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  • Q&A with Australian Health Practitioners

    How to treat the redness from rosacea?

    I am very self-conscious about the redness on my nose and cheeks from rosacea. What's the best way to cover up the appearance? Is it ok to use make up or could that irritate my skin and make it worse?
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  • 10

    Thanks

    Dr Richard Beatty

    GP (General Practitioner)

    Brisbane GP With Special interest in Complex Medical, Men's health, antenatal, paediatrics. Skin Cancer Clinic Designated Aviation Medical Examiner Specific interests in Vasectomy, Dermatology & … View Profile

    It's crucial to avoid UV light ie. use sunrotection wherevever possible. UV light makes the redness worse (some people try to get a tan to make the redness less visible but unfortunately this has the oppositive effect). Avoid other personal triggers (individual onces can be picked up by keeping a diary eg. spicy food, hot humid weather, wind, stress, alcohol). There is usually something that can be done about individual triggers so it's not just academic.

    Makeup - avoid makeup with things like alcohol, witch hazel, menthol, peppermint, eucalyptus oil or clove oil. Avoid fragrances in the products if you can, and you can use spot application of makeup to hide red areas (green tinted prefoundations) followed by a skin tone foundation.

    Laser can be used to reduce the redness caused by permanent flushing which is in itself caused by dilated blood vessels. In terms of treatment, this is usually the most effective for this type of rosacea. However, there is very recent evidence from a preliminary small trial that topical ibuprofen gel can help reduce flushing (the trial did not specifically look at rosacea but a history of previous or current flushing is often part of rosacea, I only mention it because it's simple, available over the counter, and unlikely to do any harm and might help - so worth a go for people with just the flushing type of rosacea).

  • 7

    Thanks

    Dr Christina Tan

    Cosmetic Physician

    Look Your Best Without Surgery. Melbourne Cosmetic Medicine is a dedicated cosmetic medical clinic, specialising in non-surgical cosmetic enhancement using the most popular Anti-Wrinkle Injections, … View Profile

    The redness of rosacea can be embarrassing. Minimise the redness by avoiding your triggers and using skincare products for sensitive skin that does not contain alcohol.

    Choose a mineral sunscreen containing zinx oxide or titanium dioxide for sun protection. Sunlight exposure triggers and worsens the redness. The redness can also be camouflaged with mineral make-up that is less irritating for sensitive skin.

    Medical treatments like topical or oral antibiotics can help suppress the redness but do not cure the rosacea. The redness rebounds when the medications are ceased.

    There is a new breakthrough product called Mirvaso (Brimonidine) gel that can provide relief of persistent facial redness for up to 12 hours. It starts working within 30 minutes by reducing the excessive blood flow that is associated with the rosacea redness.

    The most effective treatment for the persistent redness and broken capillaries is a series of broad band light or vascular laser treatments. Roscaea can recur following laser treatments, and further treatments maybe necessary.

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