If you notice persistent redness on your face, you may be dealing with rosacea. This is a common skin condition: It affects more than 14 million people in the U.S., most of whom are between the ages of 30 and 50 years old, according to the American Academy of Dermatology. Much like acne and eczema, rosacea ranges from mild to severe and can be triggered by several different environmental and emotional factors, including heat, stress and sweating — and the redness and sensitivity caused by the condition can be difficult to keep at bay when many popular skin care products and ingredients only cause more irritation.
SKIP AHEAD Best products for rosacea | How to best manage rosacea | What type of products should you avoid with rosacea?
Since rosacea is a chronic condition, dermatologists told us there’s no real cure for it. Ultimately, the best way to avoid rosacea flare-ups — which can manifest into anything from flushing and blushing to breakouts and inflamed bumps on the skin — is to avoid your specific triggers. But if you do come into contact with a trigger and you’re dealing with a flare-up, there are several treatments and products that can help control rosacea symptoms and prevent further redness and irritation.
To help you determine which products to adopt into your skin care routine (and which ones to avoid), we spoke to dermatologists about what exactly causes rosacea and what type of products and ingredients can help tame flare-ups. We also compiled expert recommendations for the best cleansers, moisturizers, sunscreens and other skin care products that can help lessen the effects of rosacea.
What causes rosacea?
Rosacea is best known as an inflammatory skin condition — the skin reacts to a trigger, which results in broken blood vessels and an increased sensitivity of the skin overall, according to Dr. Erum Ilyas, a board-certified dermatologist at Schweiger Dermatology. Unlike most people who have a baseline level of redness to their complexion, people with rosacea can experience recurrent flushing and bumps that look like acne breakouts, which can be accompanied by warmth, burning, itching and other skin sensitivities, Ilyas said.
Though rosacea breakouts may look like adult acne, they don’t behave as such: “You go to pop the ‘pimple,’ but they don’t really come to a head [and] they just get angrier at you — this is followed by the skin starting to swell or thicken, taking on an ‘orange-peel’ appearance with widened patulous pores,” Ilyas explained.
The location of the bumps on your face can also help you figure out whether they’re the result of rosacea. “Hormonal acne or other forms of adult acne tend to involve more of the lower face, whereas with rosacea we see the involvement of the nose, the central part of the cheeks and the center of the forehead,” said Dr. Apple Bodemer, a board-certified dermatologist and associate professor of dermatology at the University of Wisconsin School of Medicine and Public Health.
Triggers for rosacea flare-ups vary from person to person, but the most common ones are sun exposure and heat — other triggers include alcohol, spicy foods, hot beverages and chocolate. “I like to joke with my patients that all the fun things in life can trigger rosacea,” said Dr. Gabriela Soza, a board-certified dermatologist at Wexler Dermatology. Bodemer added that emotional triggers can also be a cause of rosacea for many people.
Bodemer advised keeping a symptom diary to track when you flare up and jotting down what you did before that flare-up, including what you ate. “I see people who are very sensitive to simple carbohydrates, so when they’re eating more junk food and more processed sugars they will tend to flare more,” Bodemer said.
The best products for rosacea in 2022
Our expertssaid that a skin routine with gentle, non-abrasive products is best for people with rosacea. Below, we compiled expert-recommended moisturizers, facial cleansers, serums, sunscreens and more to help tame redness and irritation from rosacea. All of the products listed contain gentle, hydrating and brightening ingredients that can help soothe irritated skin — including niacinamide, hyaluronic acid and aloe — and are fragrance-free to avoid further irritation.
Best cleansers for rosacea
Vanicream Gentle Facial Cleanser
“For people who are really sensitive and report that a lot of products burn or sting their skin, I’ll recommend the Vanicream line of products, which are great for people who have eczema and sensitive skin in general — a lot of patients with rosacea find it to be very tolerable,” said Dr. Emmy Graber, a board-certified dermatologist and president of The Dermatology Institute of Boston. The Vanicream Gentle Facial Cleanser boasts the National Eczema Association’s Seal of Acceptance — the program evaluates products based on the NEA’s criteria of ingredients and contents to ensure they’re beneficial for people with sensitive skin.
This facial cleanser is great for daily use to help remove dirt, oil and makeup from your face, according to the brand. It has an ultra-gentle formula that’s free of harsh cleansing ingredients, including sulfates, dyes, and parabens, Vanicream says. Our experts also recommend the brand’s moisturizing cream for very sensitive and dry skin, which is also one of our favorite products for dry skin.
Aveeno Ultra-Calming Foaming Cleanser
Foaming cleansers can sometimes be too harsh on the skin — they contain ingredients that remove most of the oil on the face, which can lead to even more dryness and flaking. Though our experts recommended avoiding most foaming cleansers on the market, there are a few that can be safe for the rosacea community — like this one from Aveeno. “It recognizes that, by adding calming and hydrating ingredients to balance the foam of the cleanser, those that need their soap to foam to feel clean can enjoy the overall experience while limiting the risk of excess dryness,” Ilyas noted.
Cetaphil Gentle Skin Cleanser
Cetaphil’s Gentle Skin Cleanser is recommended by dermatologists thanks to its gentle, non-foaming formula that helps hydrate and soothe rosacea-prone skin. Ideal for all skin types, this cleanser gently removes dirt, makeup and other impurities using a creamy, gel-like consistency that avoids stripping the skin of its necessary moisture, according to the brand. Select managing editor Leah Ginsberg said she’s used the Cetaphil cleanser since she was 16 years old and loves that it’s both affordable and gentle on her skin. “It’s also great for travel because you don’t have to rinse it off with water — you can massage it in and then (gently) wipe it off,” she said.
Avene Redness-Relief Refreshing Cleansing Lotion
Both Graber and Soza recommended Avene’s redness-relief line as a great option for people with rosacea who hope to calm irritation. This cleaning lotion from the brand is a no-rinse face wash that can gently remove makeup, dirt and oil — Avene recommends applying this cleansing lotion daily using a cotton pad or your fingers and wiping off any excess using a cotton pad.
Dove Sensitive Skin Beauty Bar
Bodemer noted that the Dove Beauty Bar can be “a really good, easy cleanser that people can find inexpensively.” The hypoallergenic formula is safe to use as both a facial cleanser and body soap, and it contains mild and moisturizing ingredients like glycerin that can help maintain the skin’s natural moisture barrier, according to the brand.
Best moisturizers for rosacea
CeraVe PM Facial Moisturizing Lotion
One of our favorite moisturizers for acne-prone skin, this nighttime moisturizing lotion from CeraVe contains ceramides that “can help restore the skin barrier to soothe rosacea-prone skin,” Ilyas said. The oil-free moisturizer contains other rosacea-friendly ingredients, including niacinamide and hyaluronic acid to provide some essential moisture throughout the night, according to the brand. You can also purchase the brand’s AM Facial Moisturizing Lotion for the daytime, which has a gentle formula and offers SPF 30 protection.
Clinique Redness Solutions Daily Relief Cream
Clinique’s Redness Solutions skin care line offers everything from cleansers to sunscreens that can be beneficial for those with redness and rosacea. “[These products] come out looking like a green color but don’t look green on your face — they work to mask or camouflage the red color,” Graber explained. She said the brand’s Daily Relief Cream is a great option for those with a lot of redness: The cream not only masks the red color, but also works to gently calm irritated skin to get the redness under control, according to the brand.
La Roche-Posay Toleriane Double Repair Face Moisturizer
Like Avene, La Roche-Posay is a French brand that makes gentle products for sensitive skin — our experts recommended this brand for both rosacea and acne-prone skin. I use La Roche-Posay’s Toleriane Double Repair moisturizer every night since it’s both gentle on my rosacea and hydrating enough to keep my flaky, dry skin at bay. The moisturizer offers a lightweight cream texture that easily absorbs into my skin, and it contains ceramides and niacinamide, which Ilyas said can help soothe and calm rosacea flare-ups. I pair this moisturizer with the brand’s Toleriane Hydrating Gentle Cleanser, which is a gel face wash that maintains my skin’s moisture and doesn’t irritate it (unlike most other cleansers).
Kiehl’s Skin Rescuer Moisturizer
Graber said she likes this moisturizer from Kiehl’s for people with rosacea since it’s lightweight, hydrating and gentle on sensitive skin. The brand says this daily moisturizer delivers all-day hydration and helps to reduce visible signs of redness on the skin. The formula is infused with botanical extract, mannose and chamomile to help both hydrate and soothe the skin, according to Kiehl’s.
Best serums and treatments for rosacea
The Ordinary Azelaic Acid Serum
Both Graber and Ilyas recommended The Ordinary Azelaic Acid Serum to help improve redness and generally even out skin tone, including any dark spots caused by bumps and blemishes. The serum contains 10{5c5ba01e4f28b4dd64874166358f62106ea5bcda869a94e59d702fa1c9707720} azelaic acid and is cruelty-free, vegan and gentle enough to use up to twice a day, according to The Ordinary.
The Inkey List Azelaic Acid Serum
The Inkey List’s Azelaic Acid Serum, which is recommended by Ilyas, is similar to The Ordinary’s serum — both formulas contain 10{5c5ba01e4f28b4dd64874166358f62106ea5bcda869a94e59d702fa1c9707720} azelaic acid and can be applied twice a day, according to both brands. If redness is a major concern, The Inkey List’s serum contains micro-fine green-colored particles that can help mask redness, as well as 0.3{5c5ba01e4f28b4dd64874166358f62106ea5bcda869a94e59d702fa1c9707720} allantoin, which is a chemical compound that can help soothe the skin, the brand says.
Differin Gel
Though retinoids can often be too harsh on sensitive skin, they can still work for rosacea-prone skin if they’re introduced slowly, starting with just once a week before building up tolerance. “I find the best approach is to first create a simplified routine that directly addresses the rosacea, followed by consideration of adding retinols and retinoids once inflammation in the skin is under better control,” Ilyas said. She noted that adapalene gel — an OTC retinoid treatment that can be used to treat mild to moderate acne and blackheads — is considered a milder retinoid compared to other options like tretinoin and tazarotene. Because of this, both she and Soza recommended Differin Gel — which contains 0.1{5c5ba01e4f28b4dd64874166358f62106ea5bcda869a94e59d702fa1c9707720} adapalene— as a suitable anti-aging and acne-fighting option for people with rosacea.
Best sunscreens for rosacea
EltaMD UV Clear Sunscreen with SPF 46
The EltaMD UV Clear Sunscreen is a favorite among our experts since it’s free of heavy moisturizers that could clog pores. It also contains niacinamide, which acts as a natural anti-inflammatory ingredient for rosacea. The mineral-based sunscreen offers SPF 46 protection and includes zinc oxide, which experts previously told us provides protection against the sun’s UVA and UVB rays while soothing the skin. This EltaMD sunscreen is the only one I’ve tried that doesn’t flare up my rosacea. Similarly, Ginsberg said she uses it on her fair, sensitive skin every day following her dermatologist’s recommendation because it doesn’t cause flare-ups for her, either. “I [also] love the texture and it never burns my eyes if I sweat,” she said.
Isdin Eryfotona Ageless Tinted Sunscreen
One of our favorite mineral sunscreens, the Isdin Eryfotona Ageless tinted sunscreen can provide some coverage to cover up redness and protect the skin against rosacea’s biggest trigger, according to Soza. The sunscreen offers SPF 50 protection and has an ultralight formula, experts previously told us. It also contains peptides and antioxidants to also help minimize signs of aging like fine lines and wrinkles, the brand says.
Vanicream Sunscreen with SPF 50
Ilyas said she typically recommends Vanicream sunscreen to her patients because it provides broad-spectrum protection with SPF 50. The mineral sunscreen is water-resistant for up to 80 minutes and can be great for sensitive skin since it only contains one active ingredient (zinc oxide) and no dyes, fragrances or parabens, according to the brand.
How to manage rosacea
Since there isn’t a known cure for rosacea, Soza recommended figuring out your specific triggers and finding ways to avoid them. You should also focus on wearing a mineral-based sunscreen with broad-spectrum SPF 30 or higher to avoid further redness and irritation on sensitive skin. “I cannot emphasize the importance of sun protection and sunscreen enough,” Soza said. Mineral sunscreens (also called physical blockers) contain zinc oxide or titanium dioxide rather than a chemical base — they don’t absorb into the skin and can be less irritating for those with sensitive, rosacea-prone skin, Soza explained.
Because people with rosacea tend to have dry and flaky skin that’s both sensitive and reactive, they’re more likely to have certain reactions to cosmetics and personal care products, Bodemer said. While crafting a gentle skin care routine, it’s important to first see a board-certified dermatologist who can evaluate your rosacea and come up with a treatment plan, which may include one or more prescription medications like doxycycline (an oral antibiotic) and metronidazole (a topical treatment).
Medication isn’t always necessary, though. There are many over-the-counter ingredients that can be beneficial for patients with rosacea, many of which can serve as anti-inflammatories before a prescription is needed, according to Ilyas.
- Niacinamide and hyaluronic acid are great ingredients to look for when developing a rosacea-friendly skin care routine. “Niacinamide is calming [and] will decrease the redness associated with rosacea, and hyaluronic acid is moisturizing, which is also super important if you have rosacea,” Soza said.
- Aloe and ceramides can help soothe and calm red and irritated skin. Ilyas noted that these ingredients can work to restore the skin’s moisture barrier and prevent it from drying out.
- Azelaic acid and topical sulfur are gentle ingredients that work well on sensitive skin — they help unclog pores to prevent and diminish bumps caused by rosacea, and they work to even out your skin tone by reducing redness and inflammation of the skin. “Azelaic acid is even FDA-approved for rosacea to help treat the inflammatory papules and pustules (red bumps and whitehead-like breakouts),” Soza said.
What type of products should you avoid with rosacea?
Ilyas advised taking a “less is more” approach when crafting a skin care routine for rosacea. “Taking a closer look at your skincare products, eliminating redundancy and choosing multitasking products can reduce the volume of products used that can potentially aggravate the skin over time,” she said. This means skipping out on common skin care additions like toners (including witch hazel and alcohol-based toners that can aggravate rosacea), acne treatments, anti-aging products and exfoliants.
Be mindful of certain acne treatments
People may look toward acne treatments to help with rosacea bumps, but that can make rosacea worse, according to Ilyas. “Although people can get breakouts with rosacea, they are not the same — anyone with rosacea that has tried to ‘pop’ their pimples will tell you it doesn’t work,” Ilyas said. Our experts recommended avoiding acne-fighting products with harsh ingredients like benzoyl peroxide and salicylic acid, which can be irritating on sensitive, rosacea-prone skin — both Ilyas and Soza recommended using azelaic acid to control acne instead. Ilyas also suggested avoiding fragrances and comedogenic products that clog pores, which is in line with our experts’ guidance for sensitive skin.
Limit your usage of anti-aging products
Graber said that anti-aging products can dry out the skin and sometimes cause flare-ups of rosacea, so it’s best to avoid them if you have moderate to severe rosacea. “Some of the retinol or retinoid products can make people with rosacea more red — same with some of the glycolic acids that are typically in a lot of popular anti-aging products,” she said. However, Soza noted that people with mild rosacea don’t necessarily have to stay away from anti-aging products altogether. “You should ease into it and take it slow — start applying once a week, increasing frequency as you build tolerance,” she said.
Soza also recommended applying a small pea-sized amount to the full face, and using the “moisturizer sandwich technique,” which means you moisturize, apply the retinoid or retinol and then moisturize again. “This will help your skin stay hydrated while still maintaining efficacy,” she noted.
Avoid harsh exfoliants
We often hear about exfoliation as a key step in any weekly skin care routine, and people with rosacea may be tempted to exfoliate to help reduce the flaky dead skin caused by the condition. However, both Bodemer and Graber said they tell their patients with rosacea to avoid exfoliating altogether. “The more you inflame the skin [with exfoliants], the more flaking you’re going to have,” Bodemer said, explaining that the flaking on the skin is a manifestation of the inflammation caused by rosacea. Graber added that “any products that have beads, require scrubbing or even have chemical exfoliants in them [are] just too much for somebody with rosacea.” If you’re really insistent on exfoliating, Graber recommended simply using water and a soft washcloth.
Ilyas also recommended limiting or avoiding the use of alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs), which serve as chemical exfoliants. “Although people with rosacea may use these for anti-aging benefits, care should be taken to avoid excess irritation — rosacea alone can make the skin sensitive and adding in chemical exfoliation can aggravate this irritation,” she said.
Catch up on Select’s in-depth coverage of personal finance, tech and tools, wellness and more, and follow us on Facebook, Instagram and Twitter to stay up to date.
