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Rosacea Skin Care Dermatologist Review
Rosacea is the number one cause of sensitive skin. Skin care in rosacea patients has to be simple, yet precise as the threshold for skin irritation is low. Pimples and pustules can lead to compromised barrier function, further worsening skin sensitives. A few hints in regards to rosacea skin care include
1. Use low irritant topicals: everything from cleanser to moisturiser. Obagi and La Roche Posay make excellent cleansers and moisturisers, as does Cerave.
2. Physical sunscreens with zinc and or titanium dioxide provides the best SPF protection with minimal irritation. Invisible Zinc is my favourite.
3. Skin care actives should be carefully titrated. A sensible step would be addition of retinol once a week, increasing as tolerated. Formulations from Environ or Obagi are usually more cosmetically elegant compared to The Ordinary. If your skin can tolerate retinol, consider B3 niacinamide. This topical can reduce skin inflammation. Good vitamin C formulations have a pH of 22.5, not a good idea if you have 'angry skin.'
4. Rosacea specific topicals include metronidazole, ivermectin, sulphur, sodium sulphacetaminde, topical erythromycin and azealic acid. Discuss these option with your physician or your medical dermatologist.

In the context of skin rejuvenation and repair, I prefer lasers over topicals/chemical peels. Less side effects with the added benefit of targeting red skin.Vascular lasers in the wavelengths of 532, 585, 595, 755, and 1064 can target haemoglobin, in turn decreasing redness. I currently use the older V Beam, Alex 755 Syneron, VBEAM Prima 595, Scition 1064, Prima 1064, Lumenis 1064 in paint or traditional mode. Occasionally BBL or IPL with red filters are employed in the management of rosacea.

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Thanks for viewing, Davin S. Lim @cliniccutis
Brisbane. Australia

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