Rosacea, literally means “red as a rose” in Latin. It can be recognized by a striking red color of the nose, cheeks, forehead and chin. In addition, accompanied by pimples, bumps and thickening of the skin.

Rosacea occurs later in life than pimples, usually between the ages of 30 and 60 and especially in women.

On this page you will find the following information about rosacea:

Alles Over Rosacea Huid Darmklachten

Written by Francis Wu

Published 14 September 2022

Modified July 8, 2024

Dr. Francis Wu on rosacea

Below explains Dr. Francis Wu briefly about the complaints, causes and tips that you don’t often hear.

Tips when you have rosacea

Below you will find tips from Dr. Francis Wu

Tip: avoid certain cosmetic ingredients

Certain skin care routines can exacerbate rosacea, a 2000 study found for both men and women.

Women: fruit acid peels, aggressive toners/cleansers, soap, make-up, perfume, hair sprays

Men: Soap, After shave cologne, shaving lotion, chemical sunscreen.

Tip: Omega-3 supplement against dry eyes

If you suffer from rosacea and dry, burning, itchy irritated eyes, blurred vision and a grain of sand feeling, it may make sense to take an omega-3 supplement.

Research has shown that taking an omega-3 capsule (360 mg EPA/240 mg DHA) twice a day for three months improved dry eyes.

You can possibly combine the supplement with artificial tears for extra relief.

Tip: UV sun protection

Sun exposure was cited as one of the top triggers for rosacea flares by 81 percent of patients in a survey by the National Rosacea Society.

There are two different ultraviolet radiation (UV) that reach the Earth’s surface. Those are UVA and UVB rays.

UVA rays are present with relatively equal intensity during all daylight hours throughout the year, and can penetrate clouds and glass. These UVA rays make up the largest part of the ultraviolet radiation, so more than UVB.

UVA rays are not felt on the skin. These rays cause free radical formation in the dermis, which destroys your collagen and elastic fibers.

3 x UV(A) – Asymptomatic (doesn’t feel it), Always present, Aging of the skin

UVB rays

UVB penetrates into the superficial epidermis and is responsible for our vitamin D production. So for a slow and longer lasting tan. Too much UVB causes redness, sunburn and eventually also skin aging and skin cancer. Unlike UVA, UVB does not penetrate glass. UVB radiation can be up to 1000x stronger than UVA rays.

Advice: Mineral sunscreen with both zinc oxide and titanium dioxide (SPF30) and also day cream with UVA filter. Especially UVA sun rays play a prominent role in the Netherlands. It turns out that UVA and visible light amplify each other and cause redness on fair-skinned people.

Rosacea, Rimpels Anti-Aging, Daycream Uva Filter, Minerale Zonnebrandcreme, Spf30
Alles Over Rosacea Huidziekte Allergie Darm

Tip: red rosacea face

Redness, flushes and burst blood vessels can also be cosmetically annoying in addition to burning.

What are the tips for this:

  • Camouflage or with anti-redness green cream. The green dye in the cream masks the redness.
  • Vascular laser treatment, with a special laser the vessels are burned closed. My tip is to do a small test spot first to see how your skin reacts to this and have the treatment take place in the autumn or winter period.
  • There is a gel on the market that reduces redness and flushes. Mirvaso gel is not reimbursed and can only be obtained with a doctor’s prescription. The active substance is brimonidine and works within 30 minutes by reversibly constricting the blood vessels.

Tip: skin care ingredients suitable for rosacea

Choosing skin care products with specific ingredients can help relieve and soothe rosacea symptoms:

Here is a summary of cosmetic ingredients in skin care (review on this)

  • Ginkgo biloba
  • Aloe vera
  • allantoin, from wheat
  • feverfew (motherwort)
  • Glycyrrhiza inflata (licorice root)
  • Green tea
  • Silybum marianum (Silymarin) – mariadistel
  • Chrysanthemum indicum
  • Quassia amara extract (bitterwood or Surinamese quassia)
  • Kinetine
  • Ectoine
  • Niacinamide (vitamin B3)

Azelaic acid is also frequently publications mentioned for the treatment of rosacea. Dr. Wu’s experience: it is a good alternative for the treatment of rosacea. But in people with tinted skin, it is poorly tolerated and causes more skin irritations such as redness, burning and pigmentation.

Advice: first apply to a small piece of skin once a day to assess how you react to it.

Iconic Elements Award winning Spotreducer contains Niacinamide & Ectoine.

The best products for your skin with rosacea

Choosing the right skin care products is important for people with rosacea, as this skin condition is associated with sensitivity and redness that can be worsened by certain ingredients. Choose products that help soothe and protect the skin without damaging the barrier. Look for products that contain anti-inflammatory and moisturizing ingredients, and avoid harsh ingredients like alcohol, retinol, fruit acids and other irritants. A gentle approach with specific, targeted skin care can help manage rosacea symptoms and improve skin condition.

1. Calming Cream: This cream contains marshmallow root and avena sativa (oats), ingredients known for their soothing and anti-inflammatory properties. Another key element, ectoine, helps protect the skin from environmental stressors and promotes hydration, which is crucial for the disrupted skin barrier often seen in rosacea.

2. Spotreducer cream: Enriched with niacinamide and ectoine, this cream not only provides benefits for reducing hyperpigmentation but also helps soothe redness and irritation. Niacinamide is known for its anti-inflammatory properties, making it an excellent choice for addressing rosacea symptoms such as redness and uneven skin tone.

3. Cleansing Milk Step 1: This mild cleanser, free of alcohol, has been specifically developed to gently cleanse the skin without removing essential oils. Avoiding alcohol in skin care products is important for rosacea sufferers, as alcohol can dry out and further irritate the skin, worsening symptoms.

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Frequently asked questions about rosacea

Experts don't yet know the exact cause of rosacea, but there's no evidence that it's contagious. You cannot pass on rosacea to other people by touching them, through towels, shared make-up items or shared cosmetics, skin care products.

Both acne and rosacea cause redness, bumps, and pimples on the face. The redness of acne is usually just around the pimple, while the redness for rosacea usually covers a large area. Acne also has more blackheads and clogged pores than rosacea. With rosacea, there is often an area without redness around the eyes.

However, a recent study of 82,737 American women found that alcohol increases the risk of rosacea. The researchers investigated whether it made a difference what the women drank. The biggest culprits appeared to be white wine and liquor.

More than 5 glasses of white wine per week gives an increased risk of 49% in women!

Researchers have found that one to three drinks per month increases the risk of developing rosacea by 14 percent. Drinking five or more glasses of white wine a week increases the risk by 49 percent. Red wine and beer seem to be a safe alternative.

In men, it has not been studied.

The temptation is great to squeeze a pustule or to scrub away a pustule area. Squeezing a pustule can cause not only some of the contents to come out, but also inadvertently push some of it in deeper. This can lead to more inflammation and even scarring.

Exfoliating on rosacea skin can lead to more skin irritation and burning.

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