Best Skincare Routine for Rosacea-Prone Skin

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Dr. Adam Aldahan

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9/16/2025

Rosacea is a chronic skin condition that affects an estimated 16 million Americans, leading to persistent redness, visible blood vessels, and in some cases, acne-like bumps. While there is no cure, a consistent and gentle skincare routine can greatly reduce flare-ups and improve overall skin health.

Start with a Gentle Cleanser

Cleansing daily is important for general skin hygiene, but harsh or foaming cleansers can strip the skin and increase irritation. The National Rosacea Society recommends using a mild, non-soap cleanser that maintains the skin barrier. Rinsing with lukewarm (not hot) water helps avoid dilating blood vessels to prevent flushing. Fragrance-free formulas are best for sensitive skin.

Moisturize Consistently

A healthy skin barrier is critical in preventing flare-ups. Moisturizers designed for sensitive or rosacea-prone skin help lock in hydration and protect against environmental irritants. Look for ingredients such as ceramides, hyaluronic acid, and niacinamide, which support barrier repair and reduce inflammation. Avoid heavy occlusive products that may feel greasy, and instead choose lightweight creams or lotions labeled as non-comedogenic.

Sun Protection Every Day

Sun exposure is one of the most common rosacea triggers, with studies showing that over 80 percent of patients report flare-ups linked to UV exposure. Daily sunscreen use is therefore an essential part of daily skincare for anyone suffering from rosacea. Choose a broad-spectrum, mineral-based sunscreen containing zinc oxide, as these are less likely to irritate sensitive skin compared to chemical sunscreens. Products with added tint can also help neutralize redness while providing protection.

Avoid Harsh Exfoliants and Irritants

Mechanical scrubs, chemical peels, and products with high concentrations of alcohol or menthol can worsen redness and irritation. The American Academy of Dermatology advises against abrasive exfoliation, which can disrupt the already fragile skin barrier in rosacea patients. Instead, gentle resurfacing ingredients like azelaic acid or low-strength niacinamide may be tolerated under a dermatologist’s guidance.

Consider Other Dermatologist-Recommended Treatments

In addition to over-the-counter products, dermatologists often recommend prescription options such as topical metronidazole, azelaic acid, or ivermectin to manage inflammation and bumps associated with rosacea. Light and laser therapies are also commonly used to reduce redness and visible blood vessels by targeting dilated capillaries.

A board-certified dermatologist can help determine the best approach depending on the type of rosacea, symptom severity, and personal skin sensitivities. For patients in South Florida, you can explore specialized care at Palm Beach Dermatology with our rosacea services page.

Track Your Triggers

Not all rosacea triggers are external, but skincare products and environmental exposures are among the most frequent. Keeping a diary of flare-ups can help identify whether certain products, climate changes, or daily habits may worsen symptoms. For example, hot showers, strong winds, and skincare products with alcohol or fragrance are all well-documented triggers. Identifying patterns makes it easier to eliminate or adjust products without overhauling your entire routine.

Summary

Managing rosacea-prone skin requires consistency, patience, and a focus on gentle care. A proper routine includes mild cleansing, daily moisturizing, and vigilant sun protection, while avoiding harsh scrubs or irritating ingredients. Professional treatments may be needed for more persistent symptoms, and a dermatologist can create a customized plan for long-term results. By identifying triggers and protecting the skin barrier, it is possible to reduce redness, calm irritation, and improve overall skin appearance.

Dr. Adam Aldahan is incredible! Extremely knowledgeable and has great bed side manners. I was so impressed by him that at the end of my apt I even made APs for my son and husband!

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