Many people with rosacea notice certain triggers make their symptoms worse. Although it's not always practical or possible, taking steps to avoid these triggers can help reduce the severity and frequency of your symptoms.
If you're not sure whether your symptoms have a specific trigger, it may be useful to keep a diary to identify whether your symptoms get worse depending on things like the activities you do and foods or drinks you have.
Advice about how to avoid some common triggers can be found below.
As sunlight is the most commonly reported trigger of rosacea, you should use sun cream whenever possible, even when it's overcast.
A sun cream with a sun protection factor (SPF) of at least 30 is recommended. A broad-spectrum sun cream that protects against UVA and UVB light should be used.
Using sun creams specifically designed for children may help reduce skin irritation. Covering exposed skin with clothes or a sun hat may also help.
Try to minimise your exposure to the sun during the summer months, particularly in the middle of the day when the sun is at its hottest.
But remember, sun can also be strong in the morning and evening, so take adequate precautions at these times as well.
Stress is also a commonly reported trigger of rosacea. Successfully managing your stress levels can help control your symptoms.
Ways you can reduce stress include:
- learning relaxation techniques, such as deep breathing exercises, meditation and yoga
- taking regular exercise
As strenuous exercise can sometimes make rosacea symptoms worse, a low-intensity exercise programme, such as walking or swimming, may be better than high-intensity activities, such as running or aerobics.
Read about stress management.
Food and drink
Some of the most commonly reported food- and drink-related triggers are alcohol and spicy foods. You may want to try completely removing these from your diet to see if your rosacea improves.
But there are many other dietary triggers that can also affect some people with rosacea.
It's a good idea to include information about how your diet affects your rosacea symptoms in your rosacea diary.
Covering your face and nose with a scarf can help protect your skin from cold temperatures and wind.
If you need to spend considerable time outside during cold weather, protect your face with a balaclava.
The advice below about skincare techniques may also help control your rosacea symptoms.
- Gently clean your skin every morning and evening using a gentle, non-abrasive cleanser – use soap-free cleansers with non-alkaline or neutral pH. Avoid scented soaps and alcohol-based skin cleansers.
- Rinse your face with lukewarm water and allow skin to dry thoroughly before you apply medication or make-up.
- Look for products suitable for sensitive skin – these are usually described as mild, hypoallergenic, fragrance-free and non-comedogenic (will not block pores).
- Use a moisturiser to soothe skin if it feels sore.
- Avoid oil-based or waterproof cosmetics requiring solvents for removal – use water-based make-up and skin products instead.
- Avoid astringents, toners and other facial or hair products that contain ingredients that might irritate your skin – such as fragrances, alcohol, menthol, witch hazel, eucalyptus oil, camphor, clove oil, peppermint, sodium lauryl sulphate and lanolin.
- You may want to avoid using anything on your skin that you aren't sure of – you can then gradually reintroduce products once your symptoms have been treated and cleared to see if you can use them again without any problems.
- Men may find that using an electric razor, rather than a blade, helps reduce skin irritation.
- Some people find regular gentle facial massage reduces swelling (lymphoedema).
- Don't use steroid cream unless you're specifically instructed to by your GP – it may make your symptoms worse.
It may be possible to disguise patches of persistent red skin using specially designed camouflage make-up.
The charity Changing Faces offers a skin camouflage service, available nationally and free of charge, to help with the use of these creams.
Your GP or dermatologist can refer you to the skin camouflage service and prescribe skin camouflage make-up.
If your eyelids are inflamed as a result of rosacea (blepharitis), cleaning your eyelids every day with warm water and a small amount of cleaning solution can help ease your symptoms.
Avoiding eye make-up can also help reduce your symptoms, but if you do choose to wear eye make-up, make sure it is a type that washes off easily so you can still clean your eyelids.
Read about treating blepharitis.