmetics worsened their condition, while 70% identified particular ingredients that irritated their skin. Among the most common irritants were astringent alcohol (63%), fragrances (57%), witch hazel (31%), and menthol (30%). Approximately 25% of respondents found that peppermint or eucalyptus oil, dyes and pigments, sulfates, and parabens or other preservatives had negative effects on their skin.
“The right skincare products and cosmetics can help reduce the visibility and impact of rosacea, but poorly chosen items can aggravate the situation,” Dr. Baldwin advised. “Fortunately, numerous products designed for sensitive, rosacea-prone skin avoid harmful ingredients that could trigger flare-ups. These can be beneficial when used alongside prescribed therapies and procedures that directly address the signs and symptoms of the condition.”
Updated Management Options for Rosacea
The National Rosacea Society Expert Committee released updated management recommendations for rosacea in 2019, incorporating suggestions for gentle cleansers and nonocclusive moisturizers that do not irritate the skin. As sun exposure can significantly contribute to flushing and redness, patients are encouraged to consistently apply sunscreen, particularly mineral-based options featuring zinc oxide or titanium dioxide, since they offer physical protection rather than potentially irritating chemical alternatives.
The best outcomes are achieved when patients collaborate with their healthcare providers to determine suitable therapies and track their progress.
Dr. Hilary Baldwin, associate professor of dermatology at Rutgers Robert Wood Johnson Medical School
Recently, the NRS introduced a new Seal of Acceptance program to identify skincare and cosmetic products that may effectively cater to individuals with rosacea. More details on the Seal and a list of approved products are available online at rosacea.org/seal-of-acceptance.
Throughout Rosacea Awareness Month and beyond, the NRS will engage in public education initiatives aimed at reaching the millions of rosacea sufferers who may be unaware that their condition is treatable. They emphasize recognizing warning signs and encourage those who believe they may have rosacea to consult a dermatologist.
Educational resources can be accessed through the NRS website at rosacea.org; by calling the NRS toll-free number at 1-888-NO BLUSH; or through email at info@rosacea.org.
What is Rosacea?
Rosacea is a chronic facial skin disorder often characterized by cycles of flare-ups and remissions. As per the updated standard classification of rosacea, the presence of ongoing facial redness, or in less common cases, thickening of the skin, is diagnostic of the disorder. Additional primary signs often accompanying these features include papules (bumps), pustules (pimples), flushing, visible blood vessels, and specific eye-related symptoms. The presence of two or more major features, independent of the diagnostic signs, is also considered diagnostic for rosacea, with secondary signs and symptoms involving burning sensations, swelling, and a dry appearance.
About the National Rosacea Society
The National Rosacea Society is the foremost organization dedicated to enhancing the lives of the estimated 16 million Americans affected by this prevalent yet often misunderstood disorder. Its mission encompasses raising awareness about rosacea, providing public health information about the condition, and supporting medical research that may lead to advancements in its management, prevention, and potential cure. Further information can be found at rosacea.org.
References:
- Thiboutot D, Anderson R, Cook-Bolden F, et al. Standard management options for rosacea: the 2019 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol 2020;82(6):1501–1510. doi:10.1016/j.jaad.2020.01.077
- Gallo RL, Granstein RD, Kang S, et al. Standard classification and pathophysiology of rosacea: The 2017 update by the National Rosacea Society Expert Committee. J Am Acad Dermatol 2018;78(1):148-155. doi:10.1016/j.jaad.2017.08.037
