What is rosacea and how can it be treated?

Do you suffer from redness on your face? Particular around your nose and cheeks? Maybe you even suffer from pimples and small dilated blood vessels on your face? You don’t know what to do about it? You feel a flush in your face when coming from the cold outside into the heated rooms? Warm feeling in your face after drinking red wine or alcohol is something you know! You try to avoid spicy food because you feel hot in your face? Have you ever heard something about rosacea? I will tell you all about it. Rosacea is an inflammatory skindisease. It is often mistaken for acne, an allergic reaction or other skin problems. Left untreated, rosacea tends to worsen over time, unfortunately. So, let me tell you what you can do to control your rosacea. By the way my name is Dr Liv Kraemer. I am a dermatologist with expertise in skincare, skincare routine and skin food. Read my tips about rosacea below and answer some questions about Rosacea:

Table of Contents

What is rosacea and how rosacea looks like?

Rosacea is a widespread skin condition. It causes redness on your face. Typically on cheeks and nose. We call it therefore butterfly pattern. The nose is the body and the cheeks are the wings. In the beginning rosacea is mostly just light redness which occurs particularly when coming from cold to warm rooms or changing quick from warm to cold environments. Particular in the winter time, when it is cold outside. A lot of people describing a “flush” by entering heated rooms.

Which is why rosacea starts out as a cosmetic problem but untreated can turn into a real skin condition.

In the second stage rosacea often produces small, red, puss-filled bumps. It’s exact cause is still unknown. The biggest triggers are sun exposure, extreme temperature changes, stress, heavy exercise, some cosmetics and skin care products as well as spicy food and/or alcohol consumption. Many people who have rosacea may just assume they have very sensitive skin that blushes or flushes easily.

How do I get rosacea?

The cause of rosacea is still widely unknown but research has shown that your genes, bacteria, trouble with your blood vessels and mites play a part. You are also more likely to suffer from rosacea if you are a woman between 30-50, have blond hair, light skin and blue eyes, have suffered from acne, smoke and already have a family with rosacea.

What is the main cause of rosacea?

The cause of rosacea remains unknown, although there are multiple theories about the diseases origins. Such as: Facial blood vessels may dilate too easily, and the increased blood near the skin surface makes the skin appear red and flushed. Enviormental triggers can increase this redness response, red acne like bumps may appear beacuse of bloodflow related diseases.

Is acne and rosacea the same?

Acne and rosacea are not the same. People that suffer from rosacea may experience acne like bumps on their skin.

What does rosacea look like?

Rosacea often appears in the central region of the face, mainly the forehead, cheeks and the lower half of the nose. People with light skin tend to get pink facial skin and red blotches. Many people don’t even realize they have to consult a dermatologist. It is often mistaken for sunburn or rosy cheeks.

Can rosacea come and go?

Definitely! Rosacea flare-ups come when something triggers your skin and goes once it calms down.

What types of rosacea exist?

4 types of rosacea:

  • Phymatous rosacea – It’s characterized by thickening skin
  • Papulopustular rosacea – You receive pimples, bumps and redness
  • Erythematotelangietatic rosacea – You have blood vessels and facial redness
  • Ocular rosacea – You get red and puffy eyes

What is the best treatment for rosacea?

Many people don’t even realize that they have rosacea. They sometimes even do not know that they have to treat their skin or visit a doctor. It can’t be cured but there are solutions! Maybe you have to change your diet to avoid the irritated skin. Maybe you have to rethink your skincare. Ask your dermatologist what to use and what to stay away from. Look at the dos and don’ts below.

A common skin treatment is a great skincare regime with the right ingredients. A light therapy or for the big visible vessels a IPL or laser treatment could be helpful. This method helps to reduce the visible vessels by targeting the red blood cells in the vessels, heating them and therefore gluing the vessel walls together. By this method the appearance of the blue and big red vessels can be reduced. A red light therapy reduces the inflammation and even the skin tone.

Can rosacea be cured?

Rosacea can not be cured there are however multiple ways to deal with the skin condition and minimize the symptoms:

  • Visit your dermatologist and use the products/medicine they prescribe
  • Adjust your diet accordingly
  • Light therapy can help minimize symptoms
  • A consistent skincare routine customized by a dermatologist

How do I stop rosacea?

There is no cure for the skin condition but there are certain things you can do. The sooner you treat your rosacea, the higher is the chance that the condition won’t get any worse, which is why if you have even the slightest suspicion of rosacea consult with your dermatologist.

Am I the only one who suffers form rosacea?

No, unfortunately not. In Germany over 4 million people also suffering rom rosacea. You can not treat it, but you can get it under control. Ask your dermatologist for help. There are a lot of things you can do in your own beauty routine on a everyday basis. In combination with medication, you can live with it without getting bother from it anymore.

Can rosacea affect the eyes?

About 60% of patients that suffer from rosacea are also affected by so called ocular rosacea. Which is why it’s important to immediately get your eyes checked, if you feel like your eyes are unusually dry. Warning signs are also inflammation of the eyelid margins and conjunctiva.

Can rosacea spread?

Usually the skin on the face is affected by rosacea but in some cases it can spread to neck, chest, ears, eyes, scalp and back.

Rosacea how to treat?

Unfortunately, there is NO PILL that will make your rosacea magically disappear. But there are multiple treatments to help with flareups. Creams, or gels your dermatologist will prescribe. If however your rosacea is severe and creams won’t help, sometimes antibiotics or Vitamin A medications are prescribed and can get your rosacea under control. But remember, most of the time you get born with it and you die with it. You will not heal it, but you can get it under control!!

Rosacea when breastfeeding?

Breastfeeding does not trigger your rosacea. However some medications shouldn’t be used while breastfeeding. But of course the stress during breastfeeding and your hormonal changes can make it worse. Please, it is vital to consult your dermatologist.

Why is rosacea so hard to treat?

  • Limited research on the topic and cause
  • Treatment often requires good knowledge about your skincare products and how to use it
  • Treatments needs good education and time

Can rosacea cause acne?

Rosacea does not cause acne. Although it does cause acne like bumps and pimples that resemble acne. So some people get diagnosed with acne but do have rosacea. So see if the trigger factors are affecting your skin. Look for such called commedons (black heads) as these guys are just visible if you have acne. But of course you also could have both. Please do not experiment, ask your dermatologist in your city, what is possible to get the inflammations under control.

Rosacea what can I do?

  • USE sunscreen with at leaset SPF 30 EVERY DAY..and with day I mean day..just quick reminder: “day is sun, night is no sun”… in the winter and inside too…watch my Youtube Video about it.
  • Use light gels or lotions
  • Get your skincare in order: less is more
  • Stay out of the sun

Visit your dermatologist, know your triggers and consider medical or light therapy.

Rosacea what not to do!

  • Do not use fatty creams
  • Do not scrub
  • Do not use harsh ethereal oils
  • Avoid organic skincare with essential oils
  • Do not use toners use sunscreen EVERY single DAY

Will my rosacea get worse?

If you don’t treat your rosacea as soon as possible your symptoms could get worse. It is also vital to know what triggers your flareups.

Which foods trigger rosacea?

  • Spicy foods and ‘hot’ spices like paprika, cayenne, cumin and black pepper
  • Dairy for example yoghurt, cheese and sour cream
  • High histamine foods like citrus fruits, tomatoes, chocolate and vinegar
  • Sugar
  • Alcohol (particularly red wine, champagne and beer)
  • Hot drinks, including tea, coffee and hot chocolate

Which food does help against rosacea?

  • Vegetables like asparagus, cucumbers, sweet potatoes, leafy greens, pumpkins, broccoli, cauliflower, celery, okra, lettuce, green beans and zucchini
  • Some spices like coriander, cardamon, saffron, fennel and tumeric
  • Salmon, which contains omega-3s is a superfood for anti-inflammation and ise incredible for decreasing redness
  • Goat cheese is a good source of protein but easy to digest and acts as an anti-inflammatory
  • Turkey or chicken, in moderation
  • Non-citrus fruits like grapes, melons and mango

What makes rosacea worse?

Since the cause of rosacea is still a mystery its important to your triggers. Some common triggers include:

  • Drastic weather changes
  • Alcohol
  • Spicy food
  • Certain Skincare and Makeup products
  • Smoking
  • Stress and axiety

Rosacea what helps:

  • Use sunscreen every day! You have to protect your sensitive skin!
  • Try to avoid stressful times! Do yoga or meditation, it reduces stress and is good your body as well.
  • Avoid alcohol! It has a bad impact on your skin!
  • Spicy food can irritate your gut! This may be a reason for a bad skin condition.
  • Don’t use greasy and fatty lotions and try to avoid essential oils or perfume. Have a look at the ingredients or ask the pharmacist.

If you would like to learn more about skin health, skin aging and beauty treatments, request a consultation. Click here for a personal consultation with Dr.Liv.

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Thanks for your support, maybe with a comment.


Dr Liv 💕