Rosacea is a difficult condition but not the worst affliction and it can be controlled. Bear in mind a multi pronged approach is best. No one ingredient is going to achieve the best outcome and this is why people have such success with MISMO routines. We attack on several fronts.  Some general guidelines:

1. Protect your skin from the sun. Sun exposure is one of the most common causes of rosacea flare-ups. Even people with dark skin tones can have a flare-up after being outdoors in the sun. To protect your skin, seek shade and wear protective clothing, including a wide-brimmed hat and sunglasses with UV protection, whenever possible. In addition, apply a broad-spectrum sunscreen with an SPF of 30 or higher to all exposed skin every day you’re going to be outside. Make sure the sunscreen is fragrance-free, and look for the active ingredients zinc oxide and titanium dioxide, as they are least likely to irritate sensitive skin.

2. Minimize stress. If stress causes your rosacea to flare, find an activity that helps relieve your stress and do it often. Common outlets for stress include exercise, meditation, tai chi or joining a rosacea support group.

3. Avoid overheating — even during exercise. Take warm baths and showers rather than hot ones, and sit far enough away from fireplaces, heaters and other heat sources so that you don’t feel the direct warmth. If you’re working out, keep supplies with you to help you cool down, such as a cold water bottle, or a towel that you can dip in cold water and drape around your neck. It’s also a good idea to dress in layers so you can remove clothing if you get too warm.

4. Simplify your skin care routine. Skin care plays an important role in keeping rosacea under control, as many skin care products are too harsh for people with rosacea. When shopping for skin care products, look for mild, gentle formulas made for sensitive skin. Avoid any skin care products that contain menthol, camphor, sodium lauryl sulfate and alcohol, as these can trigger flare-ups. Products that contain retinoids can irritate your skin and may need to be avoided or used less frequently. In addition, be gentle to your skin and do not rub, scrub or massage your face.

5. Opt for mild foods. Since spicy foods often trigger rosacea symptoms, opt for milder versions of your favorite dishes. If your rosacea still flares, it’s best to avoid spicy foods altogether.

6. Opt for cold beverages. Studies show that the heat from hot beverages can cause some people’s rosacea to flare. Try iced coffee or tea instead, or let your beverage cool first before drinking it.

7. Limit alcohol. When it comes to flare-ups from alcohol, red wine may be the biggest culprit. If you choose to drink, consider beverages other than red wine, and limit your intake to one or two drinks with a cold glass of water in between.

8. Protect your face from wind and cold. Wearing a scarf is a great option for protecting your skin against the elements. Look for scarves made of silk or acrylic, and avoid wool and other rough-feeling fabrics, as these can trigger a flare-up.

Also, try and avoid the following products and ingredients because they are known to irritate, trigger and exacerbate Rosacea:

• Sodium Lauryl Sulphate which is used in most liquid soaps. It is irritating and drying
• Witch Hazel and Alcohol often used in toners
• Chemical sunscreens
• Make up containing talc
• Mineral oils
• The sun - your worst enemy

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