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How to exercise with rosacea

Intense exercise is a common trigger for rosacea flares, but physical activity offers health and skin benefits. Here’s how to get moving without aggravating your symptoms.

How to exercise with rosacea

Even if you know the benefits of regular exercise, you may forgo fitness fearing that it’ll exacerbate your rosacea symptoms. Your concerns are understandable — and real, points out Susan Bard, MD, a board-certified general and procedural dermatologist with Vive Dermatology in Brooklyn, New York.

“Rosacea is a condition in which blood vessel instability leads to flushing and blushing. When we exercise, these unstable vessels further dilate, leading to even greater flushing,” she says.

According to a survey published in the Spring 2013 issue of Rosacea Review, the newsletter of the National Rosacea Society (NRS), more than 80 percent of people living with rosacea said exercise had irritated their skin at some point.

But while overexertion can cause rosacea symptoms, such as flares of red skin, swelling, and pimples, you shouldn’t count out exercise.

The reason: Avoiding exercise could be detrimental to your rosacea treatment, not to mention your overall health.

Among its many benefits, exercise helps increase endorphins and reduces stress, calming the mind, explains Tsippora Shainhouse, MD, a board-certified dermatologist in Santa Monica, California. “Stress is one trigger for rosacea flares, so stress reduction can be a beneficial, long-term rosacea management technique, even if it causes some temporary flushing due to the acute vasodilation.”

Dr. Shainhouse also notes that exercise pumps oxygenated blood and nutrients throughout the body and skin, which helps to nourish and repair skin cells. This can lead to healthier-looking skin.

In fact, according to the aforementioned NRS survey, 62 percent of respondents said simple exercise routine modifications reduced symptoms caused by working out.

So rather than banish exercise from your life altogether — learn how to alter your routine to avoid the redness of a rosacea flare.

6 Dos and Don’ts for Exercising When Managing Rosacea

These rosacea care suggestions can help you enjoy an active life while reducing your risk of a flare:

1. Don’t: Do High-Intensity Workouts if You Can’t Risk a Flare

Although an earlier study, published in March 2017 in the journal BioMed Research International, pointed out that high-intensity exercise offers cardiovascular benefits, Dr. Bard warns this type of exercise is a common culprit for rosacea flares. Shainhouse agrees. “High-intensity workouts increase blood flow and heart rate temporarily, which can make the skin appear more red in patients who already have vasodilation associated with rosacea,” Shainhouse says.

The good news: You can still meet the 2018 federal guidelines for exercise by doing at least 150 minutes of moderate-intensity exercise — such as cycling, walking briskly, or doing household chores — if not the equivalent 75 minutes of high-intensity exercise per week. “Lower-intensity workouts won’t make your face flush as much,” Shainhouse says. You should also incorporate strength training at least two days per week, the guidelines recommend.

2. Do: Short Spurts of Exercise Rather Than a Continual Workout Session

The NRS recommends exercising in 15-minute segments spaced throughout the day, as opposed to a continuous 45-minute workout. You’ll still reap the benefits yet reduce your chances of overheating and reddening your skin. If this isn’t possible, alternate between “hot” and “cool” activities: Lift weights or perform aerobic exercise for 15 minutes, and then take a stretch or swim laps in the pool. Once you’ve cooled off, return for more weight lifting or aerobics.

3. Don’t: Let Your Body Get Overheated

Wearing too many clothes when exercising can lead to overheating. Choose the right workout clothes and dress in layers, peeling off clothes as needed, recommends the American Academy of Dermatology. The NRS recommends placing a cool towel around your neck or dabbing an ice cube on your skin to stay cool. “Drinking cold water and keeping a cool cloth or spray bottle by your cardio machine to place on your face and neck intermittently will help constrict blood vessels and reduce the extra redness a little quicker,” says Shainhouse.

4. Do: Work Out in the Morning or Evening, When the Sun Isn’t at Its Peak

Peak sun hours are between 10 a.m. and 4 p.m. in the summer months, according to Shainhouse, who further notes how people with rosacea are more sensitive to heat associated with UV rays than those without the skin condition. This can cause additional vasodilation and make skin appear redder. If you prefer walking, running, biking, or hiking, do so in the early morning or evening hours. Look for shaded trails and don’t forget to wear sunscreen, advises the NRS.

5. Don’t: Exercise in a Stuffy Room When Working Out Indoors

You’ll want to make sure the room is adequately air-conditioned, as this too will help you avoid becoming overheated, says Bard. You can also run a fan or open the windows to create a cross breeze. Better yet, turn to water. “Consider swimming or water aerobics in a cool swimming pool instead of working out on stuffy indoor cardio machine or sweaty, enclosed spin studio,” Shainhouse says.

6. Do: Stay Hydrated by Keeping a Water Bottle Handy

“The vessels in the skin vasodilate to help dissipate heat, but if you’re dehydrated and can’t sweat sufficiently, the body will not cool off quickly and redness may persist for longer than you like,” notes Shainhouse. Drink water before, during, and after workouts to prevent dehydration, recommends the Mayo Clinic. This can help your body’s natural cooling system function properly.

A Final Word About Exercising While Managing Rosacea Symptoms

Keeping an exercise diary can help determine which exercises affect your rosacea.

But remember, a little red skin is only natural when you work out. So don’t let feelings of self-consciousness interfere with your exercise routine.

“While patients with rosacea may look a little more pink when exercising, and their skin may feel sensitive and irritated when the salty sweat sits on it, overall, exercise is healthy and should not be avoided because of this common skin condition,” Shainhouse says.

Q&A: Exercise & Itchy Eyelids

Q. I enjoy lifting weights, but whenever I put my body under physical stress my symptoms get worse. What type of physical exercise is optimal and at what intensity?

A. Any physical exercise that greatly increases your core body temperature may result in flushing and a flare-up of rosacea symptoms, so low- to medium-intensity exercise is probably your best bet. You might be able to reduce the intensity of your current exercise routine with these techniques:

Exercise May Cause Flare-Ups But Can Be Controlled, Survey Shows

While physical exercise may be a common rosacea trigger, the right changes in routines can reduce the likelihood of a flare-up, according to results of a new patient survey by the National Rosacea Society.

More than 80 percent of the survey’s 563 respondents said exercise aggravates their rosacea signs and symptoms. Aerobic exercise in general (also known as cardio) was cited as the most aggravating, mentioned by nearly 55 percent of the patients. This type of exercise increases the demand for oxygen, resulting in higher respiration and heart rates.

Tips for Exercising Without Flare-Ups

The increase in body temperature brought about by exercise may lead to a flare-up for many rosacea sufferers. Yet abandoning an exercise routine is not the answer to this dilemma. Here are tips for minimizing exercise-induced flare-ups:

Watch the forecast. In warm weather, outdoor exercise should be limited to early morning or evening hours to avoid the midday heat and sun. For activities such as walking or cycling, look for shaded trails instead of hot asphalt. Don’t forget to wear sunscreen (SPF 15 or higher).

Exercise Can Affect Rosacea, But Modifying Routine Helps

According to a new survey of 1,261 rosacea patients by the National Rosacea Society, more than 83 percent are affected at least somewhat by exercise. Fortunately, of those who have modified their exercise routine because of this condition, 89 percent said this had reduced their signs and symptoms.

Tips for Outdoor Exercise Routines

Since the arrival of spring naturally draws people outside, here are some tips for enjoying outdoor exercise while minimizing rosacea flare-ups.

    Consider the potential for a rosacea flare-up. Over-exertion is a common rosacea trigger for many. In a survey of rosacea patients, exercise caused flare-ups in 55 percent of runners, and 46 percent of cyclers and swimmers. In contrast, golf only caused flare-ups for 29 percent of those participating.

Q&A: Pimples on Lips & Sweating

Q. I suffer from bumps or pimples that aggravate my lips. Is this caused by my rosacea?

Exercise Often Leaves Sufferers Red In the Face, According to Survey

While a broad range of exercise activities may often aggravate rosacea symptoms, patients are nearly always able to reduce these flare-ups by modifying their exercise routines, according to a survey by the National Rosacea Society.

For most of the 732 respondents, exercise is part of their lifestyle. Forty-two percent reported they exercise frequently and another 34 percent said they exercise daily. But trying to stay healthy doesn’t come without a price. For 64 percent of the survey participants, exercise had caused their rosacea to flare up or flare up somewhat.

Tips for Exercise

Exercise is a necessary part of a healthy lifestyle. But for many rosacea sufferers, flushing from exercise may pose a special challenge if it causes their condition to flare up.

In most cases, precautions or moderation will let you get the exercise you need to remain fit, while minimizing your chances of a flare-up. Here are suggestions on how to proceed with your workout:

You don’t need a high-intensity workout to reap the benefits of exercise. Choose a low-intensity workout — it’s just as beneficial.

How to exercise with rosacea

How to exercise with rosacea

How to exercise with rosacea

How to exercise with rosacea

Contact Us

Phone: 1-847-382-8971
Email: [email protected]
National Rosacea Society
111 Lions Dr., Suite 216
Barrington, IL 60010

Our Mission

The National Rosacea Society is a 501(c)(3) non-profit organization whose mission is to improve the lives of people with rosacea by raising awareness, providing public health information and supporting medical research on this widespread but poorly understood disorder. The information the Society provides should not be considered medical advice, nor is it intended to replace consultation with a qualified physician. The Society does not evaluate, endorse or recommend any particular medications, products, equipment or treatments. Rosacea may vary substantially from one patient to another, and treatment must be tailored by a physician for each individual case. For more information, visit About Us.

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Reproduction, re-transmission, or reprinting of the contents of this website, in part or in its entirety, is expressly prohibited without prior written permission from the National Rosacea Society.

How to exercise with rosaceaWhile physical exercise may be a common rosacea trigger, the right changes in routines can reduce the likelihood of a flare-up, according to results of a new patient survey by the National Rosacea Society.

More than 80 percent of the survey’s 561 respondents said exercise aggravates their rosacea signs and symptoms. Aerobic exercise in general (also known as cardio) was cited as the most aggravating, mentioned by nearly 55 percent of the patients. This type of exercise, which increases the body’s demand for oxygen and results in higher respiration and heart rates, encompasses a wide variety of low- to medium-intensity forms of activity, such as jogging, swimming and cycling.

“Increased heart rate and respiration are usually accompanied by an increase in blood flow and core body temperature, so it’s not surprising that this type of exercise exacerbates rosacea,” said Dr. Julie Harper, associate clinical professor of dermatology at the University of Alabama-Birmingham. “The key is to modify the workout to minimize the effects on rosacea while still maintaining the cardiovascular and respiratory benefits.”

Nearly half of those answering the survey said they have modified their exercise routine as a result of their rosacea. Of those who made modifications, 62 percent said it has reduced the frequency or severity of their flare-ups.

The most popular adaptive strategy was to lessen the intensity of the routine, cited by 51 percent of those making modifications. Forty-seven percent said they use a fan or air conditioning while working out, and 36 percent said they have shortened the duration of their workouts. Twenty-three percent said they have changed the time of day they exercise (presumably to a cooler time of day), and 20 percent said they use a spray bottle or a damp cloth to keep cooler.

Among the wide range of activities that survey respondents said were aggravating to their condition, jogging or running was the most frequently cited, named by 41 percent. Walking was not far behind, mentioned by 37 percent, followed by bicycling, noted by 28 percent.

Other activities reported as rosacea triggers included push-ups and sit-ups, named by 22 percent; hiking, (19 percent); weight lifting or strength training (18 percent); swimming and team sports (both 12 percent); and tennis, (10 percent). Other activities named by less than 10 percent of those polled include skiing, yoga and Pilates, golf, martial arts and gardening.

“With thoughtful modifications to their exercise routines and compliance with medical therapy, most rosacea patients can continue to enjoy the benefits of physical activity,” Dr. Harper said.

This article was co-authored by Lydia Shedlofsky, DO and by wikiHow staff writer, Jennifer Mueller, JD. Dr. Lydia Shedlofsky is a Resident Dermatologist who joined Affiliated Dermatology in July of 2019 after completing a traditional rotating internship at Larkin Community Hospital in Miami, Florida. She earned a Bachelor of Science in Biology at Guilford College in Greensboro, North Carolina. After graduation, she moved to Beira, Mozambique, and worked as a research assistant and intern at a free clinic. She completed a Post-Baccalaureate program and subsequently earned a Master’s Degree in Medical Education and a Doctorate of Osteopathic Medicine (DO) from the Lake Erie College of Osteopathic Medicine.

There are 7 references cited in this article, which can be found at the bottom of the page.

This article has been viewed 11,201 times.

Rosacea is a chronic disorder that causes flare-ups of redness, blotchiness, pimples, or thickening of the skin in your face, neck, nose, ears, neck, and chest. While there is no cure, medical treatment is required for rosacea since not treating it can cause the condition to worsen. If you have rosacea, then you likely avoid triggers that cause flare-ups, which can include exercise; however, exercise reduces stress and helps you stay fit, which can reduce flare-ups. [1] X Research source Fortunately, you can reduce or even eliminate your exercise-induced flare-ups by finding the right exercise intensity, controlling the conditions under which you exercise, and making lifestyle changes.

Exercise can be one of the main triggers of rosacea but Heather Stephen finds out how you can still keep fit and hold the condition at bay.

There’s nothing like a good workout to feel great and boost our health but if you have rosacea you may well give the gym a miss for fear of breaking out in an unwelcome flush.

According to the National Rosacea Society in America exercise is the fifth most common rosacea trigger so it is hardly surprising you might want to avoid it if you have the condition.

‘Exercise makes rosacea worse because it raises the temperature and increases blood supply to the surface of the skin,’ explains consultant dermatologist Anton Alexandroff. ‘It is a known trigger but you shouldn’t stop working out as it is so vitally important for your health.

‘There are two types of rosacea,’ he says. ‘The inflammatory kind with spots is not affected by exercise but the type which causes flushing and redness is made worse by activity.

He says exercise ‘is one of many triggers, including drinking coffee, sunlight and too much alcohol.’ But he adds, ‘people shouldn’t stop doing things they enjoy just because they have rosacea.’

Dr Justine Hextall, consultant dermatologist with the Western Sussex Hospitals NHS Trust agrees exercise can impact on rosacea but says it is beneficial for overall skin health.

How to exercise with rosacea

‘I would always encourage people with rosacea to exercise because it is so good for you and may have an anti-inflammatory effect on your condition,’ she says.

‘People tend to get rosacea as they get older and there are changes to the skin so the first thing I do is to try and restore the skin barrier.

‘I ask patients what they are using to wash their face. People think they should be using frequent exfoliators but this is usually far too abrasive for sensitive skin so I always advise people to use a gentle face wash followed by a moisturiser.

‘There is a lot of evidence that sunlight affects rosacea so it is important to protect your skin against the sun when exercising outside. But some people with rosacea may find their skin irritated by the chemicals in sun screen so I recommend zinc oxide cream which protects against UVA and UVB but is much better tolerated.’

Dr Hextall suggests going for a brisk walk rather than a run which could flush the cheeks. She also recommends swimming as a good exercise option for people with rosacea as it’s less likely to lead to overheating but recommends washing and moisturising the face afterwards.

‘As chlorinated water is alkaline this unbalances the naturally mildly acidic skin pH and disrupts the skin barrier making it feel tight, dry and sensitive,’ she says.

‘In the context of inflammatory skin conditions, keeping the skin calm and hydrated is of paramount importance.

‘Using a slightly acidic face wash like Cetaphil will restore the skin’s natural pH and adding moisturiser will hydrate and calm the skin. If you follow these steps going for a swim is unlikely to flare your rosacea.’

How to exercise with rosacea

Top exercise tips

  • Stay cool Rosacea flares up when the body temperature rises during exercise. If you are exercising inside switch on a fan or air conditioning. If you feel things hotting up drape a cool, damp towel around your neck or pop some ice cubes in your mouth and a spray bottle with cool water is the perfect way to cool down during your workout.
  • Go slow Aerobic exercise can increase the demand for oxygen and cause you to overheat. Low impact activities like yoga, pilates and aqua aerobics are a better option and are still great for your health.
  • Keep it indoors On a lovely day it may be tempting to take your fitness routine outside but it might be better to stay inside. A survey by the National Rosacea Society found sun exposure was the top trigger for rosacea, causing a flare up in 81 per cent of the people surveyed. And things are no better on a wintry day as the cold weather and wind often aggravates rosacea.

Rosacea Facts

  • Rosacea is a common skin disease and affects 10 per cent of the population – making it more common than psoriasis.
  • It first appears as redness on the cheeks, nose, chin or forehead and in many people the eyes feel gritty and are bloodshot or watery.
  • It is most common in fair skinned women between the ages of 30 and 50.
  • To begin with the condition comes and goes but as time goes on the redness becomes more severe and persistent, enlarged blood vessels may appear and bumps and pimples often develop.
  • By this stage you should see a dermatologist as the condition rarely improves and may become worse without treatment.

ROSACEA flare-ups are known to be triggered by exercise. But workout the right way – regularly enough – and it actually may be a way to treat it.

How to exercise with rosacea

Rosacea: Exercise can trigger the skin condition

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Exercise can trigger a bout of flushing, facial redness and itchy skin – the key symptoms of rosacea – because it increases your body’s core temperature.

Indeed, 80 per cent of people in a survey by the National Rosacea Society said it aggravated theirs, particularly if it was high-intensity aerobic exercise.

To retain the health benefits of exercise, the National Rosacea Society recommend sufferers do low- to medium-intensity exercise – like Pilates – instead.

Similar to yoga, Pilates works by strengthening, stretching, and stabilising key muscles.

Related articles

Pilates: It’s a known stress-reliever

Not only will Pilates stretch you while keeping your heart rate down, but it’s been proven to reduce stress too – another rosacea trigger.

Not only will it stretch you while keeping your heart rate down, but it’s been proven to reduce stress too – another rosacea trigger.

Indeed, research published in the Yoga Journal showed that the physical challenge of holding a single pose, and then performing a flowing transition to another, is an effective stress reliever.

What’s more, exercise has an anti-ageing effect on your skin too.

A study by McMaster University found that it helps keep your skin looking young by producing more myokines called IL-15, believed to improve the texture of the skin.

Anti-ageing: Pilates improves circulation which boosts collagen production

Paola Di Lanzo, trainer and founder of Paola’s BodyBarre, said: “Pilates improves our circulation, meaning more nutrients make it to skin cells.

“As well as making our skin radiate, these nutrients help fibroblasts – the collagen-producing cells in the skin which become lazy as we get older – work more efficiently.

“It also reduces inflammation in the body, helping to regulate skin-boosting hormones and preventing free-radical damage.

“Exercises like barre, Pilates and yoga are far less ageing on your skin too than continuous, repetitive, high-impact training that can cause premature sagging.”

Exercise is the fifth most common rosacea trigger, according to the National Rosacea Society, so it’s hardly surprising you might be wary of it if you have the condition. However, abandoning an exercise routine is not the answer. There’s plenty great resources, products, and treatments available that can help you manage your skin and keep you feeling confident, healthy, and happy.

We sat down, (virtually) with Minimal Fit Founder, Robert Jackson to talk about a topic many people with rosacea can relate to: exercising, dealing with post-gym flare ups and what to do to keep your skin calm.

Q: Please could you explain a little bit about your skin journey?

“I have very fair and sensitive skin in general. Having had eczema as a child, that has continued throughout my adult life in some form or another. It seems to go through good and bad phases, with some foods, drinks and products causing irritation to it.

Over the years I have tried all kinds of creams, lotions and potions to fix problems I’ve been having at the time but have not always been successful.”

Q: Do you find working out has an effect on your skin?

“This only started happening in my 30’s, but now I find that if I sweat a lot my skin can remain quite red for hours or a day after. Especially so if I don’t wash my face soon after training, but not too soon as that sometimes doesn’t help and can even make it worse. It’s a find balance between the two!

Indoor training on a stationary bike or treadmill is the worst, because I’m not moving and sweating a lot. Cycling outdoors is better because the wind helps keep me cool. When I cycle indoors, I have a large fan and sweat towel to use. “

Q: How to prevent flare-ups when you work out?

“I try not to let it make me avoid things too much, but I am conscious of it. I have been asked to go to hot pod yoga but that is a definite no-go as I’ll be sweating way too much.

The best thing for me is to keep cool, have a sweat towel ready and make sure I can wash my face within 15 minutes of finishing training, after cooling down a bit first.”

Q: What have you found works for you?

“I have been using Azelaic Acid regularly. For me, it helps reduce any redness. I started off using The Ordinary one, and now I use a prescribed one which is 20% Azelaic Acid, which is stronger than anything you can buy off the shelf.

I use it once a day in the evening before bed. It does sometimes make my face a little redder to start with, but it’s gone within an hour. If I have had a bit of a flare-up, I find it stings my face once I apply the cream and that last for around 5-10 minutes.”

How to exercise with rosacea

If you have rosacea, you know how inexplicably your face can redden — even when you haven’t exercised or spent any time in the sun. Maybe you’ve figured out some of your triggers, like certain foods or lifestyle choices, but other times, you’re still puzzled about why your rosacea has flared up.

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Experts don’t have a clear understanding of exactly what causes this chronic skin condition, but they do know that it runs in families.

“A number of things commonly act as triggers for rosacea flare-ups and not everyone has the same triggers. But if an individual or physician can determine specific triggers, that person may have an easier time controlling rosacea symptoms,” explains dermatologist John Anthony, MD.

He says five of the most common triggers include:

  1. Alcohol. Alcohol can dilate the tiny blood vessels in the face, causing the face to flush. Drink in moderation only on special occasions, if at all. Not only can drinking alcoholic beverages cause flare-ups, but so can topically applied alcohol in various facial cleansing products. Always check product ingredients and avoid those containing alcohol or other overly drying ingredients.
  2. Spicy or hot foods and drinks. Foods that contain spicy ingredients can affect the blushing areas of the face, leading to redness. If you love spicy food, go with mild spice and only enjoy these dishes on occasion. Since hot (temperature-wise) food and drinks often trigger facial flushing, you should allow your food or warm beverage to cool a bit before consuming.
  3. Exercise. Regular exercise is important for everyone, but it’s also a common trigger for rosacea flare-ups. But don’t abandon your exercise routine. Rather, limit outdoor exercising to morning or evening hours to avoid midday heat and sun exposure. When exercising outdoors, use shaded trails for cycling or jogging. And always remember to keep yourself well hydrated.
  4. Sun and wind exposure. Sun exposure, hot and cold temperatures and wind exposure frequently aggravate rosacea symptoms. Always wear a broad spectrum sunscreen when outside, even on cloudy days. If possible, stay inside on particularly hot, humid days. If you must venture out in the cold or wind, cover your cheeks and nose with a scarf.
  5. Anxiety and stress. Stress and anxiety can cause rosacea symptoms to worsen, so use stress management techniques when needed. Make sure to get plenty of rest and practice deep breathing when you feel anxiety creeping up.

Rosacea treatments

Dermatologist-prescribed medications that you apply directly to the skin, called topical treatments, that can help control rosacea symptoms and progression. Your physician may recommend an over-the-counter emollient cream to help repair the skin. For some forms of rosacea, you may need a topical or oral antibiotic to help control blemishes that occur during flare-ups.

“Treatments for rosacea include topical brimonidine, which helps control the redness of rosacea, and topical ivermectin, which helps with the papules and pustules that occur with some forms of rosacea,” says Dr. Anthony. These can complement many of the previously available treatments, when necessary.

He says that sulfur is a natural agent used effectively for many years as a home remedy for rosacea. You can purchase soaps and lotions containing sulfur in over-the-counter formulations at most pharmacies.

Dermatologists can remove thickening skin of the nose and flushing areas of the face using dermabrasion or electrocautery.

How to know if your rosacea is mild or severe

When discussing your rosacea with you, dermatologists ask how much the condition bothers you. Some patients don’t mind fairly extensive redness and pustules, while these symptoms affect others profoundly. “I tailor treatment to address the individual concerns of the patient,” says Dr. Anthony.

According to Dr. Anthony, rosacea most commonly appears on the face, but people can also experience symptoms on the neck, chest, scalp and ears. “When a person notices symptoms appearing in these other areas, it should prompt further evaluation by a medical professional,” he says.

Even less commonly, a form of rosacea called ocular rosacea can affect the eyes. Dr. Anthony considers this type more severe, warranting more aggressive treatment.

Talk to your doctor if you have frequent, unexplained flushing and prolonged redness in the facial area. A dermatologist can evaluate your condition, identify triggers and prescribe treatments to alleviate symptoms and prevent progression.

Why it’s important to treat rosacea

“The condition most commonly begins with frequent flushing of the facial skin and can progress, eventually causing the skin to appear red all the time,” says Dr. Anthony. Without treatment, you may begin to see a web of tiny blood vessels appear in the center of your face, usually the nose.

People with rosacea also may have thickening of the skin and frequent breakouts that are not due to acne.

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But altering workout helps keep symptoms at bay, survey finds

FRIDAY, March 25, 2005 (HealthDay News) — Exercise is a common trigger for flushing in people with rosacea, but altering exercise regimens can reduce the effect, says a National Rosacea Society survey in the journal Rosacea Review.

Rosacea is a red-faced, acne-like facial condition affecting about 14 million Americans.

According to the survey of almost 1,300 people with rosacea, more than 83 percent said exercise triggered or aggravated the signs and symptoms of their disorder.

However, 42 percent said they modified their exercise routines because of the skin condition, and nearly 9 out of 10 of those that did so said those changes reduced the effect of exercise on their rosacea.

“While exercise is important to a healthy lifestyle, people with rosacea should anticipate flare-ups of rosacea signs and symptoms, especially with strenuous activity or outdoor heat exposure,” Dr. James Del Rosso, an assistant clinical professor of dermatology at the University of Nevada Medical School, said in a prepared statement. “By doing simple things, such as working out in the early morning or late evening when the weather is cooler or in a cool indoor environment, rosacea sufferers may be able to reduce the intensity of flare-ups.”

Other ways to reduce or avoid flare-ups: exercising more often, but for shorter periods of time; running a fan or opening a window in order to keep cool indoors; and cooling off by drinking cold fluids or by keeping a damp towel around the neck.

The survey found that walking triggered rosacea in 36 percent of the respondents, followed by jogging or running (33.5 percent), aerobics (30.5 percent), weight lifting (16 percent), push-ups or sit-ups (15 percent), and bicycling or spinning (15 percent).

Along with exercise, other common triggers of rosacea flare-ups include hot weather, alcohol, sun exposure, emotional stress, humidity, indoor heat, spicy foods, heated beverages and irritating skin-care products.

More information

The National Rosacea Society has more about rosacea.

Rosacea is a long-term skin condition that mainly affects the face. It’s more common in women and people with lighter skin, but symptoms can be worse in men. Treatment can help with symptoms.

Check if you have rosacea

The first signs of rosacea include

  • redness (blushing) across your nose, cheeks, forehead and chin that comes and goes
  • a burning or stinging feeling when using water or skincare products

The redness may be harder to see on darker skin.

How to exercise with rosaceaAs rosacea gets worse, your cheeks, nose, skin and forehead will be red all the time

Other symptoms can include:

  • dry skin
  • swelling, especially around the eyes
  • yellow-orange patches on the skin
  • sore eyelids or crusts around roots of eyelashes – this could be blepharitis
  • thickened skin, mainly on the nose (usually appears after many years)

Triggers

It’s not known what causes rosacea, but some triggers can make symptoms worse. Common triggers for rosacea include:

  • alcohol
  • spicy foods
  • cheese
  • caffeine
  • hot drinks
  • aerobic exercise like running

If you’re not sure it’s rosacea

Rosacea can look a lot like other conditions, such as:

  • acne
  • contact dermatitis, seborrhoeic dermatitis and other types of dermatitis
  • lupus
  • keratosis pilaris

Non-urgent advice: See a GP if:

  • you think you have symptoms of rosacea

Coronavirus (COVID-19) update: how to contact a GP

It’s still important to get help from a GP if you need it. To contact your GP surgery:

  • visit their website
  • use the NHS App
  • call them

Urgent advice: Ask for an urgent GP appointment or call 111:

If you have rosacea and:

  • your eye is painful
  • your vision is blurred
  • you’re sensitive to light
  • you have a red eye
  • your eye feels gritty

These could be signs of keratitis, which can be serious if not treated urgently.

Treatment for rosacea from a GP

Rosacea cannot be cured but treatment from a GP can help control the symptoms. It can get worse if it’s not treated.

A GP may suggest:

  • prescriptions for creams and gels you put on your skin
  • taking antibiotics for 6 to 16 weeks
  • IPL (intense pulsed light) treatment – this may not be available on the NHS

The GP may refer you to a skin specialist (dermatologist) if treatments are not working.

Things you can do to help

Rosacea is not caused by poor hygiene and it’s not contagious. But there are things you can try to help with symptoms.

If you know that a trigger, for example alcohol or spicy food, makes symptoms worse, try to avoid it as much as possible.

wear a high SPF sunscreen of at least SPF 30 every day

try to avoid heat, sunlight or humid conditions if possible

try to cover your face in cold weather

use gentle skincare products for sensitive skin

clean your eyelids at least once a day if you have blepharitis

There’s nothing quite like the feeling of being all hot and sweaty after you just dominated a workout, and the cherry on top is supposed to be that coveted post-workout glow. But for some people, their reward is a brilliantly beet-red complexion, which can make a person feel self-conscious after hitting the gym. To make sure you never have to say no to your favorite spin class or running trail, we decided to get to the bottom of post-workout scarlet skin by asking dermatologists if there’s a reason for alarm.

Keep reading to find out exactly what’s happening under your face and exactly what you need to do to manage post-workout redness.

Why Your Face Gets Red When Working Out

The good news: Experiencing a red face after a workout is a totally normal response to physical activity. As we heat up, everyone knows we sweat to cool down, but our bodies also experience vascular changes because of increased blood flow, manifesting as flushing or a red face. “The flushing that occurs post-workout is due to the vasodilation of superficial blood vessels in facial skin,” says Blair Murphy, MD, FAAD, a board-certified dermatologist in New York City.

Essentially, this cutaneous flushing occurs in some people after exercising because they have more capillaries. Your blood is being pumped through faster to maximize oxygen intake, so the capillaries widen to allow more oxygen to pass through to the active muscles while also pushing heat to the surface to prevent overheating.

“We all flush when we workout, but it’s more evident in those with fair complexions as the skin pigment in darker skin tones can sometimes mask more mild flushing,” says Arash Akhavan, MD, FAAD, a board-certified dermatologist in New York City. That being said, he adds that some people also “genetically have a more robust network of tiny blood vessels feeding their capillaries, making the redness more pronounced.”

When Redness Is a Reason for Concern

Exercise causes flushing that goes away after a while—however, the difference is, rosacea won’t subside. According to Dr. Hartman, it’s rosacea “if you stay flushed on the cheeks, chins, nose, and forehead for prolonged periods without any stimulus for flushing.” Since rosacea is a chronic flushing disorder, along with redness, you’ll notice “small broken capillaries on your cheeks and nose or pimples similar to acne, except they’re without the blackheads or whiteheads we commonly see,” he notes. If you’re experiencing this, it’s essential to consult a dermatologist.

How to Prevent Post-Workout Redness

While the redness you experience during exercise cannot be completely circumvented, you can take measures to try and reduce the redness. For starters, try exercising in a cool environment and wear light-colored and loose fitting clothing.

If you’re someone who already experiences increased flushing, the last thing you should do is drink alcohol before exercising. “Alcohol consumption dilates blood vessels, increasing blood flow and the redness of the face,” says Corey L. Hartman, MD, board-certified dermatologist and founder of Skin Wellness Dermatology. While you’re skipping that happy hour cocktail, try limiting spicy foods, caffeine, chocolate, and sun exposure because they all cause inflammation and make the capillaries look more pronounced.

People who flush excessively should also avoid using irritating ingredients on their skin that would further inflammation, such as alcohol-based products, creams with high acidic content, or harsh retinoids. “Instead, use products with anti-inflammatory ingredients like hyaluronic acid, vitamin C, and niacinamide, like Neutrogena Hydro Boost Gel-Cream ($15; amazon.com) or creams such as CeraVe PM ($17; ulta.com),” shares Dr. Akhavan. Vitamin C is especially crucial because it’s an antioxidant that reduces oxidative stress on the skin and provides an extra layer of protection against UVA and UVB rays (sunlight can exacerbate the redness).

How to Reduce Face Redness After Workout

While there is no true prevention method for flushing, it can be managed by decreasing symptoms and preventing flare-ups through laser treatments. “Pulsed dye laser treatment can destroy the superficial cutaneous blood vessels, which significantly reduce the redness experienced post-workout,” notes Dr. Murphy.

If you’re more committed to keeping your skincare routine simple, try this quick fix prior to seeking laser therapy. Before heading to a workout, make sure to pack a cool water bottle to sip on during class to keep your core temperature lower and bring anti-inflammatory skincare products like cooling mists, says Shuting Hu, PhD, a cosmetic chemist and founder of Acaderma. Spritzing your face during and after your workout will reduce the redness and work to restore the skin to a balanced state after physical activity.

You can also apply a cold, damp washcloth to your face after exercising to alleviate tightness around the skin. Follow this up with a gel moisturizer that will help cool your complexion and soothe inflammation. If your facial redness really won’t budge, you can also add a dab of hydrocortisone cream to treat the inflammation; just be cautious with how much you apply since it is a topical steroid.

How to exercise with rosacea

As a rosacea sufferer, you find ways to avoid triggers and manage flare-ups all year long. But during the summer months, especially when it’s hot and sticky in New York City, you’re faced with additional environmental and lifestyle factors that can aggravate your condition. For many people, rosacea is at its worst in the summertime.

Here at Manhattan Dermatology, with convenient locations in Murray Hill and Midtown East, our highly skilled dermatologists can help you manage your rosacea symptoms all year long. If you’re dealing with rosacea flare-ups this summer, follow these tips to keep it under control while the temperatures are still in the “hot and muggy” zone.

Summertime triggers are a triple threat for rosacea

According to a recent National Rosacea Society survey,, 61% of rosacea sufferers rank sun exposure as their biggest trigger. Another 53% blame hot weather for their summertime flare-ups, and 39% report vigorous exercise as their biggest instigator. So, basically, if you’re outside on your way to work, or spending a weekend at the shore, and you exercise to stay fit, summertime in NYC is a triple threat for triggering rosacea symptoms.

Think about all the outdoor activities you participate in during the summer when beautiful weather beckons you outside — golf, tennis, swimming, or simply attending more outdoor events, barbecues, and celebrations. Maybe you spend even more time outside during your lunch hour or you enjoy sitting outside on the ferry during your daily commute. Unfortunately, if you’re a rosacea sufferer, all these factors can make it harder to control flare-ups and manage symptoms.

You can minimize flare-ups

Just because you have rosacea doesn’t mean you should sit home and miss all the summertime fun. Instead, find ways to minimize flare-ups when you exercise, at social events, and anytime you’re outside.

During workouts

Medically speaking, when it’s hotter outside, blood flow to your skin increases. When you exercise or sweat, your glands work harder to keep you cool, which, inadvertently makes your rosacea symptoms worse.

  • Exercise early in the morning or later in the day when temperatures are cooler and the sun isn’t as hot and shining directly on your face.
  • Exercise indoors where it’s air-conditioned to keep your skin temperature regulated.
  • Spritz your face with cool water during your weekend yoga class or tennis match.
  • Suck on ice chips to keep the blood supply to your face cool.

At social events

A busy social calendar can lead to extra stress and indulging in foods and drinks that can trigger rosacea flare-ups.

  • Minimize stress through meditation or deep breathing to calm your nerves before or after stressful social occasions.
  • Avoid alcohol if it’s one of your rosacea triggers, or opt for alternating between lighter drinks, like white wine spritzers, and cold water.
  • Limit your intake of spicy foods that can trigger the redness of rosacea.

In the sun

Since you’re probably spending more time outside this summer, remember to protect your sensitive skin to minimize the risk of flare-ups.

  • Wear plenty of sunscreen anytime you’re outside.
  • Wear a hat to protect your face.
  • Avoid getting a sunburn when you’re at the beach or an outdoor event.

If you take medication to help manage rosacea symptoms, don’t forget to take it regularly, and certainly pack it to take with you when you go out of town on vacation. And if medication and lifestyle modifications aren’t enough to keep your rosacea under control this summer, consider nonablative laser treatments to reduce the appearance of spider veins and blood vessels that appear more prominently on the surface of your facial skin.

At Manhattan Dermatology, we’re here to help you enjoy summer and reduce the outward and inward stresses of having rosacea. If you need some extra help dealing with rosacea this summer, our expert dermatologists can customize a treatment plan that works best for your particular condition.

Give us a call today at the office closest to you, or book an appointment online .

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Breaking a sweat can positively impact your overall health and well-being in many ways, so it’s not too surprising that exercise can also influence your skin . After all, your skin is your body’s largest organ and it’s affected by so many of your lifestyle habits and choices, including your workouts .

INSIDER spoke with two doctors to learn about the many positive and negative ways working out can potentially impact one’s skin.

Exercise may actually help keep your skin feeling and looking healthier

Keeping up a regular fitness routine can improve your skin’s overall appearance, as Dr. Marisa Garshick, a dermatologist in New York City and chief medical correspondent for Certain Dri , an over-the-counter antiperspirant, said.

“Exercise, by getting the heart rate up and improving blood circulation, can help to deliver oxygen and nutrients to the skin which keeps the skin healthy, promotes collagen production, and promotes new skin cells which keeps the skin looking glowing and is also helpful for anti-aging,” she said.

She also said that sweating while you exercise can help clear out your pores ” as long as you make sure to clean [your] skin prior to exercise removing anything that can potentially clog the pores, [like] makeup or other skin-care products.”

Increased blood flow during exercise could lead to a ‘post-workout glow’

If you’ve ever noticed that your skin has a certain glow after a jog or yoga class, you’re not imagining things — the “post-gym glow” is real and it can last for several hours after your workout, according to our experts.

“The post-gym ‘glow’ that people describe is likely a combination of the increased blood flow [which can promote circulation in the skin], dewy appearance from sweat, and the endorphins released during exercise,” said Dr. Kathleen Cook Suozzi, assistant professor of dermatology at the Yale School of Medicine.

Outdoor workouts can up your risk for sun damage if you’re not careful

If you decide to head outdoors for your workout , you’ll want to liberally apply sunscreen to all exposed areas of skin before you get outside, no matter the time of day or projected weather forecast.

Garshick said you’ll want to use a sunscreen that has an SPF of 30 or higher and reapply at least every two hours. And, if you sweat, you may want to take note of your sunscreen’s water-resistant properties and apply more frequently than usual.

For your face, she said you’ll want to use sunscreens labeled “oil-free and water-resistant to prevent the sunscreen from clogging the pores or dripping off with sweat.”

Exercise can sometimes cause chafing and rashes on different areas of your body

Garshick said chafing and rashes can result from friction and moisture build-up in certain folds or areas of your skin.

When this happens, you might want to try using a strong over-the-counter antiperspirant to help prevent the excess sweating that causes chafing or slathering a thick layer of a moisturizing ointment in the area where you experience chafing.

And if you want to avoid getting certain rashes, Suozzi said it’s very important to dry off folds of your skin, including your inner thighs, buttocks, and under your breasts. “If these areas stay moist for prolonged periods, you can develop a condition called intertrigo , which are red itchy patches, often associated with yeast overgrowth on the skin,” she explained.

Working out might exacerbate rosacea

“Exercise can be a trigger for some patients with rosacea , which tends to worsen with increased blood flow to the skin, leading to redness,” said Garshick.

She said there are a variety of long-term treatments for rosacea including oral medications, topical creams, and lasers. But in terms of a short-term remedy for post-workout flare-ups, she said you may want to look for calming serums designed to help reduce the appearance of your skin’s redness.

If you wear makeup during a workout, you may clog your pores

“If you work out with makeup on, the makeup can clog your pores, preventing the release of sweat leading to breakouts and blemishes,” said Garshick.

She said you should remove your makeup and thoroughly cleanse your skin before exercising to help prevent post-workout breakouts . And she suggests using a gentle cleanser, makeup wipe, or micellar water to do so.

Skipping that post-gym shower can cause or exacerbate acne

Even if you remove all your makeup or aren’t covered in sweat after a low-impact workout, you’ll still want to change out of your gym clothes and hit the shower as quickly as possible, said Garshick.

“We know that when sweat sits on the body for too long, it can attract bacteria and clog pores so if not properly rinsed off, can make someone more prone to breakouts and acne,” she told INSIDER.

Exercise might also cause scalp issues for some

“Increased exercise can increase sweating on the scalp which, for some people, can lead to scalp irritation or itchiness,” said Garshick.

She said the more oily one’s scalp is, the more likely it is for yeast to grow there, which could lead to seborrheic dermatitis , a skin condition that can cause dandruff, scaly patches, or redness on many parts of the body, but especially the scalp.

Garshick said anti-dandruff shampoo can oftentimes help with this. And, fortunately, this condition can oftentimes go away without treatment, per the Mayo Clinic.

Working out in shared spaces may expose you to certain skin infections if you’re not careful

Suozzi told us that certain fairly common skin infections such as ringworm, the strain of HPV that can cause plantar warts , and impetigo, which is caused by bacteria entering a cut or abrasion and oftentimes results in skin sores, can be acquired at shared centers.

Fortunately, many of these infections can be easy to treat with over-the-counter products or a visit to a medical professional. And the possibility of exposing yourself to certain gym germs is definitely not a good reason to skip working out, said Garshick.

Garshick said it’s just important to be mindful of cleaning off equipment you’re using and avoiding sharing towels with others. Suozzi also said that gym goers should wipe down yoga mats before using them, frequently use hand sanitizer while at the gym, and wear shoes while in shared showers.

The stress-relieving properties of working out can also benefit your skin

Regular exercise is known to be stress-reducing and working out is known for positively affecting one’s mental health . It might not seem like this link would extend to your skin , but a fitness routine that you enjoy can help your skin look its best.

“Exercise has also been shown to reduce stress and we know stress can affect the appearance of the skin, leading to breakouts and [irritation],” said Garshick. Stress can also cause eczema and rosacea flare-ups, and even hives.

And so, Garshick said, when you reduce stress by exercising you can improve your overall skin clarity.

How to exercise with rosacea

Dr. Kumika Toma of the College of Health Professions has made significant contributions in determining the causes of rosacea, according to a research study published in the Journal of Neurophysiology.

“Rosacea is a non-fatal chronic inflammatory skin disease affecting more than 14 million Americans’ quality of life. A common characteristic includes redness in the middle of face due to increased blood flow, but the exact mechanism is not known and many treatments rely on the results of ‘trial-and-error,’ ” Toma said.

Toma, an associate professor of exercise science in the college’s School of Kinesiology, said she was responsible for recording nerve activities through needle electrodes inserted in the area of the eyebrow. She said her microneurography technique allowed the research team to determine that the sympathetic nervous system may be involved in the development and triggering of rosacea symptoms.

How to exercise with rosaceaThis is the second published study in the world and the first in North America in which a researcher has used inserted electrodes into the area of the eyebrow to record a specific nerve signal, according to Toma.

“This is the first published study in the world with this technique to the patient population. Also, the microneurography technique used is very new to clinical research,” Toma said. “This type of study is a bridge between science research and clinical practice.”

Dr. Thad Wilson, professor of physiology at Marian University College of Osteopathic Medicine in Indianapolis, introduced Toma to research of sympathetic nerve activity during her second and third years of her postdoctoral fellowship at the Ohio Musculoskeletal and Neurological Institution. Wilson said he served as principal investigator on the grant from the National Rosacea Society, but it was Toma who was responsible for the novel nerve recordings.

“She was the person who placed the recording electrodes into the nerve between the brain and the facial skin to tap into ‘nerve phone line’ to record its messages – pretty impressive on her part,” Wilson said. “I introduced her to the microneurography technique, but she was able to further develop it and then for the first time apply to the clinical population.”

Wilson said the results of this study could be used for more focused treatment plans for rosacea and other flushing-related disorders.

“In addition to the microneurography component of the study Toma performed, the research team also tested local reflexes within the skin that cause vasodialation, which is an increase in skin blood flow,” Wilson said. “The technique advances in this study could be importantly applied to study other flushing-related disorders such as menopause.”

The study, “Augmented supraorbital skin sympathetic nerve activity responses to symptom trigger events in rosacea patients” was published in July 2015 by the Journal of Neurophysiology.

To learn more about Toma’s rosacea research, e-mail [email protected] For more information on Marshall’s School of Kinesiology and its Department of Exercise Science, visit www.marshall.edu/cohp online.

Photos: (Above) Dr. Kumika Toma of the Marshall University College of Health Professions worked with researchers from across the country to determine the possible cause of rosacea. (Below) The article published in the Journal of Neurophysiology details findings from recorded nerve activities through needles electrodes inserted in the eyebrow. This is the first study of its kind in North America.

S tand outside a Flywheel or CrossFit studio, and a stream of sweaty, red-hued faces will eventually stagger out. You may have noticed the same unsubtle rouging of your own cheeks after a long run or bike ride. But why so red?

“As your body heats up during activity, your core temperature and your skin temperature increase,” says Edward Coyle, director of the Human Performance Laboratory at the University of Texas at Austin. In an effort to cool you off, your blood vessels and skin pores open, which allow your blood to flow closer to the surface of your skin. “This helps cool your blood and therefore your body,” Coyle says. “But especially if your skin is very pale to begin with, that increased blood flow may result in a red or flushed appearance.”

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How to exercise with rosacea

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Coyle’s research has shown that endurance athletes experience greater blood flow to the skin during exercise. This rush of blood to the skin also seems to happen earlier during activity for trained athletes compared to couch potatoes, he says. But when it comes to the deepness of your skin’s flush, “that doesn’t correlate with cutaneous blood flow,” he says.

Translation: The shade of crimson your face takes when you’re hot isn’t simply a matter of increased blood flow. Your skin’s chemistry also plays a role.

When your vessels dilate, the influx of blood can cause the cells in your skin to open and release their contents. Those contents vary from person to person and may include a type of fatty compound called a prostaglandin, which may contribute to the redness you experience during exercise (or during an embarrassed blush), says Dr. Garret FitzGerald, a professor of medicine at the University of Pennsylvania.

“For some people, exercise can cause the cells in the skin to release histamine, which in turn can cause the blood vessels to widen, adding to the exercise-induced flushing,” says Dr. Adam Friedman, associate professor of dermatology at the George Washington University School of Medicine and Health Sciences. In extreme cases, this could even lead to a form of hives, he says.

Also, for those with rosacea—a common condition involving hypersensitive blood vessels and an overactive immune system, both of which lead to red or inflamed skin—exercise, alcohol or even spicy food can cause a deep flush, Friedman says. “This is especially common among women and those of Northern European descent,” he adds.

So the amount of facial reddening you experience because of exercise depends on a lot of factors, from your genes to your fitness level.

Should you do anything about it? For people diagnosed with rosacea, there are topical treatments available that can help control the flush, Friedman says. And for others who may have extreme flushing due to the release of histamine, some antihistamine drugs like Cetirizine may help douse the cutaneous flames if you take it before exercising. (Talk with a dermatologist if it’s stressing you out.)

But for most people, exercise-induced flushing is benign: a nuisance to be endured and ignored.

“It’s not dangerous,” Friedman says. “It’s just a combination of your skin tone and chemistry.”

How to exercise with rosacea

Rosacea is a common skin condition. Anyone can get it, but it’s most commonly diagnosed in light-skinned women over age 30. Rosacea is a condition in which blood vessels dilate to cause facial redness and swelling.

It’s not clear what causes rosacea, but treatment can minimize the redness and discomfort. If you think you might have rosacea, turn to Oswald Mikell, MD , and our team at Dermatology Associates of the Lowcountry for expert rosacea care .

Finding out what’s triggering your flare-ups is a key part of finding a successful treatment plan. In this blog, Dr. Mikell discusses some of the things that can trigger rosacea flare-ups.

Rosacea triggers

A number of things can trigger rosacea symptoms, including the following:

Sun exposure

Not only can the sun’s ultraviolet light damage the skin, cause sunburn, and lead to premature aging, but it can also trigger rosacea symptoms.

If you have rosacea, even a few minutes of sun exposure may cause flushing and redness. The best way to minimize skin damage from the sun and reduce rosacea outbreaks is to wear sunscreen with an SPF of 30 or higher every day.

Weather

Extreme temperatures — both hot and cold — can trigger rosacea flare-ups. Windy conditions and high humidity can also irritate the skin.

You can’t control the weather, but you can prepare for the conditions before you head outside. In the fall and winter, wear a scarf and hat to protect your face from the cold, windy conditions. In the spring and summer, wear a hat and seek shade as much as possible.

Because the condition affects the skin, many people assume that rosacea triggers are always external. However, what you put inside your body can cause rosacea flare-ups, too.

Alcohol and hot beverages, such as coffee and tea, may make your rosacea worse. Furthermore, spicy foods and hot foods may raise your body’s temperature and make your skin flush.

High-intensity workouts and stress

Vigorous exercise increases a person’s body temperature, and the resulting facial redness can continue long after the workout. Furthermore, high levels of emotional stress can increase rosacea outbreaks.

While physical exercise is important, you don’t have to participate in high-intensity workouts to get all the health benefits. Choose low-impact activities and monitor your exertion levels. And finding healthy ways to manage emotional stress — such as taking quiet time, reducing the number of obligations you have, and going to counseling — may all help minimize rosacea flare-ups.

Treating rosacea

Dr. Mikell and our team take a holistic approach to treating rosacea. Dr. Mikell will evaluate your health and lifestyle to identify possible triggers. Along with the common triggers listed above, he’ll also assess any medications that could be dilating your blood vessels, and he’ll also assess any skincare products that could be causing irritation.

Many people with rosacea find relief with a combination of treatments. Dr. Mikell may prescribe a topical cream to constrict your blood vessels, and he may also prescribe antibiotics, particularly for bad flare-ups. He’ll also discuss lifestyle changes that may help you reduce flare-ups.

With the right treatment, you can keep your rosacea symptoms under control. To learn more, book an appointment over the phone with Dermatology Associates of the Lowcountry today.

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Rosacea is a long-term skin condition which mainly affects the skin on the face – the cheeks in particular. It causes redness and irritation on the skin, which can be very embarrassing and inconvenient for the sufferer. Rosacea is still a relatively poorly understood condition, but great steps have been taken in recent years to treat and manage it. If you think you have rosacea and are interested in the treatment and management options available, speak to a Babylon doctor today.

Causes of rosacea

The root cause of rosacea has not yet been conclusively proven. Many believe it’s caused by a defect in the blood vessels of the face, which are prone to dilating too easily. Experts have also claimed that rosacea can be the result of a reaction to mites commonly found on the facial skin.

There are also many different triggers for rosacea episodes, and these vary from person to person. The most common triggers include:

  • Alcohol
  • Strenuous exercise
  • Spicy foods
  • Dairy
  • Extreme temperatures, either high or low
  • Stress
  • Caffeine
  • Exposure to sunlight
  • Some medications

Symptoms of rosacea

The symptoms of rosacea can vary between individuals. The most common symptom is flushing, where the skin on the face turns red. Many people without rosacea experience flushing for a short time when they’re embarrassed or warm, but flushing caused by rosacea is often more severe and long-lasting. Other symptoms can include:

  • Permanent redness of the face
  • A burning or stinging sensation when flushing
  • Visible blood vessels on the face
  • Spots

Treatment for rosacea

While there is currently no long-term or permanent cure for rosacea, there are treatments which can help to control the symptoms and allow sufferers to live a relatively normal life. These treatments include oral medications to clear up spots (such as oral antibiotics), and topical creams and gels which are applied directly to the area.

It’s also advised that rosacea sufferers try to pinpoint their own triggers. Avoiding well-known triggers like alcohol, caffeine, overexposure to sunlight, spicy food and stress can help manage the condition effectively. New treatments involving laser and pulsed light (IPL) treatments can also be helpful, especially for those who have more severe cases of rosacea.

How to exercise with rosacea

Do you look like you’re blushing all the time? Do you frequently get acne-like bumps on your face? If you answered yes, you may have rosacea — an inflammatory skin disease that affects more than 16 million Americans .

Although the condition is harmless, many people wish to address it for cosmetic concerns. Rosacea has no cure, but there is good news: Your symptoms can be treated by identifying your triggers.

The skin experts at Dadeland Dermatology , located in Kendall, Florida, are here to tell you about five of the most common rosacea triggers so you can prevent future flare-ups.

Sunlight

Sun is at the top of the list as the most common rosacea trigger. For someone with rosacea, just a few minutes in the sun could mean many red bumps, along with flushing on your skin.

We suggest applying a sunscreen of SPF 30 or greater to help avoid this. Opt for a fragrance-free type that contains zinc and titanium dioxide to minimize skin irritation.

Try to stay out of the sun during its peak hours , between 10 am and 4 pm. Wear a hat and stay in the shade when you can.

Exercise

80% of participants in a survey reported exercise worsens their rosacea. The most common types of exercise to trigger rosacea were cardio and running. Experts believe this is because exercise raises your body’s temperature and increases blood flow.

Exercise is an important part of a healthy lifestyle, so instead of stopping, make modifications to your workout. This can include reducing the intensity of the workout, using a fan or air conditioning while training or shortening the duration of the activity. A majority of the survey respondents who made modifications to their workouts reported they helped.

Emotional stress

No one wants to be stressed, but it’s something we all face from time to time. For those with rosacea, it can lead to an uncontrollable breakout that may even add to your stress level.

91% of people with rosacea reported that emotional stress triggers symptoms. Managing your stress can help you minimize skin problems while promoting a calm mind. Meditation and yoga are two of the best ways to help keep your stress levels down.

Hot weather

As summer temperatures rise, the severity of your rosacea might, too. 75% of people living with this chronic skin condition reported hot weather to be a trigger. But why?

Your body temperature rises in the heat, causing your skin to flush and your rosacea to spike. The best way to manage your symptoms is by dressing in layers so you can remove them to keep you at a comfortable temperature. Be sure to avoid hot showers, saunas, and hot tubs.

Spicy foods

Many people love foods that bring the heat, but sadly, they are a common cause of skin problems including acne and broken capillaries, and they can rosacea.

Spicy foods usually contain acidic lycopene, which can wreak havoc on your skin and throw off your pH levels. While these types of foods cause inflammation in your stomach, they can also irritate your skin and cause a pre-existing condition to surface.

If you’ve had a skin reaction to spicy food, it’s best to eliminate it from your diet. Instead try incorporating pre-biotic and fiber-rich foods like bananas, asparagus, and garlic.

The bottom line

There are many rosacea triggers; these five are among the most common. Everyone’s body is different, and what triggers one person’s rosacea may not affect you.

Keep a journal and log the dates of your rosacea flare-ups and any potential triggers. This can help you understand the cause of your breakouts and help you work toward eliminating triggers. Rosacea can be frustrating, but making a few adjustments to your lifestyle can keep your flare-ups at bay.

Schedule your rosacea consultation with Dadeland Dermatology today by calling 305-250-2056 or booking online .

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Articles On Rosacea

  • What Is Rosacea?
  • When to See Your Doctor
  • Diagnosis and Treatment
  • Triggers

If your face looks like you’re blushing and you get bumps that are a bit like acne, you might have a skin condition called rosacea. Your doctor can suggest medicine and other treatments to manage your symptoms, and there are plenty of steps you can take at home to make yourself look and feel better.

Symptoms

The biggest thing you’ll notice is redness on your cheeks, nose, chin, and forehead. Less often, the color can appear on your neck, head, ears, or chest.

After a while, broken blood vessels might show through your skin, which can thicken and swell up. Up to half of people with rosacea also get eye problems like redness, swelling, and pain.

Other symptoms you may get are:

  • Stinging and burning of your skin
  • Patches of rough, dry skin
  • A swollen, bulb-shaped nose
  • Larger pores
  • Broken blood vessels on your eyelids
  • Bumps on your eyelids
  • Problems with seeing

Your rosacea symptoms can come and go. They might flare up for a few weeks, fade, and then come back.

Getting treatment is a must, so make sure you see your doctor. If you don’t take care of your rosacea, redness and swelling can get worse and might become permanent.

What Causes It?

Doctors don’t know exactly what causes rosacea. A few things that may play a role are:

Your genes. Rosacea often runs in families.

Blood vessel trouble. The redness on your skin might be due to problems with blood vessels in your face. Sun damage could cause them to get wider, which makes it easier for other people to see them.

Mites. They’re tiny insects. A type called Demodex folliculorum normally lives on your skin and usually isn’t harmful. Some people, though, have a heightened sensitivity to the mites, or more of these bugs than usual.. Too many mites could irritate your skin.

Bacteria. A type called H. pylori normally lives in your gut. Some studies suggest this germ can raise the amount of a digestive hormone called gastrin, which might cause your skin to look flushed.

Some things about you may make you more likely to get rosacea. For instance, your chances of getting the skin condition go up if you:

  • Have light skin, blonde hair, and blue eyes
  • Are between ages 30 and 50
  • Are a woman
  • Have family members with rosacea
  • Had severe acne
  • Smoke

Treatments

There isn’t a cure for rosacea, but treatments can help you manage the redness, bumps, and other symptoms.

Your doctor may suggest these medicines:

  • Brimonidine (Mirvaso), a gel that tightens blood vessels in the skin to get rid of some of your redness.
  • Azelaic acid, a gel and foam that clears up bumps, swelling, and redness.
  • Metronidazole (Flagyl) and doxycycline, antibiotics that kill bacteria on your skin and bring down redness and swelling.
  • Isotretinoin (Amnesteem, Claravis, and others), an acne drug that clears up skin bumps. Don’t use it if you’re pregnant because it can cause serious birth defects.
  • Ivermectin (Soolantra) and oxymetazoline are topicals that are used to treat rosacea.

It can take you a few weeks or months of using one of these medicines for your skin to improve.

Your doctor may also recommend some procedures to treat your rosacea, such as:

  • Lasers that use intense light to get rid of blood vessels that have gotten bigger
  • Dermabrasion, which sands off the top layer of skin
  • Electrocautery, an electric current that zaps damaged blood vessels

DIY Skin Care for Rosacea

There’s a lot you can do on your own. For starters, try to figure out the things that trigger an outbreak, and then avoid them. To help you do this, keep a journal that tracks your activities and your flare-ups.

Some things that often trigger rosacea are:

  • Sunlight
  • Hot or cold temperatures
  • Wind
  • Stress
  • Hot baths
  • Hot or spicy foods or drinks
  • Alcohol
  • Intense exercise
  • Medicines such as blood pressure drugs or steroids you put on your skin

Also try to follow these tips every day to help fade the redness on your skin:

Put on sunscreen. Use one that’s a broad spectrum (blocks UVA and UVB rays) and SPF 30 or higher whenever you go outside. Also wear a wide-brimmed hat that covers your face.

Use only gentle skin care products. Avoid cleansers and creams that have alcohol, fragrance, witch hazel, and other harsh ingredients. After you wash your face, gently blot your skin dry with a soft cloth.

Use a moisturizer. It’s especially helpful in cold weather. Low temps and wind can dry up your skin.

Massage your face. Gently rub your skin in a circular motion. Start in the middle of your face and work your way outward toward your ears.

Cover up. Put a green-tinted cover-up on your face to hide redness and broken blood vessels.

Go indoors. Get out of the heat and sun and cool off in an air-conditioned room.

Care for your eyes. If rosacea has made them red and irritated, use a watered-down baby shampoo or eyelid cleaner to gently clean your eyelids every day. Also put a warm compress on your eyes a few times a day.

Eating an anti-inflammatory diet, like a Mediterranean diet, seems to help some people suffering from rosacea.

It’s also important to care for your emotions along with your skin problems. If you feel embarrassed by the way you look, or you think it’s starting to affect your self-esteem, talk to your doctor or a counselor. You can also join a support group where you can meet people who know just what you’re going through.

Show Sources

American Academy of Dermatology: “Rosacea: Signs and Symptoms,” “Rosacea: Tips for Managing,” “Rosacea: Who Gets and Causes.”

Mayo Clinic: “Metronidazole (Oral Route),” “Rosacea: Self-Management,” “Rosacea: Symptoms and causes,” “Rosacea: Treatment.”

National Institute of Arthritis and Musculoskeletal and Skin Diseases: “Rosacea.”

National Rosacea Society: “All About Rosacea,” “Coping With Rosacea,” “Lasers Used to Treat Some Rosacea Signs,” “Understanding Rosacea.”

NHS: “Rosacea — Causes.”

National Institutes of Health: “Red in the Face.”

National Library of Medicine: “Azelaic Acid Topical.”

How to keep your sweat sessions from beating up on your complexion… and other sensitive body parts

How to exercise with rosacea

You hit the gym to be healthy and look hot, so it’s a bummer when you walk out with an embarrassingly bright-red face. Let’s not even discuss the backne, sports-bra-induced boob chafing, and hives. Or rather, let’s: “Internal factors such as allergies and skin type play a key role in how your skin responds to exercise, but external factors like clothing and the weather can help or hurt workout-related skin problems too,” says Jeannette Graf, M.D., an assistant clinical professor of dermatology at The Mount Sinai Medical Center.

Meaning, you have a lot of control over how irritated your flesh gets. Besides, working out can be good for your skin. “Exercise increases circulation, which makes your skin glow,” says Graf.

Check out these four simple skin tips for what you can do before, during, and after workouts to reap the radiance-bestowing rewards, minus any flare-ups.

Excessive Redness
“This is the most upsetting workout-related skin issue I hear about,” says Graf. Especially for women who have rosacea or sensitive skin—those prone to severe flushing. “Women with rosacea have more broken capillaries, so any vasodilation caused by working out makes it worse. Sensitive skin just gets irritated very easily, so heat combined with sweat will cause a flare-up.”

Prevent it: Start using anti-redness moisturizers formulated for sensitive skin; soothing ingredients like thermal spring water, zinc, licorice extract, or feverfew will get your moisture barrier in peak condition and make skin more resilient. Try: (1) Eucerin Redness Relief Daily Perfecting Lotion SPF 15 ($15, drugstore.com). Avoid using treatments that irritate skin—such as retinol, acne products, or chemical peels—the night before a big workout.

Keep your body temperature as low as possible during your workout by spritzing yourself with a cooling body spray like Restore Instant Hot Flash Aid ($25, restoreaid.com). Another good find: Mission Athletecare Enduracool Large Instant Cooling Towel ($15, at Dick’s Sporting Goods); use it to wipe your face when you start feeling hot.

Cure it: De-toastify yourself fast. As your body temp drops, so does the flushing, says Graf. Suck on ice chips or splash cold water on your face. Rinse with an anti-redness cleanser, followed by an anti-redness face cream that contains licorice, green tea, oats, or feverfew. Try: Aveeno Ultra-Calming Daily Moisturizer SPF 15 ($17, drugstore.com). Cover remaining blotchiness with a CC cream, whose optical diffusers help visually color-correct redness, then apply a yellow-based concealer. Try: Clinique Moisture Surge CC Cream SPF 30 ($35, clinique.com) and Bobbi Brown Creamy Concealer Kit ($34, bobbibrowncosmetics.com).

Sunburn
“No sunscreen is ultimately sweat-proof, and a hard 30- to 45-minute workout is enough to sweat it away,” says Brian Adams, M.D., acting chairman of dermatology at the University of Cincinnati College of Medicine, who specializes in sports dermatology. Your burn risk rises if you’re working out around snow, water, or sand. Since all reflect sunlight, you get the rays not only from above, but bouncing up at you from below.

Prevent it: Avoid the peak UV hours of 10 a.m. to 4 p.m. and wear dark-colored clothes and a visor. Apply your sunscreen liberally 30 minutes beforehand, because it takes up to that long to become active. Choose sweat-resistant sunscreen formulas, such as LaRoche-Posay Anthelios 60 Ultra Light Sunscreen Fluid ($30, laroche-posay.us) for face and Neutrogena Wet Skin Spray SPF 50 ($12, at drugstores) for body. And be prepared: Slip a sunscreen cream compact in your pocket to reapply every 30 minutes if you’re perspiring profusely. Try: Eau Thermale Avene High Protection Tinted Compact ($32, at drugstores).

Cure it: Stay out of the sun for the rest of the day. “The more you inhibit the inflammation, the less damage you may have, so it’s crucial to treat it within the first 24 hours,” says Graf. Take a dose of aspirin or Advil every four hours. Every few hours, apply aloe gel, followed by a topical cortisone cream.

Notice blisters? They indicate a second-degree burn; see a dermatologist immediately. Shun the sun for several days until the burn has healed, says Graf.

Itchiness and Hives
Exercise-induced allergies like itching, stinging, or hives can happen to some people whether they work out indoors or outdoors. In women, they tend to start around the age of 20 and can recur for years. Your chances increase if you have other allergies, like hay fever. When body temperature rises during exercise, mast cells, a type of white blood cell linked to allergies, can release histamine, causing allergic symptoms like mild hives, trouble breathing, or low blood pressure.

Prevent it: Take an oral antihistamine like Claritin or Zyrtec before working out. “The hives may come and go with allergy seasons, and you may not need to pop a pill all year long,” says Graf.

Cure it: If you didn’t take an antihistamine before working out, take one as soon as you notice the hives.

Breakouts
When you get really hot, the natural oils on your scalp drip down your face and body and mix with your sweat, settling into pores along your hairline, neck, and shoulders, causing breakouts. Then your form-fitting workout wear seals it all in, increasing the odds of backne and buttne.

Prevent it: “Make sure you use a noncomedogenic sunscreen, which means it won’t clog your pores,” advises Adams. Dress in clothes made of moisture-wicking material like Lycra and nylon, which won’t trap sweat. “I like the Luon fabric, a mix of nylon and Lycra, that is used in a lot of Lululemon’s yoga wear,” says Graf. Post-workout, shower immediately with a cleanser that contains pore-degunking salicylic acid. Try: Neutrogena Body Clear Body Wash ($6.49, at drugstores). Can’t shower? Wipe off breakout problem areas—T-zone, chest, back, and between your breasts—with a face-cleansing towelette. Try: Yes To Cucumbers On-The-Go Facial Towelettes ($3, at drugstores).

Cure it: Acne scrubs that contain 1 percent salicylic acid are great for adult breakouts; use it up to a couple of times per week. Try: Biore Acne Clearing Scrub ($6.49, at drugstores). Then spot-treat with concealer laced with salicylic acid. Try: Physicians Formula Blemish Rx Blemish Healing Concealer ($9, at drugstores).

Topic Overview

Factors (called triggers) that may cause a flare-up of rosacea include:

  • Alcohol, spicy foods, and hot drinks. Limit how much of these you drink and eat.
  • Dry skin. Use a moisturizer to protect your face from dryness. Use skin care products for sensitive skin. And avoid any products that are abrasive or that irritate your skin.
  • Exercise. Stay as cool as possible when you exercise. Try to exercise for shorter, more frequent intervals, and do low-intensity workouts. In the summer, exercise during the cool morning hours.
  • Hot baths. Avoid excessive hot water, hot tubs, and saunas.
  • Hot weather. Stay cool on hot, humid days.
  • Stress. Minimize stress in your life. Take care of yourself, eat a balanced diet, get enough sleep, and exercise regularly.
  • Sun. Avoid the midday sun, and wear a wide-brimmed hat. Use sunscreen on your face every day.
  • Weather conditions. Avoid or limit your exposure to wind and hot or cold temperatures.
  • Wind exposure. Protect your face from the wind in any temperature. Wear a scarf over your cheeks and nose to help protect your skin from the cold and wind.

These triggers cause the blood vessels in the face to relax and open wider (dilate), producing a sudden increase in blood flow and causing the face to flush. Triggers for flushing affect people differently—a trigger that affects one person may not affect another in the same way.

Credits

Current as of: November 15, 2021

Author: Healthwise Staff
Medical Review:
Kathleen Romito MD – Family Medicine
Adam Husney MD – Family Medicine
Martin J. Gabica MD – Family Medicine
Amy McMichael MD – Dermatology

Learn about how exercise affects sensitive skin in rosacea and eczema

How to exercise with rosacea

AUTHOR

Dry, itchy skin can be bothersome and impact daily activities. [1] Exercise is an important lifestyle factor that can establish a foundation for health. [2] Below is a look at the connection between exercise and sensitive dry skin in eczema and rosacea.

Exercise Intensity and Sensitive Skin Conditions

Sweating is an aggravating factor for eczema patients because it makes their skin itch more. [1] Patients with eczema may not engage in physical activity to avoid worsening of their symptoms. [1] Choosing to not exercise could potentially put eczema patients at risk for obesity and heart disease. [3,4] The intensity at which the exercise is done may determine the severity of the symptoms. [3,5]

Vigorous Intensity Exercise

Vigorous intensity exercise is defined as three or more metabolic equivalents or METs. [6] One MET is the amount of oxygen the body uses when it is sitting at rest. [6] An example of vigorous physical activity is running. [6]

Eczema

Vigorous physical activity may aggravate eczema symptoms. [3] In a questionnaire of one-hundred patients with eczema, 97% said that sweating made their skin itch worse. [7] A study looking at mice saw that with high-intensity swimming exercises, the mice were more likely to experience a worsening of their symptoms. [8]

Rosacea

Strenuous exercise is a trigger for rosacea patients. [9] Patients with erythematotelangiectatic rosacea find physical exercise in the form of “carrying and lifting” leads to a worsening of their rosacea symptoms. [10] In order for more blood to get to the muscles and tissues in exercise, blood vessels have to expand. [11] The enlarged blood vessels naturally cause a flushing of the face. [11] Physical activity can cause a worsening of the facial redness of rosacea patients due to the natural widening of the blood vessels, along with the inflammatory nature of rosacea. [10,11] Exercise can also cause burning or stinging pain in the face of rosacea patients. [12] Blood vessels become leakier in rosacea which allows more blood flow to face also causing the flushing. [12]

Light Intensity Exercise

Light exercise is defined as less than three METs, where one MET is the amount of oxygen that is being consumed when sitting quietly in a room. [6] Examples of light exercise are walking and gardening. [13]

Eczema

Lower intensity workouts may not be associated with aggravating dry, itchy skin. [5] Children who had been swimming one or more times a week did not see a worsening of their eczema symptoms. [5] Another study that looked at individuals who had been exercising regularly, but not necessarily at a high intensity, had a lower incidence of eczema in general. [14]

Environmental Factors for Outdoor Exercise and Sensitive Skin Conditions

Eczema

Independent from the intensity of exercise, the location where the exercise takes place, may contribute to eczema symptoms. [15,16] If the exercise takes place outside, there may be other factors that can make eczema worse, such as air pollutants and weather. [15,16] Working out in warmer temperatures may aggravate the symptoms of eczema by increasing the amount of sweating which causes the skin to become more irritated and itchy. [15]

Rosacea

UVB radiation could cause worsening of rosacea symptoms. [17] Being in warm environments can increase the facial redness associated with rosacea. [18] Cooler temperatures were marked in surveys to relieve the irritation of rosacea and constant flushing of the face. [18]

Table 1. Summary of Aggravating and Non-Aggravating Factors in Eczema and Rosacea

Last Updated January 2021 | This article was created by familydoctor.org editorial staff and reviewed by Deepak S. Patel, MD, FAAFP, FACSM

Table of Contents

How to exercise with rosacea

What is rosacea?

Rosacea is a common skin condition that occurs on the face. It causes redness and small bumps that are similar to acne.

Symptoms of rosacea?

The first sign of rosacea often is redness. It may appear like a blush or sunburn across your nose, cheeks, forehead, or chin. Other symptoms include red or pus-filled bumps and small blood vessels. For some people, the skin of their nose may become red, thick, and swollen. This is caused by excess tissue and called rhinophyma. Rosacea also can affect your eyes, making them red or watery. It may irritate and inflame your eyelids and the white part of your eye. This is called conjunctivitis.

What causes rosacea?

The exact cause of rosacea is unknown. Possible causes include defects in the immune, nervous, or vascular systems. Rosacea tends to run in families. People who are fair-skinned and blush easily are more likely to have it. Symptoms often begin in adults between 30 and 60 years of age. Women get rosacea more on the cheeks and chin, while men are more likely to have rhinophyma. Rosacea tends to be more severe in men.

How is rosacea diagnosed?

Contact your doctor if you have signs of rosacea. They may refer you to a dermatologist, who specializes in skin conditions.

Can rosacea be prevented or avoided?

Since the cause of rosacea is unknown, you cannot prevent it. However, there are things you can do to avoid flare-ups. These include changes to your lifestyle and environment. Triggers vary by person and may take time to identify. Common triggers include:

  • Direct or indirect heat, such as the sun or hot baths
  • Weather, such as hot or freezing temperatures and strong winds
  • Harsh skin care products
  • Exercise or sweating
  • Stress or anxiety
  • Alcohol
  • Certain foods
  • Menopause
  • Other skin or health conditions

Rosacea treatment

Medicine is the most common form of treatment for rosacea. The type of medicine your doctor recommends will depend on your symptoms. Medicines may include special antibiotics in the form of pills, gel, or cream. These work well at improving pimples and bumps. Skin redness is harder to treat.

It may take 2 months or more for treatment to work. As your symptoms improve, the amount of medicine you take may be cut down or stopped. It is hard to know how long you will need treatment for rosacea. Each person’s skin is different, and your doctor may want to adjust your treatment.

For severe cases of rosacea, surgery may be an option. It is most often done to treat rhinophyma. Enlarged blood vessels on your face can sometimes be removed with a fine electric needle or laser surgery.

Living with rosacea

Rosacea cannot be cured, but treatment can help relieve symptoms and improve skin appearance. Remember to always wear sunscreen. Avoid known triggers to prevent flare-ups. If left untreated, rosacea can get worse over time. This can have emotional and social effects. Some people lose self-esteem and don’t like to be seen in public because of the way they look. It is important to work with your doctor to treat symptoms and improve your quality of life.

How to exercise with rosacea

Related Content

  • Acne
  • Eczema
  • Psoriasis
  • Skin Cancer Screening
  • Hair Loss

What is rosacea?

Rosacea is a common skin disorder that causes redness on the face, usually the cheeks. It is a chronic condition that may affect the forehead, nose, and chin. The precise cause of rosacea is unknown, but it is thought to be caused by inflammation and genetics. Men tend to experience redness centralized around the nose, while women tend to develop redness on the cheeks and chin.

There are four types of rosacea, though many people experience characteristics of more than one subtype at the same time.

  1. Redness, flushing, more prominent blood vessels
  2. Pimples and bumps
  3. Thickened skin, especially around the nose
  4. Eye involvement

Who gets rosacea?

People with fair skin who flush or blush easily are more prone to developing rosacea, especially people of Northern and Eastern European descent. However, all segments of the population can be affected.

Most people with rosacea are between 30 and 60 years old. Women are more likely to develop rosacea, but men tend to have more severe rosacea.

How is rosacea treated?

Though rosacea can be managed with medications, it is not curable. People who have rosacea may be able to identify what causes their rosacea to flare. Common triggers are alcohol, spicy foods, heat, exercise, sun exposure, and wind chap. Many people with rosacea find that avoiding their trigger(s) is sufficient for managing their rosacea.

Treatment depends on the type and severity of your rosacea. Patients may be prescribed Metrogel (metronidazole), a type of antibiotic medication in either a cream or pill form. Finacea (azelaic acid) is another commonly prescribed foam that is applied to the face. Sometimes using a sulfur wash may be helpful as well.

Antibiotics in the tetracycline family, such as minocycline or doxycycline, have been found to be effective in managing rosacea symptoms.

Topical treatments to temporarily constrict blood vessels include Rhofade and Mirvaso. Intense Pulsed Light (IPL) laser treatment is a more long-lasting approach to reducing redness, though it generally requires a few sessions to achieve the desired effect.