My Rosacea Journey: Dermatologist Shares Skincare & Treatments That Work! | Dr. Sam Ellis
ฝัง
- เผยแพร่เมื่อ 28 มิ.ย. 2024
- If you’ve watched my channel for a while, then you’ve probably heard me mention I have rosacea a few times. That's why I wanted to share what skincare products and treatments worked to help me get my rosacea under control.
NOTE: This is what worked for me, but what works for you might be different. It's important to see a board-certified dermatologist for a proper diagnosis and treatment plan.
WATCH NEXT:
Rosacea Dos & Don'ts: • Dermatologist’s Guide ...
Makeup for Rosacea: • Dermatologist's Easy, ...
SHOP:
Bioderma Sensibio H2O Micellar Water*: go.shopmy.us/p-1611002
EltaMD UV Physical Broad-Spectrum SPF 41*: go.shopmy.us/p-1611004
Coolibar Sun Bandana UPF 50+:go.shopmy.us/p-1611006
CeraVe Hydrating Facial Cleanser*: go.shopmy.us/p-1611298
Cetaphil Gentle Skin Cleanser*: go.shopmy.us/p-1611299
Vanicream Gentle Facial Cleanser*: go.shopmy.us/p-1611304
Shop more of my favorite products here: shopmy.us/drsamanthaellis
CONNECT WITH ME:
Instagram: / drsamanthaellis
Website: www.mybeautymd.com/
CHAPTERS:
00:00 Intro
00:35 About Rosacea
03:15 Rosacea Diagnosis
07:10 Rosacea Triggers
10:07 Skincare Updates
13:05 Sunscreen
15:20 Sun Protection
16:42 Prescriptions
18:54 In-Office Treatments
21:42 Subscribe!
DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. Some of the links in this description may be affiliate links (marked with *). Affiliate links help support my TH-cam channel so I can continue to create fun, informational skincare videos for you. Also, some products may have been received as PR. Thanks for watching!
So many derms talk about what to do about rosacea . Knowing you have personal experience with it makes a world of difference. Thank you for this video.
The only thing that took care of it was laser treatment, at the end of the video the truth comes out
I love though how the picture of her rosacea at its worst is better than my best rosacea day. Just looks like she’s put on some blush, it’s smooth and even. No wonder she’s got it under control.
@@Elyse27 Her old flare-up pic looks way worse than just some extra blush, lol. But yeah, it can be much more severe than that. Doesn't mean the same treatment won't work for you, though. It'll probably just take longer.
I've learned more about my rosacea in this video than I've learned in any of my dermatology appointments. Thank you for this!
wearing sunscreen indoors was a huge game changer for me. i work from home and my home has huge windows getting a lot of natural light throughout the day. and i noticed that if i weren’t wearing sunscreen, my skin would get red and hot even if i stayed at home all day. then dr dray informed me about uv rays from the sun penetrating the windows and basically being in all visible light so… yes, you need to wear sunscreen indoors unless you have light blocking curtains in every room of your home
I love the insight from a derm who has rosacea. I’ve grown so tired of seeing deems try to explain it and instruct on it without having the condition themselves. It’s always preaching the same stuff: use cetaphil, never go near retinols, stay out of the sun, stop drinking coffee and alcohol. It’s all very repetitive like reading a script of what they’ve read in literature. In reality, you can have sensitive skin and rosacea and still need something more cleansing than cetaphil, you may be able to tolerate and even benefit from retinol usage, and can moderate triggers rather than cut out entirely. Thank you for putting this out there because speaking on a derm condition you HAVE is very reassuring and comforting to those who have it and look to you for real life advice/tips.
So true! My rosacea improved and was banished by proper use of tretinoin. It was so hard to find a derm that would finally agree to prescribe it. I had a feeling that it would work because otc retinoids helped and didn’t seem to irritate my skin (ie most info says to stay away from retinoids). In my case tretinoin is my #1 treatment.
I actually don't believe she has rosacea. Many are on the internet saying the same thing. They know more than they teach about root causes (gut = immune system).
Thank you for sharing this information and also mentioning skin of color. I’m African American. I was 37 years old before a great dermatologist diagnosed me with rosacea. It presents differently on my Carmel brown skin tone than fairer skin. Game changer. I also grew up being told to wash my face twice a day. I was embarrassed to tell people I didn’t wash my face in the morning. It hurt! Now, I use Bioderma Micellar water in the mornings, and Bioderma Oil Cleanser at night. I live in Arizona. The desert has been frying my face. I diligently use and reapply sunscreen to no avail. Thank you for suggesting making life changes. I’ve decided that from 12pm-sundown, I’m not going outside in this desert heat. My skin can’t handle it.
I always wondered if the desert was helpful. I'm in NJ, and it's very wet, a lot of mold and when I started working in a moldy environment and then found it at the gym and in my home. What are your thoughts of castor oil? My mom who is Sicilian (I'm half Sicilian, half Italian) and used olive oil and even at 77 her face and overall skin is smooth like baby's butt :) I take after dad's fairer skin with freckles, but he doesn't have a bump or issue at all). For me, it was mold - with out a doubt. I highly disagree with the 'sunscreen' thing. Didn't grow up with it, and for good reason....it's toxic, AND it prevents what we need to activate vitamin D, the parts from the sun we can't get from a pill.
@@Jennifer-gr7hn sunscreen is NOT toxic lol this is wrong. It also does not prevent you from getting vitamin D from the sun. If you have fair skin and don't wear sunscreen, lol good luck to you in old age!
I love and use Elta MD products. Daily I use Elta UV tinted Restore; and recently got Elta MD UV Sport, SPF 50+ body sunscreen. I do wear a hat when I walk the dog 2 - 3 days a week. I'm almost 80, so I have a dog walker 3 days a week; this really helps with my energy and stamina. I think we senior citizens should use all available sources that are available to us. Cheers! Love your channel!
I've been using Cetaphil cleanser and lotion for 40+ years, and it totally keeps my Rosacea in check. My skin looks fabulous for a 61 year old.
cetaphil has also been my favorite cleanser, although I have to use other stuff to keep control. I wear a hat outside and driving. I’m bad at sunscreen so that’s why I’m following this type of TH-cam. so many make my skin burn.
Vanicream is also good
@@hollyoswald7808try cotz tinted mineral sunscreen spf 50
Please say which specific Cetaphil cleanser and lotion have worked best for you. I’m still searching. Thank you.
@@bonnie_nelms the Cetaphil cleanser for normal skin. I don't like the oily skin cleanser. I can't use it around my eyes as it burns them. Then I use the Cetaphil lotion in the morning and night after cleansing. I will not switch to anything else!
Thank you so much for speaking about this, and about your personal journey with it! Seeing the picture of your flare was helpful, too. Your skin is so beautiful, it’s encouraging to see that rosacea-prone skin can get so much better with the right care.
Sara age 75 here in Israel. When I was young I thought I was allergic to the sun. Only in the past few years did I get diagnosed. I have seen improvement in my skin with niacinamide both orally and topically and the best thing to fight the lumps and bumps is vitamin B 5 orally. If i do get a rare occasional pimple, using neem oil on it clears it up quickly. the cream my doctor prescribed did nothing for me.
I learned more in the first 5 minutes of this video than from multiple visits with Doctors over years. Thank you for sharing this information.
I was diagnosed with rosacea years ago. The dermatologist told me I had rosacea scribbled out a prescription and sent me on my way. Sadly she explained nothing. The prescription she wrote did nothing because it wasn’t right for the type of rosacea that I have. I have since found a better doctor and have it under control. I will be talking to him about laser treatment for the blood vessels. This is something I would love to have done as well. Thank you so much for this video.
So relieved you didn't suggest antibiotics, a healthy gut balance being essential for rosacea treatment! Thanks for this excellent video!
I tried all the cleansers you mentioned and currently use Aquanil cleanser as my second cleanse. My dermatologist suggested it, and my skin loves it.
Thank you so much for this video . The fact that you have rosacea as well and are speaking on it makes this video more reliable. For cleanser I found that la Roche Posay’s Toleraine face wash (the blue one) is super gentle on my rosacea skin 💙
I'd like to chime in and say an often overlooked trigger for rosacea is hair products. These products get on our skin and all over our pillows. If you're handling your other triggers but still flushing for unknown reasons, try using fragrance free hair care for a while and avoid aerosol hairsprays to see if there's an improvement.
And laundry detergent
@@lisawyckoff7070 and fabric softener 😉😊
Yesssss! Same!
Thank you for sharing your experience with Rosacea. I recently had 2 VBeam treatments and I am trying to protect my investment. I bought one of the large brimmed hats you recommended and now reviewing my skincare products to see if I can improve my situation more consistently. I think a big trigger for me, in addition to what you mentioned, is sugar consumption. If I get a sugar high I know I will get red and pimples the next morning! What really keeps it clear is eating a lot of salads and fresh vegetables. Thank you again. You are lovely and inspiring for me that I can keep it under control and feel good again 😊
Off topic but that paint color is absolutely beautiful and soothing.
Gosh! I have your exact problems with rosacea. I’m 67 and have always used SOMETHING to keep it quieted. There was a period of time where I developed some, well, CYSTS! Not the kind you would have drained or have to remove, but these bumps about the size of a nickel and very firm, always painful! One was to the left of my nose and just under my eyebrow. It actually HUNG THERE. My derm doc did the sulfur route and also helped me get a “special needs” scrub cap because the fibers from the caps falling on my face was causing this! Ugh. So that cleared up and now, I have every symptom you have. Avoiding the triggers is #1. I use Prosacea after CeraVe hydrating wash, which is nice but it doesn’t make me feel fresh and clean. Dermatologist recommended it and I’ve been at it for 2 years. I would like to firstly, find a cleanser that refreshes my skin and plumps a little but protects my barrier. The very same goes for my night cream. CeraVe again. I feel like it’s weighty and gummy and sticky, very mildly so but, as you said, you want to feel comfortable skin and I would like freshness with those two. What REALLY makes me feel skin happy is the CeraVe Vitamin C. Loved it from day one and actually look forward to it. I stopped their Retenol. I tend to get milia and it got worse with retinol. I’m looking into the azeliac acid. Trying it next.
Thank you so much for going in depth with YOUR experiences. It was uplifting and I learned so much from hearing your approach to your own care. I had blepharoplasty for invasive 😊 hooded eyelids. There was an additional laser treatment done just above my cheeks and after it healed, I really didn’t notice much difference. Okay. I just really loved this video and your channel. I am like you in so many ways, you could be my daughter! When I was out and about it was ALWAYS 1n nature. I still have horses, ride my old lady 26 speed bicycle (with the basket option), go mud riding with a Polaris SXS, swim, play golf, and sit by the fire and sing 60s & 70s rock with other old hippies. My habits have drastically changed, as yours have, to keep my face QUIET. But let’s got give up nature & MINERAL sunscreen! BLESSINGS, Dr. Sam, AND BE SAFE ❤
Thank you so much for pointing out how high altitude and extreme temperatures can affect your skin! I live in Colorado Springs and it’s been so hard to find the right products to use because of the crazy temp swings! I would love to see more videos that address these issues.
So true! No two rosacea cases are alike! I totally agree no face wash in the morning! Sunscreen application is huge! Literally have found any Oil of Olay with SPF within the moisturizer works well. Even applying the Oil of Olay and Hawaiian Tropic SPF 70 helps when I go outdoors for an extended period of time. It also seems like liquid serum style make up works nicely to cover up the redness. I do use the miscellar cleansing water. I follow it up with Dove unscented beauty bar or
original to wash my face. I appreciate all the products others have recommended! Literally will try anything that will work! Also it is nice to hear a professional who has had rosacea discuss it!
I was diagnosed with rosacea in my 30s and was prescribed a number of topical products. It wasn’t until I switched my skin care products to all sensitive, no scent products that my skin cleared. No flares for the past 35 years.
Throw out all your scented products for your best health.
Can you tell me the products you used to help clear it? & what kind of makeup products is good to use for rosacea?
@@tashaharrison1158 - I have used Aveeno fragrance free gentle foaming face wash and cepaphil no fragrance lotion with SPF 15 every day for years. I recently added using Avene fragrance free products from France. They are fabulous products but a much higher price point than Aveeno and Cetaphil. Avene was suggested to my husband after skin cancer removal on his face.
I don’t wear any makeup other than mascara.
Good luck.
@@tashaharrison1158 -cetaphil and ceravie no scent products and sorry, I don’t use makeup
Thanks for the video, Dr. Ellis! Unfortunately Rosacea is not studied as in depth as other skin conditions (Derm rep here). Nonetheless it can and does significantly impact the quality of life for those that suffer from it. I developed rosacea a month before I turned 38. No family history. I was flushing all day and all night for well over a year. I was unable to sleep and basically participate in life. I was even evaluated for carcinoid tumors (also due to some test results). About a year and a half into this a Derm where I live put me on Hydroxychloriquine to drive down some inflammation. It took a few months, but has has take the edge off for the most part. I do avoid triggers, such as alcohol and direct sunlight. I do have natural light sensitivity as well. Things are way better than they were. I am about to have my second V-beam treatment. It has taken 2.5 years, but I am getting better at dealing with and managing the condition. I do hope that there is more information in the coming years about the gut/skin connection and what lifestyle changes may be helpful in that regard.
I was diagnosed with rosacea acne over 10 years ago and some of my acne is also hormonal which is SO FUN :) I'll say finally finding skincare products that worked for me and avoiding certain foods/situations has helped so much.
- Neutrogena ultra gentle creamy cleanser - (hydrating cleanser creamy formula) I like this more than other creamy non-foaming cleansers because it has very few ingredients, no fragrance, no bells or whistles - I also use it on my body in the shower for my sensitive skin everywhere!
- The ordinary 10% azelaic acid - love this during the day - it's pretty silicone heavy but my skin likes that as it almost acts as a protective barrier, absorbs oil, reduces redness, helps my bumps not get huge and angry, and it's so cheap!
- curology
- cerave moisturizing lotion - holy grail moisturizer head to toe for the past 12 years.
- skin aqua super moisture gel - this sunscreen is spf 50 and is very liquid-y, but my skin likes that - the super thick, chauky sunscreens require lots of rubbing and tugging to rub it in, which exacerbates my rosacea. This sunscreen glides on and soaks in with hardly any rubbing.
- food/situation triggers are: alcohol, stress, heat, super hot (temperature) food, tomato-based spicy foods (pasta sauces, salsa, etc.), dairy, gluten, whey, foods with lots of color dyes and super high sugar (candy and high processed high sugar foods), friction/lots of touching on my face
I got my rosacea diagnosis in April of this year. I use metrogel (topical for face) in the morning and 15% azelaic acid in the evenings.
My triggers seems to be stress, and the cold Canadian winters.
I had very bad pustule/pimples from my rosacea. The treatment worked, but unfortunately I was left with awful scarring. I did 2 rounds of IPL photo facial which worked with helping it not spread and have my redness lessen. My dermatologist then said my skin was in a state were I could undergo mirco-needling to help with the scarring. I will be going to my appointment this week so hoping I will have results. The only way I have been able to afford these treatments is by getting it done my students in training. They are always supervised by professional (as well as have prior training before doing it on someone's skin) so that definitely made me feel better. I have had no bad experience yet. Hope this helps :)
I appreciate your honesty, I was just diagnosed and looking for understanding my options
I would love to hear your thoughts on rosacea + melasma. Also, ocular rosacea! Thanks!!
I have been using the vanicream face wash and love how it is for sensitive skin but still suds up and makes my face feel very clean unlike some other sensitive face washes that I have tried and didn't feel good on my skin like cerave and some others. Thanks for the recommendations and tips!
I don't know why, but I get along best with the Defence Cleanser from Paula's Choice. It took me over 20 years to find a cleanser I can tolerate. So I am very happy to have finally found the right one for me.
Thank you Dr Ellis for this informative video on your journey with rosacea. I have been newly diagnosed with rosacea and I'm using azelaic acid and brimonidine cream on alternate days with a gentle facial cleanser and sunscreen. This morning I woke up, my face flushed and itchy so will be going to my dermatologist for his opinion on laser therapy. Except for being very fair-skinned, I don't have any trigger factors.
Thank you once again.
Wonderful video. Thank you so much for taking time to share all this information.
hi doc! can you do a similar video on seborrheic dermatitis of the face? there are solutions out there but barely any advice on long-term management and recurring flare-ups, what products to use, what to avoid, etc. thank you
I really appreciate the open, generous, and thorough way you share your experience and expertise. This information is so illuminating and helpful. I think I've been misdiagnosed with seb. dermatitis, as you mentioned was common. Now I feel more motivated to seek the care of a dermatologist, and more hopeful about better results (whereas before I felt there was little I could do).
same happened to me @hellogoodhelen, I was told it's rosacea, then another dermatologist said it's actually seb dermatitis, today I was told again that it's rosacea..there is hope!
@@blanka.fazakasAnd to make things more complicated, you can have both conditions at the same time, as I do! Fun times
I am Native American, dark skin tone, my parents never got rosacea, so guess I am the lucky one of 3... was diagnosed in 2017 in im mid 50's. I attribute it to that time in my life and all I can think of is stress related... I spent many years in the sun when I was a young girl playing softball, at the lake or beach, then after had 2 sons who were 3 sport athletes, so in the sun during the week and tournaments on the weekend. My mother was always in the sun as well, she had a beautiful complexion until she passed in 2019. My rosacea is not so much of the uncomfortable flushing, some redness, but the bumps are bothersome that are mostly on my forehead and right cheek near my nose. Before rosacea I used the "Calm line of Dermalogica" cleanser, very nice, cream based and this oil based booster serum that they no longer make was clutch. I found it on Amazon, so I will be ordering online. As far as sunscreen, never thought to apply it, it wasn't a thing when I was growing up, but I keep seeing the tinted Elta MD in other vids, so I will try that out first. Thank you for your story, Dr Sam ❤ Much love from the Bay Area of Cali
Loved the eloborative video! The cleanser I use (as well as most of the other products of this brand), is 'the cleanser' from dr. Jetske Ultee, a Dutch cosmetic dermatologist. I also visit her clinic and my skin has never been this good (eczema and rosacea sensitive, fair skin tone)
Hi, a subscriber from the Netherlands here. What a comprehensive, helpful, honest and down to earth video! I can totally relate because a lot of my symptoms and triggers are the same. Thanks a lot for sharing in such a friendly yet professional way. I own remission of my rosacea to advice of my dermatologist, oral isotretinoin, and then sunscreen and IPL and my own dedication to stick to the routine in terms of gentle skincare and less wine. Your baby son is very adorable!
Hi here also a subscriber from the Netherlands. I have a mild form of rosacea, but have been using the products of the brand "by Dr. Jetske Ultee" for a long time, which I really like. Maybe something to look at
Thanks!
@@YvonneVanKampe-kl9eh another person from the Netherlands so thanks for sharing that
Very helpful. There are also so many food triggers for rosacea… tomatoes/tomato sauce is a big trigger for me. If I eat it I look like I have a sunburn across my face shortly after. Coffee can also be a tigger.
I love Avene Tolerance Extremely gentle cleanser. I use it as a second cleanse after by balm in the evening and I use it in the morning after I get back from the gym. I agree avoiding triggers is key and sunscreen. That has made a big difference for me.
I have Type I Erythematotelangiectatic Rosacea and have had it for years. Just signed up for my first IPL Laser treatment this August. I've changed my skincare regimen and have begun incorporating an azelaic acid derivative to condition my skin before I start using my prescription cream. I've also become very regimented about caring for my skin by using better, more hydrating products and largely sticking with fragrance free lines (I have a few guilty pleasures though I can't lie LOL). I've never used retinoids of any kind as I'm afraid of the retinization process (hate the feeling of peeling, red skin)
As for triggers, I hate sunlight anyway and keep myself covered at all times when outdoors during the daylight hours (which is almost constant this time of year in Alaska) and keep my home cooler than most people will. I like wine but have significantly cut down my intake. And though I hate the way it feels, I've forced myself to incorporate sunscreen (mineral) if I am going to be outdoors during peak daylight hours (always wear a giant visor and giant Rx shades regardless along with keeping my body covered in UV protective materials).
A major trigger for me is stress and light sensitivity (light eyes, mydriatic pupils). As soon as I'm upset or stressed about something I feel the heat rising to my face and the flushing sensation. In winter because stores keep the heat so high, I've actually been asked if I had a sunburn by cashiers because I turn so red. It's horrible and I'm sick of it. I have fair skin and would rather just stay pale than this red crap. I can thank my NW Euro ancestors for this LOL
Thankfully I don't have the pustules or swelling but I do have the redness and visible capillaries. Rosacea sucks lol
My skin is starting to look better. Plus because I've always stayed out of the sun, I have no wrinkles and very few lines at age 56. Moreover, I am now lacto-ovo vegetarian (seafood too at times) which means I'm eating much better.
The idea of looking for personal triggers is so fascinating. I've just felt burning cheeks just being cold at home.
I have mild rosacea and I have acne-prone skin. I've been using the Neutrogena salicylic acid body wash on my face and body and it makes my skin feel so soft and it doesn't strip my skin at all. I got one of my friends hooked on it too.
In terms of other things I do, I wear sun protection and I eat a balanced low inflammation diet (low-ish sugar, low processed poor nutrient foods, etc).
Edit: the sunscreens I like are:
- EltaMD broad-spectrum SPF 41 tinted mineral sunscreen (can pill over skincare)
- Australian Gold Botanical broad-spectrum SPF 50 water-resistant tinted mineral sunscreen (slightly dry under my eyes if I don't hydrate my skin properly bc that area is rly dry for me)
- Make p:rem UV defense me daily sun fluid SPF50+/PA++++ hybrid sunscreen (very liquidy, the cheapest out of the 3)
Also if anyone has recommendations of sunscreens available in Canada that are mineral spf50+ broad spectrum and no white cast (for a pale human) of the same price as the Australian Gold (~$0.3/mL) or cheaper please let me know!
I've heard that the Sunscreen Company out of Canada has some great mineral based high UV protection sunscreens.
I was diagnosed with rosacea recently and did so much reading on how to manage it. And, I agree just washing your face with water in the morning has helped my face so so much!
Another thing that I think has been helping is applying Aloe Vera gel every day as my moisturizer. I have oily skin, so the aloe Vera alone is enough for me.
Last, I've been reading that adding probiotics for gut health is connected to rosacea. I've been adding it to my diet (I've been trying one Activia yogurt every day) and my flare ups lessened so so much.
Thanks for talking about this! It's such an under-researched skin condition.
I use cetaphil gentle cleanser & cerva hydrating cleanser!! My skin is totally good with it.
Dr Sam buntings products which are Azelaic acid and niacinamide based have helped me get on top of my rosecea. Her gentle cleanser is fabulous. I also used finacea every night, which I now replace with dr Sam’s flawless nightly serum which contain granactive retinoid. My led home face mask I also swear by. I would love to be able to use more and higher strength actives, maybe one day. Thankyou for the video.
@KazHampson Which is the led face mask that you use?
Laroche-pose gentle foaming face wash is MY HOLY GRAIL! It leaves my skin feeling so young, elastic, plumped, and not stripping AT ALL.
My daughter has rosacea and we have found that cleansing her cheeks with selsun blue shampoo (one without menthol) 1-2 times a week has been helpful!
Great video, Dr. Ellis! V-Beam has been a total game changer for me personally, and diligent sun protection of course. Since being diagnosed with rosacea, my skincare motto is KEEP IT SIMPLE, which I’ve embraced and enjoy 😊
Hi, can you share your AM/PM skincare routine? I am still trying to figure it out as I was diagnosed with rosacea not that long ago (at age 38). It's so hard with active ingredients with rosacea (I do tolerate retinal really well tough!). But antioxidants/vitamin c - now that is hard to something that's not irritating. Same for SPF :( I would highly appreciate if you can share!
@@KasiaZ Vanicream cleanser + CeraVe cream at night, sunscreen in the morning! That’s all!
I discovered the brand 'Cleyo' in a beautysalon where the owner told me I have Rosacea. First days my skin had to adjust but now I love it.
Excellent video! I've had diagnosed type 1 and 2 rosacea for many years and was diagnosed with ocular rosacea several years ago. After trying so many skincare products, both OTC and prescription, what works best for me is Jordan Samuel Skincare Matinee Cream Cleanser, Hydrate the Mist, Hydrate Serum, and Performance Cream. They are very gentle and soothing. What has been a complete game changer for me has been using topical Ivermectin Horse Paste 1.87%, specifically the Duramectin brand. After all my own research, I knew my rosacea was caused by demodex but my derm didn't seem to know much about that. She prescribed Soolantra but for whatever reason it did nothing for me. So I started applying the topical ivermectin horse paste to my entire face, particularly heavy in my eyebrows, making sure not to get it actually in my eyes. Within just a few days, I had zero red bumps anywhere on my face. My eyes look and feel better. I do still have mild to moderate flushing , but it was all the little red demodex bumps that looked the worst, and now that's gone. Since there is about a 3 week demodex life cycle, I'm continuing to use the horse paste, about once a week. I wear wide brim hats when in the sun and, thanks to your videos, found a sunscreen my face can tolerate (SKIN1004 Hyalu-CICA Water-fit Sun Serum) and one for my body (Banana Boat Light As Air Sunscreen, Broad Spectrum Lotion, SPF 50). I'd love to try laser for the flushing but need to save up for it and find a well-qualified, experienced person to do it.
Laser treatments are the most effective for my rosacea, followed by topical skincare, sunscreen and avoiding triggers ❤ Unfortunately lasers also tend to be the most expensive
Thanks for the double cleansing at night tip. I use CeraVe dry skin cleansing bar and their hydrating cleansing gel gel and they work great for me.
Nice video, your voice is easy to listen to. I find the low music distracting. Thanks for all the product tips and especially the advice to look for lifestyle triggers.
Thank you Dr Ellis from China! Your sharing is so helpful and genuine. I was diagnosed with rosacea about two years ago, and is under control now by doing exactly what you mentioned in the video.
There is only one issue that I’m still struggling with - my nose and chin are very oily that I constantly have black and white heads and small bumpy clogs. Meanwhile, there are systems of rosacea such as redness and red vessels. I find using products with petrolatum helps the redness and red vessels, but it doesn’t help (even worsens) the problems caused by excessive oil.
So can you please give me some advice? Thanks again! I’m looking forward to your reply and your next video 🥰🥰
Face theory porebright N10 serum (contains Azelaic acid and niacinamide), La Roche Posay Rosaliac Intense serum, La Roche Posay cicaplast Baumé B5+, no alcohol, no wheat, very little sugar
After trying to deal with acne rosacea for years I finally cleared it up with Rosivor. I used it for 3 months and finally my skin was clear. I use it twice a week for maintenance. It's for demodex. My favourite cleanser is Neutrogena Ultra gentle daily cleanser CREAMY not the foaming. Tried many sunscreens and my holy grail is Blue Lizard Sensitive Face. Never go outside without sunscreen and hat. Face has remained clear first time in years. Also only use Clinique Dramatically Different moisturizer morning and night.
There is a generic version of Ivermectin 1% cream available in the states.
I have rosacea which is now under control with no flare ups. I was prescription Oracea, which I now don't take every day only Monday, Wednesday and Friday. I also use prescription azaleic acid. I also use Dr. Hauschka cream cleanser which is great at removing makeup.😊
Finally a derm who loves Elta MD sunscreen. This sunscreen is the GOAT !!
what? pretty much every derm online recomends this.
My new favorite find was adding the supplement Heliocare to my daily pill popping lol. If I know it's going to be particularly hot or I'm heading out mid day for a walk I'll take a pill and it really helps my skin stay stable without flares for far longer than if I skipped the pill. Instead of becoming red and hot within 10 mins or so I can go about 45 before I feel the burn/stinging start up. It's really been helping, if you're super reactive like I am I highly recommend you try it.
Thanks for sharing...IS it ultra D??
@@user-ys5ix1ol6d nope, I just use the basic, not advanced. There are health considerations, like thyroid functions, that the advanced formula can mess with so I stick with the basic. Works really well for me
LRP all the way for cleansers. Biossance moisturizer (both cream and gel) are among my faves. My other fave is 21 peptides cream with pump.
My gentle cleanser that I like and use the most is La Roche Posay Toleriane :) ( I think in US it is called Toleriane Hydrating Gentle Facial Cleanser).
So glad you stopped using makeup wipes every night! They can be very rough on your skin leading to irritation from both the wipe and the chemicals within and don't properly cleanse as well as a cleansing balm would (as I am sure you know!). We all have those nights where something is better than nothing, but I think it's much more beneficial for everyone's skin to not make it a habit.
This is so easily understandable and usefull! ❤️ Love your videos, best wishes from Ukraine 💙💛
The fact that you have rosacea is how i found your channel. Vanicreme is the only facewash that works for me, but I'm going to try your facewash when I finish my current bottle of vc. I also have found sun exposure is a big trigger for me as well as proper sleep. I'm hoping to find a great dermatologist in Orange county. that I can truust with laser therapy. If anyone has suggestions please share!
I LOVE the Laroche Posay hydrating cleanser for my acne rosacea type skin :)
Love your channel. Can you do a video on acne treatments for young kids? My 9 year old is starting to have breakouts. I am looking for some good gentle products to help her.
Love your makeup in this video. What products/shades are you wearing on lips and cheeks?
Loved the video!! For my rosácea apart of the laser , my favorite products are from krave beauty, the matcha cleanser and the grape cleanser, then the great barrier relief also from krave beauty, the AHA kalelu ya ha also from the brand, the retinol from selfless by Hyram ❤
Thank you for sharing your knowledge in such an in-depth video🤍
My favorite cleaners: the Aveeno Calm and Restore ones. I love the gel cleanser & the foaming face wash.
Have you tried the moisturizer from that line? I found it doesn't work, but I would def love to try both of those products, but what moisturizer takes away the redness?
@@Kiera_R I love that moisturizer! It’s one of my favorites. Definitely helps with redness for me for me, but everyone is different. Another one that is also good for redness is the Vanicream Daily Face Moisturizer.
@@eobrien1 thank you so much, maybe bcuz you use the whole Aveno line it helps, I'll have to try
Very practical and to the point, thankyou!
Now I watched the whole video and heard that you do talk about burning sensations with your rosacea. My mom never said she had burning. She said it was just hot. On a different note I wanted to say I kept hearing for years to wear a wide brimmed hat and wear skin protective clothing but I always fought the hat thing especially because I'm not normally a hat person and I even have a kind of big head. I finally bought and wear a wide brimmed hat that has upf 50 and is washable. I wanted to get the color teal because it's my favorite color but it would depend on what I'm wearing so I got a charcoal colored hat. I feel so good and protected while wearing it and my sunscreen and sunglasses. Thank you for this video!
Your skin is radiant!
I don’t have a major issue with redness, just a little on cheeks, nose and chin. But I DO have pimples in those areas, which IS a major issue. The typical rosecea treatments have not worked for me. Sulphur cleanser dries my skin and I’ve seen no improvement. Azelaic acid made my face sting and increased redness and pimples. Metronidazole cream is virtually worthless. I eat a clean diet, no alcohol, caffeine, or spicy foods, very little diary or sugar. I’m not out in the sun other than normal coming and going for errands. I haven’t been able to determine specific triggers, except the treatments! I’m very frustrated at this point. Just purchased a red light panel and hope to see some benefits from that, but only 4 days in and no difference so far.
Excellent video!
I use Repechage red out cleanser. Its a little on the expensive side, but I have found it doesn't strip my skin, and it helps with my rosacea.
I have had rosacea for years. I was diagnosed with PsA about 10 years ago. The meds I’m on for that has helped my inflammation and thus my rosacea.
I flush in heat and cold. Exercise, sun, alcohol, spicy food all triggers. I don’t drink any more. I walk in early morning or after nightfall. Spicy food I still eat, just not very often. I used to get the little bumps with it. I changed my whole skin care routine. Double cleans, hyaluronic acid, and really good moisturizer. I really like La Roche- Posey products. I was able to start Tretinoin as well. I have decided it is a miracle drug! Malasma, rosacea all under control. My skin is smoother than it was in my 30’s and I’m 56 now. I would love to have laser treatments. Not in my budget.
My skin has responded well to Ethique Bliss Bar. It is super gentle yet removes makeup, is plastic free and great for travel. I’ve been using it for years and plan to continue.
Absolutely love the bioderma micellar water!!! I’m probably going to order the sunscreen you mentioned, because that is one thing I don’t put into my routine…
But I suffer from the bumpy/rough/thickened skin, alongside redness and the burning sensation. Once it flares is takes SO long for it to calm down :(
There are definitely factors that I’m sure aren’t helping.. such as stress (I’m in my MSW program), caffeine intake, chocolate/spicy food intake. Im going to try and slowly change these habits… I absolutely love your videos!! Thank you so much 🙏🏼🙏🏼🙏🏼
Sunscreen has been a game changer for me.
Great video! I love your channel! I was diagnosed with rosacea 10 yrs ago after moving to Denver. Now I also have dermatitis and eczema. I have been on different scripts throughout the years but now it is under better control and I do know my triggers. I love the Vanicream cleanser (per your suggestion), the Youth to The People Cleanser and Aveeno Calm and Restore Redness Relief Cleanser. I use Niacinamide daily and prescription Tretinoin but only on acne spots when I flare. I also have prescription azelaic acid but it's 20% and I think it's too high. Wish I could use Vitamin C but it usually is a trigger for me along with retinol products. I struggle finding things to help the antiaging process. Is the VBeam safe for darker skin tone? I've been told because I have olive skin tone, I could discolor with the IPL laser.
Sorry if it’s invasive to ask - have you ever had any plastic surgeries? Or implants? Your bone structure is looking better and better with time!!
Wow, we are die hard University of Michigan fans, and my son (who attends Purdue 😮)is currently spending his summer as a camp counselor in Estes Park CO!! So cool…thank you for this info! I’ve learned less is more but gentle as well! Double cleanse only at night, and for sure sunscreen every day! I found azaleic acid by Naturium or Paula’s choice, and niacinamide are loved by my skin! I was thinking of getting the Qure led mask, do you recommend them? Thank you so much!
Thank you for this video! I was just diagnosed yesterday. My Dr put me on Clindamycin topical for 2 weeks
I wish you were located in Florida! I would book an appointment with you right away. I enjoy watching your content and have learned so much about skincare/health from the information you share. I just got diagnosed with Rosacea today and was prescribed a topical treatment for it. I am not sure which medication it is though. Should I ask about azelaic acid and the prescription cleanser? I don’t get the rosacea bumps but I do get redness around my nose and cheeks here and there. Also, I just had a BBL laser treatment done a few days ago that definitely helped get rid of the broken blood vessels around my nose. The treatment was very painful though… is the vbeam any less painful?
Thank you!❤
Can you do a video on how you were able to incorporate tretinoin into your routine with rosacea.
My derm put me on oral Oracea for 3 months and my skin looked so good. After being off for a month I’m back to flare ups.
I know this video has been out for 8 months or so but it just appeared in my feed and I’m glad it did. I’ve not been diagnosed with rosacea but I sure resonated with so many of the things you said in describing your experience. My hurdle has been the other things I am diagnosed with tend to cloud the picture - I have s’jorgrens and RA and take daily med - I would like more improvement out of my current med but if I have to go off of it for any reason, my skin, particularly on my face, will begin to flush and flair with some of the swelling you mention. It is so uncomfortable.
My RA doctor refers me to derm as skin isn’t her road best traveled (her words) and my derm tends to default to the “well you have auto immune so all things just react funny” in a chalk it up kind of way of not focusing on my skin complaints.
Indoor heat is the enemy. I don’t run the central heat but will turn on a small plug in heater if need be. My face prefers the cold. My raynaud’s doesn’t love the cold so it’s a fun dance. I love red wine. My cheeks do not. I may have 5-7 drinks a year.
Skin care - when flared up, I find relief with La’ roche posay B5 - I coat my face with it at night. I like their face wash and lotion for body care.
When I’m not flared, I use mostly skin ceuticals products with a few Tatcha and Revive products and dailies.
I like multiple fans at night to cool room down but cheeks get almost wind burned so I now sleep with sheet over face.
I developed it about two years ago and after 1 year and a lot of $$$ later it cleared up. My dermatologist had me on oral med for about a year, then this expensive prescription cleanser and then she had two creams I had to use. Now I maintain by a prescription ointment of a combo with 3 different ingredients. She stated she thinks I had stripped my skin so much it reacted
For me the cleanser that works very gently with my skin is the Sensibio gel moussant by Bioderma. I also recently bought the new sensibio cleansing oil as well and it's very gentle to use when your make up is more difficult to remove.
Cofee makes me flare up. Luckily I stopped drinking in 2018 so its just coffee right now but have noticed Native Sunscreen and removal of ALL scented / fragrance items including body lotions really helps. I switched to Ponds lotion and ive noticed improvement in just a full week.
Coffee is definitely a trigger for me. Tea doesn't do it.
I had very clear skin, but last year I was diagnosed with rosacea (so terrified to hear that in the beginning). I was prescribed Soolantra cream with antibiotic for three months. It was so difficult times as my face was so red and could not even consider going out , but after 11 weeks, I can see it is working and my face is not red any longer and the pimples are disappearing now. Please seek advice from your GP and be patient.
Thank you for this! I loved your white wide-rim hat, where is it from?
Low dose antidepressants dealt really well with my evening flushing.
Yes this works so well in the right patient! So happy it helped you ☺️
I use Circadia post peel morning and night and I wash with Cetaphil for sensitive skin. Totally was a came changer.
I use a K beauty 2nd cleanser that is very gentle and soothing - Make Prem Safe Me, relief moisture cleansing milk.
My favorite cleaners: Sensitive Cleanser C1
What a great video! For me it was also a combo of genetics, too much sun exposure in childhood and in my 20's, unhealthy lifestyle choices and autoimmune disease. Overall, what works is the Bioderma Sensibio Cleansing Oil, the La Roche Posay Toleriane line, Cerave Foam cleanser (combination skin) and Cetaphil's Redness Control line. I also use The Ordinary's Buffet, Niacinamide serums without any problem, recently started to use Cerave's resurfacing retinol serum and planning to try azelaic acid in the future. Best sunscreen tried so far is the Beauty of Joseon one. I am curios if laser treatment would help furthermore.
Does Beauty of Joseon have only one sunscreen? Is it the Relief Sun: Rice + Probiotics (SPF50+ PA++++) that you used?
@@Meg_I_am Yes, I am using this one from BOJ (I haven't tried others from them). I alternate this with the Purito Daily Soft Touch and the Skin1004 Madagascar Centella Hyalu Cica Water Fit Sun Serum sunscreens, I like both of them, no flares or rashes, but texture wise I think BOJ is the best.
Thanks@@monikab3413. What is it about the texture that you like? Is it creamy? I am slowly figuring out that sunscreens that say that they are hydrating tend to have some form of Hyaluronic Acid in them which doesn't work for me. HA on dry skin in a dry environment tends to suck the hydration out of my skin.
@@Meg_I_am BOJ is very lightweight, almost watery, blends in immediately. The Skin1004 is semi-creamy, but has HA, so it is a bit shinier too. The Purito one is the creamiest, but blends in ok and it's hydrating. Depending on the weather and how I feel my skin I alternate them. None of them leaves a white cast (I am caucasian), my skin tolerates them all well and they are hydrating enough for my combination, rosacea prone, very sensitive skin.
Along with the azelaic acid, I also use .05% tretinoin and take oral zinc, which I believe have both helped.
how much and what zinc do you take
Thanks, Dr. Ellis! So helpful. I have rosacea but have been able to tolerate 0.01% tretinoin cream so far. I know the evidence shows that 0.025% is just as effective for signs of ageing as higher strengths in the long run but I don’t think that 0.01% has been studied. Do you think that 0.01% is enough or would trying to step up to 0.025% eventually be a wise move given that there’s data on it?
I have rosacea and love that Aveeno, Calm+ restore cleanser
I have a light form of rosacea and i don’t know how to fit my rosacea creme into my skincare routine the right way; meaning i‘m always wondering if i apply it at the right point and follow the right order to put on the products (at night I use retinol, a barrier serum and moisturiser with it, in the morning i switch the retinol with vitamin c and of course apply sunscreen at last). I’d love to hear your opinion on that! Also, it would be great to hear about your recommendations for good rosacea cremes. Thank you for this video! Much love xx