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 Rosacea skincare

At the Milecross Clinic we have a range of products to help reduce the signs of Rosacea

What is Rosacea?

Rosacea is a skin condition that affects parts of the face. Symptoms can include facial flushing, facial redness, spots, thickening of the skin, and eye problems such as dry eyes and sore eyelids. Not all symptoms occur in all cases. Rosacea affects about 1 in 10 people in the UK, usually in middle age.  Rosacea is not usually painful or itchy. However, in some cases there may be a burning feeling over the affected skin. You do not usually feel ill with Rosacea, and serious complications are uncommon. However, Rosacea can be unsightly and distressing.

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Around 1 in 10 people in the UK are thought to develop Rosacea. This is a lot of people, but many cases are mild. Symptoms may first appear in your early 20s, but the usual age that symptoms appear is in your 30s-50s. Rarely, Rosacea can affect children. Women are more commonly affected than men. However, Rosacea is often less severe in women than in men. Rosacea is more common in fair-skinned than dark-skinned people.

what are the symptoms of rosacea?

Recognise the signs.

redness and flushing

...mainly across nose and cheeks plus broken capillaries

acne and redness

...papules and pustules which can be confused for acne breakouts

thickening of the skin

...often with associated bulbosity and redness of the nose

ocular rosacea

...symptoms affect the eye including dryness, itching and sensitivity to light



  • Triggers like sunlight, extremes of temperature, spicy food, alcohol, certain skin creams, skincare products with high chemical/perfume levels, strenuous exercise and stressful situations.
  • Overgrowth of certain naturally occurring organisms living on the skin are seen in Rosacea patients.
  • A reduced skin barrier function with increased sensitivity and abnormal immune response and inflammation.
  • Genetics may also be involved as Rosacea may run in some families.

What are the common treatments for Rosacea?

 Reduce exposure to triggers

There is no permanent cure for Rosacea. There is nothing you can do to prevent Rosacea from starting. However, treatments can ease the symptoms. The treatments used may vary, depending on what symptoms develop.

Treatment may need to be adjusted over time depending on your response to treatments, and if you develop different symptoms. General measures:

  • Avoid strong sunlight to the face. Sunlight is thought to make symptoms worse. Use a sunblock cream on the face, with a high protection factor (30 or higher and with ultraviolet A (UVA) and ultraviolet B (UVB) protection). A wide-brimmed hat will also help to protect your face from the sun.
  • Use simple skincare products. If you have dry skin, you can try a hypoallergenic, non-perfumed and non-greasy cleansers, moisturising creams and sunscreens. Also, you should generally avoid using any steroid creams (unless advised by your doctor) or other abrasive creams on your face. Men may also find that using an electric razor rather than shaving with a blade helps their symptoms. 
  • Treatment for facial flushing.  Extremes of temperature (in particular, excessive heat), alcoholic drinks, strenuous exercise, stressful situations, sunlight, spicy food, hot drinks can often trigger bouts of flushing, or make the flushing worse so avoiding them is sensible.
  • Treatment for facial redness and telangiectasia(visible blood vessels). Camouflage creams can help to cover and conceal erythema and telangiectasia.  Vitamin C serums can help reduce redness and visible blood vessels/capillaries as they have antioxidant abilities.  Another option which is becoming more popular is light or laser therapy. Briefly, a laser or very bright light of a certain wavelength can destroy tiny blood vessels under the skin but without damaging the nearby tissue. This can remove telangiectasia and improve erythema. Your doctor or skin specialist will advise if this is an option for you.


Antibiotic treatment to reduce inflammation and commensal organism growth for spots and cysts (papules and pustules). 

  • They usually work well, but it is not clear why they work, as there is no proven bacterium (germ) that causes Rosacea. Some antibiotics reduce inflammation in the skin as well as killing bacteria and this may be why they work for Rosacea. A topical (rub-on) antibiotic called Metronidazole is the common treatment if you have just a few small spots.  Ask your practitioner about this. 

Topical prescribed Retinoids are an alternative to topical antibiotics to treat mild-to-moderate spots and improving immune response. 

  • Ask your practitioner about these.  However, some people find that they can cause side-effects such as burning, stinging, itching, scaling, and dry skin. If you do not respond to any of these treatments, other therapies are sometimes tried in specialist clinics with a dermatologist.

Improving the skins barrier with hydration and regulation of its lipid (fatty) levels.

  • This can reduce sensitivity and allow products to be better tolerated.

Chronic or long standing Rosacea should be attended to by a dermatologist.


  • We can provide skincare products for you that are simple and well tolerated by sensitive skins.

Obagi's Gentle Cleanser, Hydrate Facial Moisturiser and Sunshield Matte are all very well tolerated by Rosacea skin.

  • Trigger protection.
Daily non greasy sunscreens that have low chemical content will reduce the irritation that sunlight can cause.  Obagi's Sunshield is partly physical/mineral and partly well tolerated chemical content.
  • Skin hydration and skin barrier strengthening.
Obagi's Hydrate Facial Moisturiser and Epionce's Renewal Moisturisers tackle this.
  • Reduce inflammation.
Obagi's Professional-C serums reduce inflammation but need to be introduced at a stage after simple products are acclimatised to.
  • Ask your Milecross practitioner about prescribed Retinoids to improve immune protection.
  • Topical antibiotics
Ask your Milecross practitioner about Metronidazole to reduce inflammation and tackle naturally overgrown organisms.

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