01 May, 2017

Skin care and foundation for hyper sensitive rosacea skin

During the first 5 years of having rosacea, I could still use skin Biotherm Sensitive cream and a cleaning milk from the same brand, and that went fairly well. Until they changed the brand around 2003 and I could no longer tolerate the new version. I suddenly became flushed and burnt a minute or 2 after applying it, whereas the cream used to feel soothing. I immediately started a frantic search for another moisturizer, blaming the new formula, and tried many of the well known cosmetic brands' sensitive skin care lines. But everything stirred things up instead of soothing it. I remember feeling really uptight and nervous. How could I go through life without a moisturizer? If you want to skip the elaborate preface, please scroll down for a summary of moisturizers and make-up foundations that have received good rosacea reviews. Note; I only gather personal experience, info from the net and from forums and use it for this blog. I don't do advertisement or making any money in whatever shape or form off of this blog. 

And in this blog post, you can read how the Victorians cared for their skin, over a hundred years ago.

Mom with caspar the ghost
This might stem from my early 'relationship' with cosmetics. My mother  loved (and still loves) to wear make up. We grew up on a farm outside a little village in the north of the Netherlands and initially both my parents stayed at home. Dad is an artist and worked from home and spent a lot of time with us, and mom studied Dutch language but stayed at home with us as well for quite some years. Despite them not having a lot of money and living a very family orientated life, my dad still loved going to town with us now and then and spoil her. He loves beautiful clothes and they both have expensive taste, so if there was some money left at the end of the month and we didn't need anything desperately, we would all head out a few times a year to buy her a very pretty dress/coat/ whatever. I remember my mum being all beaming and glowing with the prospect and her putting on pretty clothes. She liked to wear high heels and nice dresses anyway. And she also liked 'Parisian style' make up. I can't remember her ever buying anything else than Chanel, or comparable brands but I think I might have made it up as some fantasy possibly. She explained that she rather bought a cosmetic item now and then of really good quality, than crappy stuff more often. That all got stuck somewhere in our latent, subconscious brain parts I think. Dad built us a beautiful old fashioned shop, with a counter and grocery cabinets, where we stood behind and sold dad and friends mums old perfume bottles (always Chanel) and old lipsticks, eye shadows, nail polish etc. Every now and then we transformed it into a library or a regular grocery store, but the perfume shop was our favorite.

Anyway, as soon as I went to high school (or our Dutch equivalent for it), I started wearing make up too. That seemed synonymous for adulthood and maturity. Mascara and eye liner and red lipstick later on. Most of my pocket money was spent on expensive beauty products. Not just me but my 2 sisters as well once they hit that age. We started using moisturizers and later on I used foundation to get a very pale and even skin color. In hindsight I wondered if all that stuff on my skin might have triggered the rosacea in some way. Perhaps, perhaps not. But I didn't need any of that make up back then and had naturally nice, clear pale skin. Looking back at it I find all this plane ridicule actually. We didn't need any make up, apart from fashionable dark eyeliner perhaps.
So when I ran out of moisturizers I could tolerate, that caused some stress. There was no way I could go without moisturizer. When regular brands failed I tried cheaper brands, creams from health shops and finally skin oils, like rosehip oil, almond oil and jojoba oil. I really thought they would cause no problems, being so pure and simple, but they made my skin one big red rashy mess. I used some wax like cream from the pharmacy eventually and made an appointment with yet another dermatologist. She said the unbelievable; 'I want you to stop using anything on your face for at least 6 months'. My boyfriend at the time was with me and thought it was a very wise order from her. I was protesting and almost in tears; my skin would become crackled and dry and horrible, didn't she realize that? She said that as long as you keep moisturizing the skin, you will make it lazy. It won't produce it's own natural layers of protective fat and given my response to any topical that past year, she thought I was making matters worse by putting anything at all on it. My bf promised to make me stick to her advice and I felt he just made a pact with the devil. I stuck through it though, but had horribly dry, cracked skin for at least 4 months. It looked and felt like the Sahara dessert, but after 6 months, I did feel my skin was becoming naturally less dry again and I didn't burn and flush as much as I did while using the creams/oils/etc. I haven't used anything since. Although I did try stuff.

Photos from my teenage years, no rosacea yet 

Fast forward. I can tolerate jojoba oil now around my eyes and around my mouth area. Or basically I slap it on all over my face, except for the cheeks, which seem too sensitive for anything. I only use it maybe 3 times a week (around eyes and mouth; I use nothing on the rest of my face). I make sure I have a wet face and apply some jojoba oil on wet hands and add some more water to it and then rub it onto the spots I want it on. The cheeks still burn and turn bright red from it however but it subsides again soon and I find jojoba oil the least irritating and the mildest of everything that is out there. I tend to get more red after applying it but not more flushed and when I wake up the next morning, my skin usually seems calm and liking the jojoba oil. So, in winter (or very dry spells in summer) I now use it on most of my face except the real inner cheeks part, which are too sensitive for any topical.
Here is an interesting article about the benefits of using NOTHING on your skin.

Nothing works!

For your daily face regimen, and especially if you find that every moisturizer leaves your skin more red and flared than normal; also consider trying to simply do nothing. No makeup, no scrubs, no washes, nothing. Let your skin regulate itself by producing natural oils that protect the skin and keep it moisturized. Washing your face strips your skin of it’s natural defenses, leaving it dry and vulnerable, often leading to an overproduction of oil that causes acne breakouts. It is a vicious cycle. Go cold turkey and see what “nothing” can do for you. I have not used moisturizers or any type of creams or products on my cheeks for 10 years now and despite thinking I'd be wrinkled by now in my later 30's, I'm not. Having said that, if your skin can tolerate topicals and moisturizers, it is best to use them probably. They protect skin from drying out too much, which worsens skin redness. They can sooth and many moisturizers aimed at rosacea skin have calming and anti-inflammatory ingredients that can help tone the redness down. So here are some products that are generally a little bit better tolerated by people with rosacea. And this site is fantastic and lets you type in the brand name of any cosmetic product, including skin care, telling you right away what ingredients it has and which ingredients "might" (for very sensitive and reactive skin types) potentially increase the risk of a skin reaction: http://cosdna.com/
Here is another search engine site that offers similar, more detailed even info on product ingredients.

Be sure to have a gentle skin care routine when you have rosacea. 
When you have rosacea, it’s important to stick with a gentle skin care regimen that won’t damage or irritate your skin. Clean your face with a mild, non-exfoliatant cleaner, then rinse with lukewarm, not hot, water. Blot your face dry with a towel without scrubbing. Or with water alone, if your skin reacts badly to topicals. If your skin tolerates sunscreen, try wearing it whenever you go out the door. Otherwise, wear a hat to protect your rosacea skin from UV radiation.

Last week I got some samples from a brand called Avène 
My German dermatologists swears by it and keeps telling me to try it. They have a whole range of products for the hypo sensitive and allergy prone skin type. I bought the whole range :) Please note that this stuff has NO preservatives, no fragrance, no colorings and other rubbish and virtually no other irritants, apart from a form of mineral oil (the less cloggy type of it though).


I tried all of these creams mentioned below, but alas, my skin does not like any form of topical, may it be cream, moisturizer, oil, gel, nothing. 

Everything in the end starts to burn, make me break out, flush or all of the above. I still mention these skin care brands here as they seem to be tolerated well by rosacea patients and people with sensitive skin in general. I do however have success personally with make-up from another great French skin care brand called La Roche Posay. See more on that below. I think the difference might be that the compact foundation I sue from them is not part of my daily skin care regime (which consists of nothing. I wash my skin at night with cotton pads and bottled water and that's all). I wear that foundation very rarely, maybe once every 3 months and I take it off again after a day or a night and a day. So It doesn't give the same constant trigger as a moisturizer does, I think..I also mention all ingredients, as inactive (filler) ingredients can irritate our skin just as much as any active ingredient a cream might have. Read more about this here.

La Roche Posay, Toleriane Soothing protective light facial Fluid
A cream for sensitive, intolerant skin. Very mild, no preservatives, perfumes in it and unlike nr. 2 and 3 also no mineral oils. A great choice for people with dry skin who need a moisturizer but cannot tolerate much. Or actually a good cream for any skin, less is often more. Cosdna.com shows that all its ingredients are very mild and low risk

Aqua/Water,Squalane, Glycerin, Dipropylene Glycol, Carbomer, Sodium Hydroxide, Ethylhexyl-Glycerin, Caprylyl Glycol

La Roche Posay, Toleriane
A cream for sensitive, intolerant skin. Very mild, no preservatives, perfumes in it and unlike nr. 2 and 3 also no mineral oils. A great choice for people with dry skin who need a moisturizer but cannot tolerate much. Or actually a good cream for any skin, less is often more. There is also La Roche Posay, Toleriane Ultra face moisturizerLink to product
Cosdna.com shows that all its ingredients are relatively mild and low risk:


This product gets raving reviews everywhere I looked:

A model recommends review
Beautypedia review
Makeupalley reviews
Ultabeauty.com reviews

La Roche Posay, Cicaplast Baume B5 
Another good la Roche Posay cream, that is designed to repair sensitive and irritated skin. It has zinc which adds anti-inflammatory and anti-bacterial components to the cream. Shea butter and glycerine are supposed to feed and hydrate your skin and panthenol is added for desensitization. The cream is said to be not fat or sticky. No parabens, perfume, lanolin and bleaching products.
Cosdna.com shows that most of its ingredients are relatively mild and low risk:

Aqua / water, hydrogenated polyisobutene, dimethicone, glycerin, butyrospermum parkii butter / shea butter, panthenol, butylene glycol, aluminum starch octenylsuccinate, propanediol, cetyl peg/ppg-10/1 dimethicone, tristearin, zinc gluconate, madecassoside, manganese gluconate, magnesium sulfate, disodium edta, copper gluconate, acetylated glycol stearate, polyglyceryl-4 isostearate, sodium benzoate, phenoxyethanol, chlorhexidine digluconate, ci 77891 / titanium dioxide

Avène has a whole range of creams for hypersensitive skin but unfortunately they all have wildly different ingredients... It costs a fortune to try them all out, but because they have such different ingredients, one product might really suit someones rosacea skin much better than another. They should hand out trial kits with mini samples of their whole range really. Here are just two of their creams for sensitive skin, but there are many more in their assortment, including Avene antirougeurs fort cream and Avene Cicalfate recovering cream.

Avène soothing cream for intolerant skin
  • • Based on the sterile manufacturing process of E.T.S.* and the delivery process of D.E.F.I 
  • • Soothing cream protects, moisturizes and nourishes skin that is unable to tolerate ordinary products 
  • • Restores the skin barrier and decreases skin reactivity 
  • • Helps prevent skin irritation and allergies 
  • • Formulated with ingredients for maximum tolerance: Avène Thermal Spring Water,  paraffin, glycerin, glyceryl stearate, squalane, cyclopentasiloxane, cyclohexasiloxane, serine, tetrasodium edta, triethanolamine, aqua.
  • • Fragrance-free, preservative-free, colorant-free, surfactant-free, alcohol-free, emulsifier-free 
  • • Hypoallergenic and non-comedogenic  Link to product. Cosdna.com shows that most of its ingredients are relatively mild and low risk. Here you can find their whole skin care range for very sensitive skin. 

Avène rich skin recovery cream: Avene Thermal Spring Water, Mineral Oil (Paraffinum Liquidum), Glycerin, Squalane, Dimethicone, Glyceryl Stearate, Behenyl Alcohol, Serine, BHT, Butyrospermum Parkii Butter (Shea), Carbomer, Ozokerite, Tetrasodium EDTA, Water, Xanthan Gum

Avène skin recovery cream: Avene Thermal Spring Water (avene Aqua), Mineral Oil (paraffinumliquidum), Glycerin, Glycerylstearate, Squalane, Cyclopentasiloxane, Clycohexasiloxane, Serine, Carbomer, Tetrasodium Edta, Triethanolamine, Water (aqua)

Avène cream for intolerant skin: Water (Aqua), Mineral Oil (Paraffinum Liquidum), Cyclomethicone, Butylene Glycol, Glycerin, Glyceryl Stearate, Squalane, Benzoic Acid, Carbomer, Chlorphenesin, Phenoxyethanol, Tetrasodium EDTA, Triethanolamine. 

Avène tolerance extreme, cream for intolerant skin
The makers promise for the Cream for intolerant skin (which is slightly lighter and has even less ingredients: Cosmetic industry's FIRST 100% sterile skin care line formulated without preservatives or fragrances to offer complete tolerance and safety for all allergy-prone skin types. The highly-technical, patented D.E.F.I. (Device for Exclusive Formula Integrity) delivery system allows the formula to be completely sterile and safe for the entire use of the product with no risk of retro-contamination.
  • • Based on the sterile manufacturing process of E.T.S.* and the delivery process of D.E.F.I 
  • • Soothing cream protects, moisturizes and nourishes skin that is unable to tolerate ordinary products 
  • • Restores the skin barrier and decreases skin reactivity 
  • • Helps prevent skin irritation and allergies 
  • • Formulated with only 9 ingredients for maximum tolerance 
  • • Fragrance-free, preservative-free, colorant-free, surfactant-free, alcohol-free, emulsifier-free 
  • • 100% sterile, 100% pure, 100% safe 
  • • Avène Thermal Spring Water to soothe and soften skin 
  • • Hypoallergenic and non-comedogenic 
Avène Thermal Spring Water (57%) - Soothes and softens 
Glycerin and squalane - Hydrates 
Paraffin and safflower oils and cyclomethicone - Moisturizes

Downside of both creams: they contain mineral oil. And not all rosacea skin can tolerate mineral oil, as it leaves a little film over the skin, can worsen pimples and skin outbreaks (but not necessarily!) and for very extremely sensitive rosacea skin it can even trap heat and make you more flushed. But like always, it's trial and error. Some dermatologists swear by the protective soothing powers of vaseline. Here is a long list of all the Avène products for sensitive skin. They show per product what ingredients it contains and marks with numbers the level of safety and the risk of having an adverse skin reaction for those with ultra reactive skin types.

Here are some reviews:
Amazon 1
    Amazon 2

The Ordinary  

This cream has 10% azelaic acid, just like the prescription cream Finacea does. Azelaic acid is an anti inflammatory and especially can help skin outbreaks and pimples. If you mainly flush and burn just like me, this cream may be too strong for your skin, but best do a test patch on a spot on your face and be safe rather than sorry. Very affordable price range for the Ordinary products, and the products below are oil-free, alcohol free, cruelty free and the moisturizer is also silicone free.

Aqua (Water), Isodecyl Neopentanoate, Dimethicone, Azelaic Acid, Dimethicone/Bis-Isobutyl PPG-20 Crosspolymer, Dimethyl Isosorbide, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Polysilicone-11, Isohexadecane, Tocopherol, Trisodium Ethylenediamine Disuccinate, Isoceteth-20, Polysorbate 60, Triethanolamine, Ethoxydiglycol, Phenoxyethanol, Chlorphenesin.

You can read reviews on this product on makeupalley here.

The ordinary also has a very affordable moisturizer without azeleic acid:

Aqua (Water), Caprylic/Capric Triglyceride, Cetyl Alcohol, Propanediol, Stearyl Alcohol, Glycerin, Sodium Hyaluronate, Arginine, Aspartic Acid, Glycine, Alanine, Serine, Valine, Isoleucine, Proline, Threonine, Histidine, Phenylalanine, Glucose, Maltose, Fructose, Trehalose, Sodium PCA, PCA, Sodium Lactate, Urea, Allantoin, Linoleic Acid, Oleic Acid, Phytosteryl Canola Glycerides, Palmitic Acid, Stearic Acid, Lecithin, Triolein, Tocopherol, Carbomer, Isoceteth-20, Polysorbate 60, Sodium Chloride, Citric Acid, Trisodium Ethylenediamine Disuccinate, Pentylene Glycol, Triethanolamine, Sodium Hydroxide, Phenoxyethanol, Chlorphenesin.

Gentle Derm 
This cream has interesting ingredients, of which the active ingredients are:
Aloe vera extract-Antioxidant and protective
Olive fruit extract-Antioxidant and protective
Chamomile oil-Antioxidant
Oregano oil-Antioxidant
Honey-Antibacterial, protective
Methoxyluteolin-Antiinflammatory, mast cell blocker
The combined effect of these ingredients and the electrolytes included provides long-acting hydration and soothing action, while allowing the skin to recover.
Vitamin C (ascorbate)

I am not sure if very sensitive and reactive rosacea skin that flushes, instead of breaking out in bumps, will tolerate the oils in the cream, nor the oregano oil (which can be quite strong normally), but this cream has some fans with rosacea. It's website has a long story with interesting information:

"Approximately 40% of people have dry, sensitive skin and cannot tolerate cosmetics. Of those, over 20% have medical conditions that involve skin inflammation, irritation or itching, such as atopic dermatitis (eczema), chronic urticaria (hives/itching), multiple chemical sensitivity disorder, psoriasis and scleroderma (see table below). In particular, patients with mastocytosis or mast cell activation disorder flush easily, have sensitive skin, may suffer from skin rashes and lesions, react to numerous triggers and cannot tolerate skin lotions or creams. Most of these conditions involve mast cells, unique immune cells, which alert the body to environmental triggers such as bacteria, mold, viruses, stress, heavy metals, preservatives, pesticides and other toxins. Once stimulated, mast cells release numerous molecules (mediators), such as cytokines, histamine, leukotrienes, prostaglandins and tryptase leading to allergies, flushing and itching. One of the most common triggers of these symptoms is emotional or physiological stress (e.g. fatigue, heat, friction, pressure).

Through our research, we have shown that corticoptropin-releasing hormone (CRH), the first hormone released under stress, triggers mast cells to release vasodilatory and inflammatory molecules. We further showed that CRH works together with the neuropeptides neurotensin (NT) and substance P (SP) secreted from peripheral nerves and interleukin-33 (IL-33) secreted from immune cells, to release vascular endothelial growth factor (VEGF) and tumor necrosis factor (TNF), which cause vasodilation and further inflammation in the skin.

For almost 30 years we have been studying natural molecules, called flavonoids, which are found in plants and seeds. Most of these molecules have both antioxidant and anti-inflammatory properties, which were discussed in a major scientific journal (Pharmacological Reviews 2000, see below). Since then, we and other scientists have shown that one member of this class, the flavone luteolin, found especially in chamomile tea, artichoke and grapefruit skin, also inhibits mast cells. Furthermore, we have shown that luteolin also inhibits activation of keratinocytes (the top skin layer that causes plaques in psoriasis) and T cells (immune cells primarily involved in chronic autoimmune and inflammatory conditions, such as psoriasis). Unfortunately, flavonoids are yellow in color, and effective amounts in skin lotions would potentially tint the skin yellow.

We recently found that a unique flavonoid very similar to luteolin, methoxyluteolin (tetramethoxy flavone), is not only colorless, but also has stronger mast cell blocking and anti-inflammatory activities than luteolin. GentleDerm® combines this unique flavonoid other natural ingredients with beneficial actions for the skin. GentleDerm® has been pilot-tested and was tolerated by individuals who cannot use cosmetics. Some key scientific publications describing the individual beneficial actions of the ingredients found in GentleDerm® are listed as pdf files on this page."

Jojoba oil 

Jojoba oil has a wax like texture and isn't too greasy on your skin. It matches the human sebum most closely from all moisturizers and oils out there and does not seem to irritate many people's skin. I use it now and then and make sure I have a wet face and that I mix some drops of it with some (bottled) water before applying it to my face. By diluting it, you will prevent that layer on your skin that can trap heat and seal your skin off, which rosaceans do not want. Try to get cold pressed organic jojoba oil that isn't mixed with other oils. Good stuff. However, some rosaceans do not tolerate it for a variety of reasons. Like always with rosacea, it's a case of trial and error. 

Zinc cream 
It's a great antibacterial and anti inflammatory product. It does leave your skin white but has helped quite a few people with 
rosacea who I know. Oh and it can dry out your skin too. But with skin outbreaks, this can actually be beneficial. I use this pictures version for spot treatment of skin outbreaks, the few times I get them. 

Cetomacrogol cream

My pharmacist makes a preservative free cream for me monthly, with cetomacrogol (a wax). The ingredients are:
-cera cetomagrogolis emulsion 4,500 g.
-decylis oleas (cetiol V) 6,000 ML
-aqua purificata bag in box 17,700 ML
-Sorbitolum 70% crist 1,200 ML

There is a commercial cream out there, originally made for eczema treatment, that also has cetomacrogol, but also a bunch of other ingredients. However, they seem ok for rosacea skin, if your skin tolerates the paraffin they have put in, no doubt to make it fatty and heavy enough to combat eczema skin dryness. It's called Diprobase and this is the full ingredient list:
-Macrogol Cetostearyl Ether (Cetomacrogol)
-Cetostearyl alcohol
-Liquid paraffin
-White soft paraffin
-Phosphoric acid
-Sodium dihydrogen phosphate
-Sodium hydroxide
-Purified water

TriDerMa Intense fast healing cream 

My friend has been using this Intense Fast Healing Cream for some time now, 2 months, and says he has a lot of relief from his usual constantly burning hot face. He deteriorated after a botched IPL treatment (like me). He says this cream is making his skin more temperature resilient; he can handle higher indoor temperatures since starting it without flushing or burning. Normally he also burns whenever he lays down, but this has been less than normal too since starting this product. In the first week of using it he says he already felt an improvement, but considered it could just be the result of wishful thinking. But as weeks went by he feels less tingling, near-burning or straight out burning (as a result of skin redness or flushing). His face feels 'normal' more often recently. I have not used this product myself, as my skin seems to lack a normal skin barrier and everything I put on it causes straight irritation and flushing, so I stick with no skin care, but I do want to share this product, as it also has a good looking ingredient list. Realize that the 'cetyl alcohol' mentioned in it is not a normal, drying alcohol, but a fatty alcohol, meaning it helps to thicken and emulsify the cream; unlike bad alcohols they do not dry out the skin, and in fact help soothe dry skin.

aloe barbadensis (aloe vera) leaf juice, cetearyl alcohol, isopropyl palmitate, polysorbate 60, beeswax, dimethicone, allantoin, zinc PCA, avena sativa (oat) kernel flour, sodium PCA, panthenol (vitamin B5), butyrospermum parkii (shea butter), tocopheryl acetate (vitamin E), cetyl alcohol, sodium phytate, sodium hydroxide, phenoxyethanol, ethylhexylglycerin

MAKE beauty succulent skin gel

A natural aloe vera and cactus extract gel ointment, here you can read the full list of ingredients and a rating of how harmless/harmful they all are. Very good score for this creme, I would personally try it!

Physiogel hypoallergenic cream
Physiogel hypoallergenic cream says it provides "long lasting moisturization in dry and sensitive skin, helps to make the skin less dry and sensitive, is hypoallergenic and free from preservatives, perfumes and colourants."

Aqua, Caprylic/Capric Triglyceride, Glycerin, Pentylene Glycol, Cocos Nucifera Oil, Hydrogenated Lecithin, Butyrospermum Parkii Butter, Hydroxyethylcellulose, Squalane, Carbomer, Xanthan Gum, Sodium Carbomer, Ceramide 3.

Aloe vera

Topical aloe vera gel is thought to be anti inflammatory, and soothing for skin burns, cracks and redness. Aloe vera is a gel-like substance from an aloe plant that has been used for generations to treat burns, inflammation, frostbite, and more. It’s also a natural antibacterial that can kill the bacteria responsible for pimples while easing redness. Aloe vera can be taken orally, but it works best for rosacea when applied directly to the skin. It is considered generally safe, except for very rare severe allergic reactions. Side effects are limited to mild discomfort, a possible rash, with or without itching or a stinging sensation. These reactions may be more common with homemade aloe vera preparations if they contain contaminants from the plant’s bark. Stop using aloe vera gel if you develop symptoms of a local skin reaction, such as increased redness, a rash or itchiness. I bought my own aloe vera plants, so that I can use the aloe vera pure and without cosmetical preservatives. After gently washing your face in the morning, apply aloe vera gel directly to the affected areas and allow it to dry on your skin. When you apply aloe vera, you will probably notice a soothing sensation right away that can treat itchiness and stinging.

Clinique Redness Solutions Daily Relief Cream
Many people with rosacea testified that this cream works well for them and that it calms down skin redness and is soothing. Clinique has a whole range of products that reduce redness, but be careful; their Redness Solutions Urgent Relief Cream contains HYDROCORTISONE in the American version!! This is absolutely not to be used on rosacea skin. It can cause rosacea or worsen existing rosacea! More on this here

Redness Solutions Urgent Relief Cream is said to “rushes soothing relief to upset skin. Quickly calms flare-ups of visible redness, irritation.” You can read many rosacea reviews for this cream here and here

Redness Solutions Daily Protective Base SPF 15 claims to “Protects skin from the UVA/UVB exposure that can aggravate skins with Rosacea or reactive redness. Does it without chemical sunscreens.” Here and here are many reviews if you scroll down the page. 

Redness Solutions Daily Relief Cream is said to “instantly calm skins with Rosacea. Relieves visible redness, blotchiness. Soothes to cool discomfort. Over time, helps improve skin’s comfort, lessens the look of broken capillaries.”

Redness Solutions Soothing Cleanser is said to “melt away makeup and impurities. Helps calm redness, irritation while preserving skin’s moisture balance. Smooth with mild exfoliation. Leaves skin clean, comforted.”

Redness Solutions Instant Relief Mineral Powder claims that this powder will reduce visible redness and `broken capillaries virtually disappear-instantly and for hours’. Further `Patent-pending formula helps skin “keep its cool.” Oil-free, talc-free. With anti-bacterial brush. Appropriate for skins with mild-to-moderate Rosacea or reactive redness.’

Ingredients of Clinique Redness Solutions Daily Relief cream:
Water, Cyclopentasiloxane, Butyrospermum Parkii (Shea Butter), Cetearyl Alcohol, Hydrogenated Polyisobutene, Butylene Glycol, Glycerin, Sucrose, Isostearyl Palmitate, PEG-100 Stearate, Camellia Sinensis (Green Tea) Leaf Extract, Polygonum Cuspidatum Root Extract, Hordeum Vulgare (Barley) Extract, Triticum Vulgare (Wheat) Germ Extract, Cetearyl Glucoside, Camellia Sinensis (Yellow Tea) Leaf Extract, Aspalathus Linearis (Red Tea) Leaf Extract, Saccharomyces Lysate Extract, Methyl Glucose Sesquistearate, Camellia Sinensis (White Tea) Leaf Extract, Yeast Extract, Algae Extract, Caffeine, Sodium Lauroyl Oat Amino Acids, Hydrogenated Lecithin, Polyethylene, Glyceryl Stearate, Salicylic Acid, Cholesterol, Linoleic Acid, Acetyl Carnitine Hcl, Glycine, Inulin, Tromethamine, Decarboxy Carnosine Hcl, Phytosphingosine, Glycosaminoglycans, Cetyl Alcohol, Tocopheryl Acetate, Bisabolol, Squalane, Hdi/Trimethylol Hexyllactone Crosspolymer, Behenyl Alcohol, Carbomer, Silica, Disodium EDTA, Potassium Sorbate, Phenoxyethanol, Blue 1, Yellow 5, Chromium Hydroxide Green, Titanium Dioxide, Mica.

KUSWERA ZURO - Moisturising Day & Night Cream
This cream has some good reviews from rosacea patients, which you can read here and here for instance. The producers claim that this moisturizer "contains African Potato Tuber, so is rich in anti-inflammatory plant phytosterols. This cream earned its interesting name from its anti-ageing properties. KUSWERA ZURO means ‘The day before yesterday’."

Aqua, Hypoxis Hemerocallidea (African potato) extract, Wheatgerm Oil, Jojoba Oil, Aloe Barbadensis, Evening Primrose Oil, Oleic Acid, Linoleic Acid, Linolenic Acid, Petrolatum, Propylene Glycol, Plysorbate 60, Oleth 10, Peg-150 Stearate, Cetyl Alcohol, Citric Acid

Bioderma Matricium Skin regeneration treatment
Packaged as small, single dose units. This product is meant for damaged, sunburn or otherwise irritated skin. The producers claim that it:
*Stimulates cell regeneration by bringing cells essential nutrients
*Regenerates essential skin components
*Anti-oxidant action
*Moisturises and protects
*Promotes post-procedure skin recovery

It is preservative-free, paraben-free, fragrance-free, alcohol-free and is designed to have a high tolerance and safety record. It is made to be hypoallergenic and non-comedogenic. It is supposed to help skin recover and function as normal again. This is of course a difficult task with rosacea skin (given that rosacea is mostly a chronic condition that cannot be cured, although there are plenty of cases where rosacea went into remission or just calmed down quietly entirely). The product is also advised for patients who had recent laser treatments, peelings or incisions or with first-degree burns. But, it has quite a long list of ingredients, so be aware of possible irritants. Sodium chloride is high up on the list and used as a thickening agent in skin care products, but it is also a salt and can be abrasive (has scrub qualities and for sensitive skin one has to always be careful with those).


Skin Repair kit
I read about another skin care product range today, Skin Repair. I haven't tried this skin care range yet myself however. It seems to lack aggravating ingredients, although the skin range does use oils and oils can irritate some cases of rosacea. This information I took from their website: "Our Rosacea starter kit contains everything you need to care for a rosacea, sensitive skin. Formulated  with skin similar ingredients to rebuild the skin barrier and calm the skin.

Skin Repair Works by;
Soothing the skin
Will relieve the itching and burning sensation
Will reduce redness, bumps and pimples
Can prevent irritation and inflammation
It contributes to a healthy bacterial balance of the skin
Suitable for Rosacea, red and sensitive skins. Miss Repair says ‘Repairing an impaired barrier helps to prevent future skin care problems or worsening of a pre-existing condition. The ingredients list looks short and good to me.

This kit contains:

Cleanse Me – For everyday cleanse. "Cleanse Me gently lifts away dirt and excess oil without disturbing the skins natural oils and PH. It will not upset or irate the skin. Our Cleanser is our No 1 product."
Calm Me – Corrective toner, claimed to instantly reduce redness whist calming mild skin irritations.
Moisturize Me – "Light, yet rich in naturally active skin nourishing and repairing ingredients. Our skin similar moisturizer regenerates the skin, making it stronger to fight Rosacea symptoms."

Cleanse Me: Aqua. Caprylic/Capric. Triglyceride. Pentylene Glycol. Glycerin.Hydrogenate Lecithin. Butyrospermum Parkii Butter. Ceramide 3.Squalane. Sodium Carbomer. Xanthan Gum.

Moisturise Me: Aqua. Caprylic/Capric Triglyceride. Pentylene Glycol. Hydrogenated Lecithin. Butyrospermum Parkii Butter. Glycerin. Ceramide 3. Squalane.

Calm Me: Aqua. Glycerin. Pentylene Glycol. Alcohol. Sodium Lactate. 
Propylene Glycol. Capryloyl Glycine. Equisetum Arvense Extract. Panthenol. Urea. Cucumissativus Fruit Extract

This product is close to a medicated cream, as it has a very active ingredient; sulphur. Sulfur naturally reduces inflammation and redness of the skin. I personally think that this cream might be best to use for those with subtype 2 rosacea, with skin outbreaks (small pimples) and rough redness of the skin that comes from inflammation (so not facial flushing redness that comes and goes all the time). And even then, you best try it out on a small patch of skin first. It has gotten some good reviews however. You can read more on all this here, here and here. Some very sensitive skintypes can (but not necessarily so try it out first) react negatively to paraben preservatives..

Sulphur, Acrylates, Aloe Barbadensis Leaf Juice, Diazolidinyl Urea, Lactose, Methylparaben, Propylparaben, Tetrasodium EDTA, Triethanolamine, Water.

Sulfur cream 

Another sulfur; Sulfur can be effective for the skin outbreaks of subtype 2 rosacea. It can be drying though. It might even help some with demodex mite infections (although ivermectin is more effective). Look for 10% Sulfur Ointment or 10% Sulfur Soap. Sulfur is keratolytic and helps exfoliate the skin and unclog pores. For sensitive thin flushing prone skin it might be too harsh. Sulfur is also a natural antibacterial and anti-parasitic. This common ingredient can kill acne-causing bacteria and Demodex mites. Best choose a hypoallergenic sulfur cream free of fragrances. Let the cream sit on your face for about five minutes before washing it off.

Colloidal oatmeal mask 

Colloidal oatmeal, or ground oats, is said to be able to help for a variety of skin problems as it helps soothe inflamed skin. When combined with honey, they both soothe and moisturize your skin. According to one study, the lipids found in colloidal oatmeal helps to keep the lipids in your skin from oxidizing. You can make your own colloidal oatmeal mask by mixing one tablespoon of colloidal oatmeal with equal parts Greek yogurt and honey. Apply the mask to your skin and allow it to sit for about 5 minutes before rinsing with lukewarm water.

Green tea mask

Green tea has natural anti-inflammatory qualities, and as such it can help soothe your red, sore or inflamed skin by reducing inflammation and redness. According to one study, 70% of women who used a cream made with a green tea extract, experienced improvement in their inflammation. There are several ways to use green tea for a natural treatment of your rosacea. One option is using an all-natural cream made from green tea extract. You can also make a cup of green tea yourself at home, and allow it to chill in the fridge for about 30 minutes. Then soak a soft cloth in the tea and apply to your face. Green tea masks may also help, but careful what added ingredients they have. You can also yourself mix prepared green tea with a bit of honey and apply it to your face. Allow drying before washing away with lukewarm water.

Apple cider vinegar 

Apple cider vinegar (ACV) is a natural remedy that many rosacea sufferers swear by. You can drink a bit of ACV every day or use it directly on your skin.  Again, this is a treatment that may be more suitable for subtype 2 rosacea, as subtype 1 with flushing may have such sensitive reactive skin that the ACV can be too harsh. Try diluting it with water then or just drink it instead. Apple cider vinegar is a natural and gentle treatment that helps your skin maintain its normal pH. It also helps kill yeast and bacteria on the skin that may contribute to acne type rosacea. There are different ways to use ACV to manage your rosacea:

-Soak a cotton ball in ACV and apply to your face.
-Mix 1 teaspoon of apple cider vinegar with a cup of water or juice and drink daily.
-Combine ACV with aloe vera gel (and if your skin is particularly sturdy you can also add an essential oil like tea tree for a natural toner, which is good for demodex infections). Apply to affected areas, allow to sit on your face for about 5 minutes, then wash it off with warm water and a wash cloth.
-Use in a facial mask. Mix about 3 teaspoons each of colloidal oatmeal and Greek yogurt plus 1 teaspoon honey and 2 teaspoons ACV. Apply the mask to your face and allow it to sit for 15 minutes before washing off.

Rosacea-LTD disk
This is another medicated topical, and not strictly a moisturizer. But it is worth mentioning. The Rosacea-LTD disks are compressed disks of various salts and sulphur. You use it by gently sliding the product over wet skin, leaving a tiny amount of the product on your skin. It is supposed to combat inflammation and skin redness and skin outbreaks. Reviews can be read here and here for instance. 

Dermeze moisturizer  
The makers promise a soft and well tolerable moisturizer Cream for sensitive or dry skin. "Dermeze Cream’s gentle, but concentrated blend of emollients and humectants works in two ways: glycerin helps to rehydrate skin, while paraffin helps seal in its own moisture. Hypoallergenic, fragrance-free, colour-free, lanolin-free and non-irritant, it’s suitable for people with dry skin conditions such as eczema, dermatitis and psoriasis, and can be used under makeup." I read about it on a rosacea forum, where it seems to be well tolerated. Not everybody can handle paraffin however, but this cream has very few trigger ingredients that can set rosacea skin off. Mineral oil leaves a little film over the skin and can worsen pimples and skin outbreaks (but not necessarily!) and for very extremely sensitive rosacea skin it can even trap heat and make you more flushed. But like always, it's trial and error. Some dermatologists swear by the protective soothing powers of vaseline. Othrwise great short ingredients list!

Water, Polawax, Isoamyl Laurate, Glycerin, Paraffin Liquid Light, Sorbitol, Imidurea, Beeswax, Phenoxyethanol.

Another moisturizer that rosaceans tend to tolerate, but I am weary personally about the mineral oil it contains. Mineral oils can seal off the skin and trap heat, something rosaceans do not want. However, due to the many positive reports on rosacea forums, and because every rosacea skin acts different, it comes in the list. It is made for (very) dry skin. Aquaphor healing ointment (by Eucerin) (Link) 

Petrolatum, mineral oil, ceresin, lanolin alcohol, panthenol, glycerin, bisabolol.

Petrolatum (petroleum) is a semi-solid mixture of hydrogen and carbon that keeps dry skin clean in order to heal. Mineral oil acts as an emollient to hold in moisture. Ceresin is similar in chemical make-up to petroleum, being made of hydrogen and carbon. It is used to stabilize the jelly-like consistency of Aquaphor. Both increase the potency and properties of petroleum to lock in moisture and protect the skin. Alcohol in cosmetics is normally used to dry a product completely on the skin. There are two alcohols added to Aquaphor, but not as drying agents. Lanolin alcohol is an organic alcohol coming from sheep wool ( from the fat of the wool shearing). Lanolin alcohol is used to dry the petroleum and other ingredients to reduce a feeling of tackiness on skin. It can irritate the skin sometimes. Panthenol is another natural alcohol. Glycerin is used as a lubricant to enable Aquaphor to glide across the skin. Bisabolol is the primary alcohol component of chamomile essential oil. According to the "PDR for Herbal Medicines," chamomile has healing and soothing properties and is known as an anti-inflammatory. But if your rosacea skin doesn't tolerate oils well, this could be another potential trigger ingredient.

*Vanicream skin care (Link)
Same story basically as aquaphor. It contains mineral oil, so I am not mad about it as it can seal off skin (more heat trapped in the skin) or clog pores, but again, plenty of rosaceans seem to tolerate it well and it also depends on your specific skin characteristics, so I mention it in the list. Propylene glycol is a known potential skin irritant in this product, but many people are fine using it on their skin, so trial and error.

Purified water, white petrolatum, sorbitol solution, cetearyl alcohol, propylene glycol, ceteareth-20, simethicone, glyceryl monostearate, polyethylene glycol monostearate, sorbic acid and BHT.

Cetaphil moisturizing cream (product) has been around for a long time, and seems to be well tolerated by a lot of people with rosacea. I think it might work best for those with mild to moderate rosacea, as it has some potentially irritating ingredients for those with entirely hypersensitive, non tolerant skin, like petrolatum (seals off the skin), methylparaben and propylparaben (preservatives and can potentially cause allergic reactions and skin irritation). Propylene glycol is another known potential skin irritant in this product. 

The website claims:
Cetaphil Moisturizing Cream contains a superior system of extra-strength emollients and humectants clinically proven to bind water to the skin and prevent moisture loss. The result is long-lasting relief for even severely dry skin. The non-greasy formula is excellent for hands, feet, elbows, knees, and any other areas that require intensive moisturization.
• Intense and lasting moisture to replenish sensitive, dry skin — great for eczema and very dry skin
• Clinically proven to provide immediate, long-lasting hydration that soothes dry, itchy skin
• Unique formula attracts water to the skin and helps prevent moisture loss
• Quick absorbing, rich, non-greasy
• Fragrance-free, mild, non-irritating

Water, glycerin, petrolatum, dicaprylyl ether, dimethicone, glyceryl stearate, cetyl acohol, prunus amygdalus dulcis (sweet almond) oil, PEG-30 stearate, tocopheryl acetate, acrylates/C10-30 alkyl acrylate crosspolymer, dimethiconol, benzyl alcohol, phenoxyethanol, methylparaben, propylparaben, glyceryl acrylate/acrylic acid copolymer, propylene glycol, disodium EDTA, sodium hydroxide.
Here you can find a large amount of reviews on Cetaphil

CeraVe moisturizing cream 
(link to product); another moisturizer that is mentioned on the Rosacea Forums and seems to go well with rosacea skin. It nevertheless has the same range of potentially irritating ingredients as Cetaphil; petrolatum (seals off the skin), methylparaben and propylparaben (preservatives and can potentially cause allergic reactions and skin irritation).

The website claims:
"Ordinary moisturizing creams need to be applied frequently because the ingredients are released in a single “burst” and absorbed in a short period of time. Like other CeraVe® Skincare products, CeraVe® Moisturizing Cream features a unique, patented MVE® delivery technology, which provides a controlled release of essential ceramides and other skin-nurturing and emollient ingredients slowly over time. It penetrates deeply into the skin to moisturize and nourish skin throughout the day while “locking in” precious moisture. The unique ingredients in CeraVe® Moisturizing Cream help restore and maintain the natural protective function of the skin barrier, help restore damaged skin and help keep skin healthy. CeraVe® Moisturizing Cream is a rich formula that spreads easily and smoothly, absorbs rapidly and never feels greasy. It is ideal for drier areas of the body including elbows, knees and heels and can also be used on the face as it’s noncomedogenic (does not cause pimples or acne by clogging pores), non-irritating and fragrance-free." Here you can find  a large amount of reviews on CeraVe

Purified Water, Glycerin, Ceteareth-20 and Cetearyl Alcohol, Caprylic/Capric Triglyceride, Behentrimonium Methosulfate and Cetearyl Alcohol, Cetyl Alcohol, Ceramide 3, Ceramide 6-II, Ceramide 1, Hyaluronic Acid, Cholesterol, Petrolatum, Dimethicone, Potassium Phosphate, Dipotassium Phosphate, Sodium Lauroyl Lactylate, Disodium EDTA, Phenoxyethanol, Methylparaben, Propylparaben, Phytosphingosine, Carbomer, Xanthan Gum

Neutrogena oil free moisturizer for sensitive skin

Some people with rosacea reported good skin results with this product. It doe shave mineral oil and paraben preservatives in it, but with rosacea skin care products it is trial and error as you all know.

Ingredients: Water, Glycerin, Ethylhexyl Palmitate, Dimethicone, Petrolatum, Cyclomethicone, Soybean (Glycine Soja) Sterols , Isopropyl Isostearate, Cetyl Alcohol, PEG-10 Soy Sterol, Glyceryl Stearate, PEG-100 Stearate, C12-15 Alkyl Benzoate, Carbomer, Tetrasodium EDTA, Sodium Hydroxide, Diazolidinyl Urea, Ethylparaben, Methylparaben, Propylparaben.

REN vita mineral 
A very mild yet nourishing cream. No parabens, fragrance or alcohol. The cream is rich and thick, as you'd expect for an emollient. Promises to quickly soothe rough, dry and dehydrated skin, it also adds a protective layer. Has vitamin-rich ingredients which your skin might either love, or hate. I make a wild bet that this cream could go well with mild to moderate cases of rosacea, and that the natural oils in it here and there can potentially trigger anyone with severe rosacea and intolerant skin. Also, citronellol and geraniol are fragrances which might not go well either with highly reactive skin types. Still a decent list of ingredients though

Rosa damascena flower water, squalane, cera alba (beeswax), glycerin, cetearyl ethylhexanoate, polyglyceryl-3 polyricinoleate, caprylic/capric triglyceride, sorbitan sesquioleate, sucrose distearate, magnesium sulphate, phenoxyethanol, vaccinium vitis-idaea (lingonberry) seed oil, vaccinium macrocarpon (cranberry) seed oil, polyglyceryl-3 ricinoleate, sodium hydroxymethylglycinate, tocopherol, citric acid, laminaria ochroleuca extract, citronellol, geraniol

Josie Maran, Whipped Argan Oil Face Butter

-100% Pure Argan Oil: Nourishes and protects skin with essential fatty acids, antioxidants, and vitamin E.
-Watermelon Seed Oil, Fresh Cucumber Extract, and Shea Butter: Replenish and retain moisture and support natural skin elasticity.
- Aloe Nectar: Reduces redness and soothes while simultaneously boosting hydration.
-Sodium Hyaluronate: Binds moisture to the skin and replenishes lost hydration.

INGREDIENTS: Water**, Aloe Barbadensis (Aloe Vera) Leaf Juice*, Argania Spinosa (Argan) Kernel Oil*, Glyceryl Stearate**, Glycerin**, Cetyl Alcohol**, Ethylhexyl Palmitate**, Dicapryl Carbonate**, Butyrospermum Parkii (Shea Butter)**, Hydroxyethyl Acrylate/Sodium Acryloyl Dimethyl Taurate Copolymer**, Caprylic/ Capric Triglyceride**, Xylitylglucoside**, Anhydroxylitol**, Sodium Stearoyl Glutamate**, Squalane**, Xylitol, Glyceryl Caprylate**, Stearic Acid**, Polys/orbate-60**, Glyceryl Undecylenate**,Cucumis Sativus (Cucumber) Fruit Extract**, Xanthan Gum**, Sodium Hyaluronate**, Lysolecithin**, Citrullus Lanatus (Watermelon) Extract**, Sclerotium Gum**, Phenoxyethanol, Tocopherol**, Sodium Phytate**, Potassium Sorbate**, Glycine Soja (Soybean) Oil**, Allantoin**, Ethylhexylglycerin**, Panthenol**, Pullulan**, Citric Acid**.

Dr. Andrew Weil for Origins, Mega-Mushroom relief & resilience soothing treatment lotion  

This skin cream is said to be recommended for all skin types, and claims to be especially "great for sensitive skin." It also claims to reduce redness and boost hydration of the skin. It has a long list of ingredients, BUT the cream does not contain: Parabens, phthalates, sodium lauryl sulfate, propylene glycol, mineral oil, DEA, petrolatum, paraffin, polyethylene beads, formaldehyde & animal ingredients* (except cruelty-free honey & beeswax*)
INGREDIENTS: Water\Aqua\Eau , Butylene Glycol , Peg-4 , Citrus Aurantium Dulcis (Orange) Oil**, Lavandula Angustifolia (Lavender) Oil**, Pogostemon Cablin (Patchouli) Oil**, Citrus Nobilis (Mandarin Orange) Peel Oil**, Pelargonium Graveolens Flower Oil**, Boswellia Carterii (Olibanum) Oil***, Limonene, Linalool, Citronellol, Geraniol , Ganoderma Lucidum (Reishi Mushroom) Extract , Fuscoporia Obliqua Sclerotium Extract , Cordyceps Sinensis (Mushroom) Extract , Ergothioneine , Camelina Sativa Seed Oil , Lactobacillus Ferment , Hippophae Rhamnoides Extract* , Zingiber Officinale (Ginger) Root Extract* , Curcuma Longa (Turmeric) Root Extract* , Ocimum Sanctum (Holy Basil) Leaf Extract , Helianthus Annuus (Sunflower) Seed Oil* , Silybum Marianum Fruit Extract , Saccharomyces Lysate Extract , Centella Asiatica (Hydrocotyl) Extract , Hypnea Musciformis (Algae) Extract , Caffeine , Sucrose* , Salvia Sclarea (Clary) Extract , Saccharomyces Ferment Filtrate , Peg-40 Hydrogenated Castor Oil , Gellidiella Acerosa Extract , Trideceth-9 , Glycerin , Glycereth-26 , Polysorbate 20 , Sodium Hyaluronate , Tocopheryl Acetate , Maltodextrin , Pentylene Glycol , Sodium Hydroxide , Citric Acid , Potassium Sorbate , Phenoxyethanol *Organic Sunflower Oil, Organic Sea Buckthorn Extract, Organic Ginger Extract, Organic Turmeric Extract, Organic Sucrose (Brown Sugar)**Organic Essential Oils: Organic Orange Oil, Organic Mandarin Oil, Organic Patchouli Oil, Organic Geranium Oil, Organic Lavender Oil***Essential Oil <ILNILN44013> Please be aware that ingredient lists may change or vary from time to time. Please refer to the ingredient list on the product package you receive for the most up to date list of ingredients.

Pai chamomile and rosehip sensitive skin cream
Link to product
Another nourishing, natural moisturizer, full of oils and natural substances to soothe the sensitive red skin. Organic and uses no artificial fragrances, alcohol (denat.), parabens, phenoxyethanol, propylene glycol, formaldehyde (including sodium hydroxymethylglycinate), sodium lauryl sulfate or other skin irritants. Depending on your skin type and level of sensitivity; oils can seal off the skin and be a potential trigger, so trial and error as there are quite a few different oils in this product..  It also contain jojoba. This fruit of the rose plant is a great skin healer. It is rich in omega 3 and 6 as well as antioxidants like vitamin C, which together work to regenerate damaged skin.

Full list of ingredients:

Aqua - Purified Water
Prunus Armeniaca Kernel Oil* - Apricot Kernel Oil
Simmondsia Chinensis Seed Oil* - Jojoba Oil
Carthamus Tinctorius Seed Oil* - Thistle Oil
Cetearyl Alcohol - Coconut-derived Emulsifier
Glycerin* - Vegetable Glycerine
Rosa Canina Seed Extract* - Rosehip Seed Extract
Butyrospermum Parkii Butter* - Shea Butter
Cetearyl Glucoside - Corn-derived Emulsifier
Chamomilla Recutita (Matricaria) Flower Extract* - Chamomile Extract
Leptospermum Scoparium Leaf Oil - Manuka Oil
Sodium Levulinate - Non-Irritating Preservative Derived From Corn
Tocopherol - Natural Vitamin E
Lavandula Angustifolia Oil* - Lavender Oil
Sodium Anisate - Non-Irritating Preservative Derived From Basil
Pelargonium Graveolens Oil* - Rose Geranium Oil
Lactic Acid - pH Stabiliser Derived From Sugar Beet
Glyceryl Stearate Citrate - from sustainable Palm Oil
Sodium Lauroyl Lactylate - from Coconut Oil
Rosmarinus Officinalis Leaf Extract* - Rosemary Extract

Another moisturizer I am thinking about buying and trying is Shea Butter. Like this one

It seems simple and pure and hopefully its also good at recovering problematic skin, but I worry slightly about the natural oils in this product. Oils can set some peoples rosacea off.

Egyptian Magic  
This product only has 6 ingredients: olive oil, bees wax, honey, bee pollen, royal jelly and bee propolis. They can all, in principle, cause skin reactions (which is the case for every skin care ingredient), but often is well tolerated. Oils are not always a good idea for rosacea however, as oils can clog pores, cause skin outbreaks and seal the skin off which can trap heat. It is a personal trial and error thing however, some people do great with this cream.

Selsun Blue
Some people with rosacea, especially with redness and skin outbreaks and pimples, mentioned that washing their face with Selsun Blue shampoo (and then risning it off again) helped them control their skin. Selsun Blue is a line of shampoos used to treat dandruff and other skin conditions. It is available over the counter and in a prescription-strength version as well. It contains selenium sulfide as the active ingredient. Selenium sulfide is an anti-fungal agent which may be helpful in treating the skin yeast infection tinea versicolor, scalp ringworm (tinea capitis) and athlete's foot (tinea pedis). Selenium sulfide also is effective at treating seborrheic dermatitis because it slows the overgrowth of skin cells involved in this condition. Selsun Blue is also available in a medicated formula, containing selenium sulfide along with menthol, the main active ingredient in peppermint. Menthol has cooling, calming and numbing effects and may soothe irritated skin and stop itching, unless of course your skin is too sensitive for it (then it can irritate in fact). Trial and error.. I think it will be best suited for people with subtype 2 rosacea with skin outbreaks and relatively sturdy skin.

Selsun Blue Naturals
Selsun Blue is available in a moisturizing formula as well as a shampoo called Selsun Blue Naturals, both of which contain botanical ingredients to moisturize hair. Selsun Blue Naturals contains the active ingredient salicylic acid rather than selenium sulfide. Salicylic acid promotes shedding of the skin's top layer, so the shampoo can wash away the dead skin cells making up dandruff. Botanical ingredients for moisturizing include aloe and chamomile and lavender. 

Selsun Salon
Selsun Salon is another dandruff shampoo, this one containing the active ingredient pyrithione zinc. This ingredient slows the excess production of skin cells, thus relieving and preventing flaking and scaling of the scalp caused by dandruff or seborrhea.

Active Ingredient - Selenium Sulfide 1% - Purpose - Antidandruff.
Inactive Ingredients: Water, Ammonium Lauryl Sulfate, Distearyl Phthalic Acid Amide, Ammonium Laureth Sulfate, Sodium Chloride, Cocamide MEA, Dimethicone, Aloe Barbadensis Leaf Juice, Hydroxypropyl Methylcellulose, Sodium Isostearoyl Lactylate, DMDM Hydantoin, Fragrance, Citric Acid, Sodium Citrate, Titanium Dioxide, Blue 1.


Of course there are also medicinal creams that can be used as skin care
Most are not aimed at subtype 1 rosacea, with flushing and burning. Instead, most of these creams are designed for subtype 2 rosacea with skin outbreaks and pimples. But some of them can also help minimize skin redness.

-Antibiotic creams; metronidazole cream, rosex cream: used for rosacea subtype 2, with skin outbreaks and pimples and redness

-Finacea gel/cream: used for rosacea subtype 2, with skin outbreaks and pimples and redness. Read more on Finacea here.

-Soolantra/Ivermectin cream: used for rosacea subtype 2, with skin outbreaks and pimples and redness

-Mirvaso / Rhofade cream: used for rosacea subtype 1 with flushing, redness and burning of the skin. Both have some bad reviews however and can cause rebound flaring of the skin. They constrict the blood vessels in the face temporary, but after that rebound worsening can happen.

-Other creams, for instance sulphur cream or ZZ cream: used for subtype 2 rosacea with skin outbreaks and pimples.


ZincO (Tinted or non tinted)

Tinted ZincO SPF 20 is technically a sunscreen, and it's been around a long time. Some people swear by it, others do not like it, as unfortunately, despite the mild formula, the cream has parabens as a preservative. If your skin has no issues with parabens however, it might benefit from the 14.5% microfine dimethicone-coated zinc oxide it contains. It is a physical sunblock, protecting from both UVA and UVB rays. It claims to also be "an excellent barrier cream that protects a damaged epidermis from the elements. This attribute is particularly helpful to individuals with rosacea who are prone to flushing episodes. ZincO soothes their skin and helps reduce flushing."
Tinted ZincO has a flesh-colored hue, that masks redness even more, and probably is also added because zinc oxide leaves a white colour if you don't mask it.

Zinc oxide 14.5%, water, C12-15 alkyl benzoate, glyceryl stearate, PEG-100 stearate, steareth-21, C13-14 isoparaffin, cyclomethicone, glycerin, laureth-7, phenoxyethanol, polyacrylamide, synthetic beeswax, dimethicone, iron oxides, olea europaea (olive) fruit oil, talc, castor oil phosphate, methylparaben, DEA-oleth-3 phosphate, propylparaben, chromium oxide greens, disodium EDTA, ultramarines.

Organic Sunscreen for Sensitive Skin SPF 32

A better alternative to ZincO might be this sunscreen, which has no parabens, and higher SPF protection. It is described as "A gentle, chemical-free, fragrance-free, cruelty-free, non nano broad spectrum sunscreen for sensitive skin. Can be used for face and body. Contains only 9 organic and natural ingredients (86% of them are certified organic) and 25% zinc oxide. Packaged in biodegradable tubes."

25% zinc oxide, Eldorado Springs Artesian Water, certified organic extra virgin olive oil, certified organic jojoba oil, vegetable glycerin, certified organic shea butter, vegetable emulsifying wax, vegetable vitamin e. 


First of all, this site is fantastic and lets you type in the brand name of any cosmetic product, telling you right away what ingredients it has and which ingredients "might" (for very sensitive and reactive skin types) potentially insrease the risk of a skin reaction:

I have been watching some really trashy tele in my free time, when too tired to do anything constructive. Not even sure I dare to admit it, but it's a UK version of Jersey Shore; Geordie Shore. Eight Newcastle youngsters in one house, 'getting mortal' (very drunk), having a 'mint night' (going loose) and more of such slang. In skimpy outfits and clubbing and sexing constantly. It's truly funny actually. Have soft spot for such reality tele, perhaps because it remembers me of the far less wild years where I used to at least still go out to dance. Or just because I'm getting old lol. But anyway, these girls wear tons of make up. The more episodes I would watch, the more I started to think that there shouldn't actually be any impediment for me to go out 'clubbing' again perhaps even one night a year. Initially I was still asked for by friends this but nowadays no one even brings it up anymore :) It would feel so good to wipe all the redness away with a sponge and some perfectly covering make up. A friend of mine with my subtype and severity of rosacea can tolerate make up and moisturizers (so jealous!) and she sent me some pictures of the steps in between reddish face and geisha face. I want that too. (She uses 'sheer cover concealer' then a loose powder of collection 2000, and another rosacea friend uses mineral make up from Cory Cosmetics).

So, I found a foundation that has no preservatives/parabens, no perfume and is a mineral based cream foundation, from la Roche-Posay.

I bought: toleriane tint, compact correcting foundation - cream. Color is 10, ivory. (the lightest color available).
This color is still a few % too dark, but its good enough for me for now. Don't think ivory is a ghostly tint in this make up range, its not.. Here are links to the exact product (I heard from some readers that they couldn't find the exact same product, as La Roche-Posay has multiple foundations):

 I bought it in a money wasting mood and tried it on the sides of my cheeks. That is actually a more useful test spot, as I now flare and burn there too from cosmetics etc. Nothing, no reaction. The foundation covered perfectly but my dry skin structure did shine through it. That's where the moisturizer came in and the other lower cheek that I moisturized first and then covered with foundation looked smooth and great! I put the stuff all over my lower part of the face and around the eyes, mouth and nose, sparing only the inner red cheeks. It looked so Geordie Shore!! Left it on for an hour, still no burning and flushing. I tried mineral powder make up some time ago (posted about it too I think, it was from Bare Escentuals) and rubbing that off was a nightmare; the rough mineral particles were like powdered glass rubbing all over my cheeks, leaving my face badly burning and scrubbed off the top layer apparently. Not with this cream version! I think the mineral particles in it must be finer or just encapsulated in some way by the cream coating. But, because I don't dare to use any cleansing milks, I still had to rub sortof, with my cotton pads and bottled water (I made it luke warm) to remove all of the foundation creme. I only got red after removing that stuff, indicating that it is not so much the product itself causing all this. (I bought the cleansing milk from Avène's sensitive skin range later, by the way). So, the plan is now to keep this in store for a special dinner/night out. I keep holding off old friends who I haven't seen in a long time (admittingly, male ones), because I'm afraid I will be red and swollen and ugly that day and don't dare to go. So instead of postponing these invitations into eternity, perhaps I can now go out again. I think about once every 2 months by the way, I won't get over exited. And I still haven't tested it on the inner cheeks.

Anyway, wanted to share this and I realize that a lot of rosacea patients are interested in skin care products. I just never felt I could write anything meaningful about it, given that I tend to write posts about first hand experiences with things. But when someone as über sensitive and bad as me can handle this stuff, even for a few hours, it might be a good choice for those a bit less touchy, perhaps (By the way, I don't do commerce, I ignore marketing emails or advertisement offers, I absolutely hate making money off a blog that should just offer sincere information, so there is no tie with any of these two cosmetic companies).

I have made a couple of blog posts about me actually wearing this foundation from la Roche posay. here and here and here. I will add some photos of the different events and show you what the make-up looks like on my skin (I use colour Ivory, the lightest, and use a mineral bronzer for the cheeks). As you can hopefully see, it covers redness very well. And it didn't make my skin burn or feel uncomfortable. I love it. It's just the removing that makes my skin a mess, as you need to rub it off and that messes up my face for a week or so afterwards...

Here is a product description of "my" foundation. "Sand beige compact corrective foundation with La Roche-Posay Thermal Spring Water. La Roche-Posay Toleriane Teint Compact Corrective Foundation Sand Beige is a velvety cream that corrects severe imperfections without overloading your skin. It contains 30% coated pigments which unify your complexion. The foundation is suitable for sensitive skin and for those prone to breakouts. La Roche-Posay Toleriane Teint Corrective Compact Corrective Foundations gives you a semi-matt powder finish."
  • SPF 25.
  • Fragrance free.
  • Preservative free.
  • Ultra-fine texture.
  • Waterproof.
  • Anti-friction sponge included.

It covers the following:

  • Under-eye circles.
  • Redness.
  • Acne.
  • Vitiligo.
  • Angloma
  • Scars.
  • Burns.

    Directions for Use: After applying day cream, pick up a small amount of the product using the sponge and spread it from the centre of the face outward
    Results: Severe imperfections are concealed, skin is left looking even and natural.

  • Reviews
    -Skinni Peach: "Another corrective foundation, another surprise and a savior during the winter months. As with all La Roche Posay products, this is geared towards sensitive souls but this time with more emphasis on dry, sensitive souls. Never before have I used a foundation that doesn't cling for dear life on to dry patches. Instead this creamy bit of magic happens to smooth over, yet sink in at the same time. The sponge that's included and lives under the compact in its own little compartment is the only drawback. I hate using sponges. Filthy. But a few washes here and there and it does the job well. The colour I was sent is a little on the dark side for me (no. 13 Beige Sand), but I use it very lightly on my skin and the results are yet again, flawless."

    -Fresh Look Beauty Blog wrote: "La Roche-Posay's Toleriane Teint Compact Foundation (RRP £14.50-18.50 for 9g) is a cream formula for hyper-sensitive skin types who need coverage for anything from acne to scarring or under-eye circles. This would also appeal to anyone who just wants a break from their normal foundation, thanks to its minimal ingredients list! [..]
    The Longevity; I was really impressed with the staying power of this foundation - I've previously reviewed the Vichy Dermablend Corrective Foundation which has the same sort of aim as La Roche-Posay, but found my skin became very oily by the end of the day. With this product, I wasn't worrying about slippage and found that for your standard 8-hour day this holds up really well.
    The Coverage; This foundation boasts 30% coated pigments, which means that a little goes a long way and allows you to keep a natural finish. It also layers fairly well on concentrated areas, so you may well be able to ditch the concealer. When I opened the compact, I was sure this would run out within 2 weeks. I used it everyday for over month, plus a few times a week for a further month (that's the beauty blogger in me getting bored), and I still have half the product left!
    The Sensitive Skin Criteria; Fragrance-free, alcohol-free, paraben-free, SPF 25-35 depending on how much you use... tick tick tick! If you're worried about breakouts or reacting to your foundation, this has to be one of the safest bets after mineral make-up.

    Other products that seem decent for sensitive rosacea skin are these two below: they contain more ingredients than the product I have been using, so that makes me more worried about any of them setting off my skin. Less is more, etc. However the list of ingredients seems not too bad, no preservatives, no perfumes, and the bonus could be that these two foundations might not look as dry on the face as my compact disc one does. I've got reasonably dry skin and no way to moisturize it, so I might try these two foundations below at some point and hope it goes as well as the compact disk. I have that one used 3 times so far, once kept it on for a good 36 hours in one go, and my skin tolerates it very well. Surprised and mostly very happy. Pls note that I don't make any advertisement for anything or anyone. This just happened to be my lucky foundation so far.

    CI 77491, CI 77492, CI 77499 / IRON OXIDES, CI 77491, CI 77492, CI 77499 / IRON OXIDES

    CI 77491
    CI 77499 / IRON OXIDES
    CI 77491, CI 77492, CI 77499 / IRON OXIDES
    CI 77492

    Wash your makeup brushes
    If you do need to use makeup to occasionally cover embarrassing blemishes or just to add some color to your eyes, be sure to wash your makeup brushes once a week with warm water and an all natural paraben-free shampoo (the one you use for your own hair of course). Dirty makeup brushes harbor bacteria. Don’t let that build up or you will just be rubbing that grime all over your face!

    Cold showers, short showers
    Hot water strips away the natural oils in your skin, leaving it dry. If you can’t stand a cold shower, take a warm shower (not hot) and turn the shower handle to cold at the very end when you rinse your face. If there are very oily spots on your face, go ahead and gently rub them with your fingertips, but on most days just a cold rinse should be enough.

    Here are some more pictures of my make-up 

    June 3rd 2014

    A friend of mine with rosacea and seb derm, and very sensitive skin, wrote that she had success with a liquid moisturizer from Real Purity She wrote: "It has only water, glycerin, rice starch, kaolin and iron oxide.On its website, Real Purity states: "Creme Foundation "Health Glow". Named as one of the first “mineral make-ups” on the market, Real Purity Crème Health Glow Foundation is a must have for any all natural makeup lover. This foundation will leave your skin even toned and glowing, and with a base of pure water, smoothing it on your skin won’t clog your pores.
    • Distilled water acts as a core element for this foundation, and prevents the clogging of your pores while smoothing out your lines.
    • Minerals included in this foundation provide additional sun protection.
    • Real Purity cosmetics are never nano-sized.

    How To Use
    After cleansing, smooth lightly over skin for an even, healthy glow.

    Distilled Water, Kosher Vegetable Glycerin, Kaolin (Clay)*, Oryza Sativa (Rice) Bran Oil*, Iron Oxide*Organic 
    There are many good reviews below the basic info part in the link.

    On The Rosacea Forum there are also many posts about foundation for rosacea skin.

    Roz123 asked for a foundation tip for her P&P prone rosacea skin. She also has a Nickel allergy and has to avoid Mica and Bismuth Oxycholoride. She tried La Roche Posay Toleriane Teint, but found it to irritate her skin. Some of the suggestions she received:

    *Bare Escentials multi-tasking concealer in BISQUE shade. "This really tones down redness & disguises P & P's." Roz123 tried this product and said it didn't give her great coverage.

    *Colorstay foundation by Revlon. (Note: contains the potentially irritating ingredient Mica and the exfoliator and irritant salicylic acid, list here). "It is oil and fragrance free and is amazing coverage....I too have the p&p's and alot of redness on forehead..! I have always used this foundation as always been acne prone and since being diagnosed with possible roseaca/maybe seb derm (I also have a nickel allergy..thats coincidence hey) this has never caused me problems..." Roz123 tried this product and said it indeed gave great coverage, definitely like a mask.

    *Vichy dermablend foundations. (Note: contains paraben preservatives, see full list). "They are super high coverage (they cover tattoos). They are available in liquid and stick form, the downside is they don't have a huge amount of shades. I have the stick one and used it a lot when my rosacea was at it's worst, now a days I use Everyday Minerals, also nice." Roz123 tried this product but said it made her break out. More reviews can be found here.  Unfortunately it has paraben preservatives. 

    Ingredients; Water, Cyclopentasiloxane, Dimethicone, Glycerin, Polyglyceryl-4, Isostearate, Cetyl PEG/PPG-10/1 Dimethicone, Hexyl Laurate, Pentylene Glycol, Disteardimonium Hectorite, Methylparaben, Cellulose Gum, Aluminum Hydroxide, Magnesium Sulfate, Phenoxyethano, Disodium Stearoyl Glutamate, Tristearin, Acetylated Glycol Stearate, Acrylates Copolymer, Butylparaben.

    *Keromask masking cream. (Nite: contains potential irritants and vaseline derived ingredients paraffinum liquidum, petrolatum and the irritant lanolin and lanolin alcohol, link). "It's thick, looks natural if applied properly and is fragrance free. It is the only thing that will cover a huge flare up of redness/p&ps without looking like a cake on my face, which is surprising considering it is meant for scars, acne, tattoos, rosacea ect. It comes in a small tube and you get setting powder with it which makes it waterproof."

    *Jane Iredale Dream Tint (Note, there is also a Liquid Minerals Foundation from this brand, which seems REALLY GOOD, with only Mica as an irritant and not too many ingredients, of which some are anti inflammatory, like Lavandula angustifolia and Aloe Barbadensis.)

    *Maybelline Purestay powder foundation with spf 15. (Note: it contains parabens -rpreservatives, Mica and mineral oil, list). "It covers the redness and p&p really well and it doesn't seem to cake on my flakes and give me lizard face."

    *Mary Kay medium-coverage foundation. (Note, its fragrance free, oil free but the full list of ingredients is not traceable online, see this interesting post from the Paraben Free Princess about that. This makes it almost certain that they threw in at least the paraben preservatives, and prolly more..). "I've got fair pink skin. It covers pretty well."


    Roz123 said herself about the nickel allergy: "Re nickel in makeup, I've been doing a bit of research on this, and apparently there can be nickel in makeup, in 'iron oxides' which if you look in the ingredients are in most types of makeup (they give makeup their colour) - I think it's only trace amounts (and amounts vary depending on the brand) but in some really really sensitive people it may cause a reaction. It's aparently in iron oxides CI77491, CI77499 and CI77492. Also re mascara issues - check out Eyecare Cosmetics (eyecare-cosmetics.co.uk) - they do loads of great products for people with really really sensitive eyes (and are all nickel tested and claim them to be nickel free)." Her end conclusion, after trying all the suggested foundations, was: "anyhow, I've now come to the conclusion that it's my skin that's the problem and not the foundations, as they all seem to make my skin feel even more sore and burny (a true nightmare)."

    Other brands that are mentioned in other forum posts are for instance:

    *Lancome Dual Finish powder/makeup. Flareface: "All the mineral powders leave a dry flakey sheen on my skin, and I can't rub a liquid makeup into my skin. I was quite surprised to find my face still likes the Lancome. It comes with a velvet soft sponge which my face also likes. Got it in a yellow based beige that tones down my redness. I can almost look normal when I have it on." This product has some potential rosacea irritants like Mica, parabens, paraffin and petrolatum. Ingredients.

    *Clinique continuous coverage foundation. Rethotoz wrote: "She put some on one side of my face and gave me a mirror. The good and the bad...well...I then felt good for half a 'normal' looking face and then a bit of a freak for the other half. Only then did I realise how red my face was at normal/good status! Urgh! And I thought I was doing so well. Sigh! PLUS, I had a third eye growing at the time! LOL Huh, got to laugh, or one will cry!" This product has some potential rosacea irritants like Mica, parabens and mineral oil. Ingredients.

    *Alima Pure, Satin Matte Mineral Foundation. Ratherbquiltn wrote: "I highly recommend Alima mineral make-up! Looks great and I feel like it's improving my face everytime I wear it." This product contains Mica. Ingredients

    Forum posts about rosacea and moisturizers

    Forum posts about rosacea and using no moisturisers

    The Hair on Your Head
    Since we spend about 8 hours a day with our faces on a pillow, it is important to consider what sleep situations may do to our skin.  If you have long hair, put your hair up in a binder before hitting the sack to keep the oils and product in your hair off your pillow and off your face.  Using a hairnet also works for those who have shorter hair or don’t like their hair tied up all night.  It is also important to evaluate what is in your hair products, as these are the closest in proximity to your face and scalp.  Check your shampoos, conditioners and hair products for parabens such as Sodium Lauryl Sulfate (SLS) and known human carcinogens, such as triclosan.  If you find any of these things in your product, throw them away and start fresh.  A big factor in your skin’s health can be the laundry detergent you use.  Bed linens and clothing rub on us all day.  Buying a natural detergent
    and staying away from dryer sheets can help clear up acne, yeast infections and skin irritations as well as keep harmful carcinogens out of your system.

    I also use a special shampoo from Neutral, containing:
    Aqua, Sodium Laureth Sulfate, Cocamidopropyl Betaine,, Sodium Chloride, Sodium Cocoyl Glutamate, Citric Acid, Behonoyl PG-trimonium Chloride, hexylene Glycol, propylene Glycol, Sodium Benzoate, Sorbic Acid. Unfortunately it does contain Sodium Laureth Sulfate, a substance that is linked to skin allergies and irritation. Here is an interesting rosacea blog post on SHAMPOO and this Sodium Laureth Sulfate, including interesting tips below from readers.

    Update: I changed my shampoo to this fab Danish brand, Urtekram. It has no Sodium laureth Sulfate and is incredibly mild, no rosacea flares from it (but I still avoid rinsing shampoo/water over my face). I alternate between these two brands now. Both super mild, no perfume, no harsh ingredients, no sodium lautheth sulfate :) 

    May 11th 2014

    In these links on the Rosacea Forum, we discussed skin topicals and moisturizers:
     Originally Posted by ohy201: "Hey guys, I recently stopped using moisturizer (Cerave) out of fear that it was damaging my skin and not really helping it much. I've been using Cerave for about 5 years now and while it was really effective at first, I feel like skin became almost too dependent on it and has made my skin feel very unhealthy. In fact, I thought that it was actually causing some really weird spots on my chin (it looks like flakey skin from afar, but up close it is like stringy white stuff coming out of my pores that can't be rubbed off, but individually have to be pulled out). What is this? I've been doing research and it seems like people who have malassezia-induced SD tend to have this as a primary symptom, but I am still uncertain. It's been about three weeks since I've stopped using moisturizer and my skin is just awful right now. It's got me pretty down because it feels very tight and irritated and up close I can actually see what looks like dried up sebum coming out of my pores. My cheeks are filled with these and my cheeks feel really bumpy and rough to the touch. Some spots have been surfacing up as well. Is this my skin purging and re-balancing itself after using moisturizer for so many years? At the moment, all I am doing is lightly cleansing with Purpose Cleansing wash at night and just water in the mornings. I suspect that I did a lot of damage to my skin barrier from using so many products (AHA's, benzoyl peroxide, suncreams...) over the years. My skin-type is oily, acne prone and very reactive and basically any product that I use will irritate the heck out of it and cause a weird reaction. What do you guys suggest I do? Should I keep with it and let my skin attempt to heal itself without using anymore products? And what should I make of these weird flakey spots on my chin? Any advice would be greatly appreciated!

    I posted: Sorry to read you have trouble with your skin/moisturizers. I feel most people here rely
    on a good moisturizer, and need it to keep their faces from drying out (and getting more red). I had this incident back in 2003 I think it was, where I had become overly sensitive to anything topically applied and had tried all sorts of organic creams, almond oil, bees wax you name it. Saw a new dermatologist and she said that my skin was way too irritated by all these topicals and that I needed to use nothing for 6 months at least. Was like a slap in the face, as I always used some type of cream. I have a dry skintype so it was hell for a good few months, but I have to say that after that, my skin slowly became less dry and produced more natural sebum by itself. I haven't used moisturizers or topicals since actually. (Apart from some diluted jojoba oil with bottled water now and again, but not on inner cheeks which are the worst for me). I don't know if staying away from the moisturizers all together is the way to go for you, but I do know that for me, it took a good 3 or 4 months before my skin started to adapt to no moisturizers. It felt very tight and dry and irritated first, but now my skin feels totally normal and feels smooth, not too dry. Give it some time perhaps, and if you do start experimenting with finding a good moisturizer, maybe you can try part of your cheek first and see how that goes; that way you can compare the treated and non treated skin and have a better 'canvas' to work on? Avene has some moisturizers with zero fragrance and preservatives by the way, for super intollerant skintypes (there is some info on my blog about it if you want links) and jojoba oil is the closest thing I read to equal human sebum. I find it very mild and one of the few topicals that don't burn my skin.
    Good luck

    And in this forum post we also discuss the use/need of moisturizers for rosacea skin:

    Originally Posted by Birdie: "Nat!! What is your skin routine now? Hair routine? Still nothing? Birdie :) 

    I replied: Hi Birdie, yeh still nothing. I manage to use jojoba oil, diluted with a lot of bottled water, on my forehead/chin and the low parts of my cheeks now, every now and then. But I don't use anything on my red cheeks. I bought a humidifier that blows cool mist and it really helps keeping the skin from drying out too much. I have to say, I am really not sure if this not moisturizing is good for rosacea or not.. I simply don't tolerate anything anymore on it and when I followed that derms advice I was surprised my skin actually calmed down as soon as I left it untouched. I wash my hair once every 3 days with a neutral shampoo, that has no perfume. I try to find one that has no laureth sulfate but that is hard to find here.
    best wishes

    Originally Posted by Vovin: "I don't know if I agree with "use nothing on your skin". I never used anything on my skin for the first 23 years of my life and my dermatologist told me she has never seen drier skin at my age before. I use an unscented moisturizer and my skin doesn't peel anymore.

    I replied: Yeh if your skin can still handle some sort of moisturizer, I agree Vovin. Dry skin can make the redness even worse. It's just that for me, my skin didn't handle any more moisturizers and everything makes it worse, worse than when I do nothing. And perhaps for people with a similar problem and who aso feel their rosacea gets worse from moisturizers, who hopefully have normal or a more oily skin type, it is worth trying to use nothing for some time on their skin, and see how it responds to that.

    I received this comment from a reader, originally posted under the Dutch climate versus rosacea post:

    Lisa November 18, 2014 at 10:09 AM
    "I've been suffering with my rosacea flares since I was 12 or 13. I'm now 50. I read your skin is dry and cannot tolerate any lotions and such. I've been using the following to wash, moisturize and then conceal the redness for over 20 years. Nothing else works or is tolerated by my very dry, very sensitive, rosacean skin. I use Dr. Hauschka's Cleansing Milk and Rose Day Cream to wash and moisturize with. I use Dermablend Smooth Indulgence foundation as my make-up base. I find that my skin actually LIKES having this foundation on it. It covers the red (It's made for rosacea and other skin issues) and also protects it from further moisture loss. I use all three products everyday whether I'm flaring or not because they make my skin look great (oddly, I am complimented on having amazing skin a lot, despite the stupid rosacea!) My rosacea story is the same as yours and winters are terrible for me (except that I live in the New York City area). Triggers like stress, hormonal changes, emotions and weather effect me primarily. Trigger foods antagonize flares further (I do not eat sugar in any form, gluten, processed foods, etc. I keep a 90% organic kitchen and eat a whole foods diet.) If you haven't tried the skin care I suggested, I hope you do. Topically nothing else has worked for me. It might bring relief to you as well. PS-- I forgot to mention in the post I just submitted...

    I do not take any medication for my rosacea. I've tried numerous medications and all they did were make it worse. My skin hated them. I self-treat with the right nutrition and elimination of bad foods and use the three products I told you about. Doctors don't know how to treat this and I'm tired of ending up worse than when I started. I have found that a natural, holistic approach has helped me the most. Btw, the Dr. Hauschka products are all natural :) Thanks for the tips Lisa. Here is some more information on these products:

    Dr. Hauschka's Rose Day Cream: 

    And for Dermablend Smooth Indulgence foundation: 

    Update December 19th 2014:

    this is an interesting article about the negative effects of the skin care ingredient MICA, especially found in mineral makeup: "Do you have sensitive skin which may include acne, rosacea or a contact dermatitis? If you do, then mineral makeup which contains Mica or Sericite (finer version of Mica) as its’primary ingredient may just be the next worse thing to using Bismuth Oxychloride." It can literally feel as though you have scrubbed your face raw. Tiny little lesions that become sensitized to touch or anything you may apply to your skin outside of using plain water. Sensitive skin can be characterized as skin that is sensitized to ingredients applied to the face which may cause incessant burning, or a stinging sensation. When experiencing this after applying any skin care product, you can be assured you are having an allergic reaction to something in your cleanser, toner, makeup or face creme. This is another argument for also not using washcloths to bathe sensitive skin.

    Mica (Sericite) as a general rule is safe for the skin and usually will not cause any significant problems for women with normal complexions; however for those of us, like me, with sensitive, allergy prone skin issues, this ingredient can cause severe distress to the wearer. Mica is made from pulverized (crushed) rock which tends to have sharp microscopic edges causing micro-tears when buffed onto the skin. It can also cause further irritation to women with acne and rosacea making both of these conditions worsen. Certain coated Mica based products will wreak havoc on acne prone skin due to its' heavier consistency which requires more buffing onto the skin in order to disperse pigment and keep it from slipping into fine lines. It is this same action which forces the makeup into the pores which in turn can plug them and create an environment for more acne to grow. The typical coating of choice on Micas for formulators wanting a creamier feel is Carnauba Wax, yet this usually contributes to melt out in the mineral powders and is rarely included in the ingredient list.

    Mineral Makeup however, is an excellent way to prevent most skin problems for most women but it is better to use a mineral makeup line that does not use Mica or Bismuth as its’ leading ingredient. This is why alternative fillers can be quite beneficial over and above these other fillers since they can bring additional healing benefit to the skin and buffing is greatly reduced. In fact, avoiding Mica based products and Bismuth altogether is preferred for sensitive-allergy / acne / rosacea prone ladies. The main reason for using mineral foundation is to calm erythema and protect the skin from further sun damage and to reduce problems from further irritants.

    Treated or coated Mica (sericite) may reduce some of this problem by giving the Mica a more creamy texture, but it doesn’t remove the problem with itching or stinging in most cases, especially once you perspire. As long as it is the main component, and a woman can still experience enough irritation, unfortunately, she may eventually give up on using minerals altogether despite the benefits.
    For those of us who have experienced this frustration, there is still hope for getting away from all the synthetically processed chemical makeup out there. I have found a way to incorporate Mica by using it sparingly and having it treated with Methicone in order to make it the best for your skin. This process encapsulates the Mica, giving it a ball bearing effect when applied to the face. It is by far the safest method to combine this inert ingredient to achieve the light refracting properties it can offer without causing further micro-abrasion to the skin. Another added benefit of Methicone is its' ability to protect the skin from tansepidermal moisture loss which is wonderful for ladies with dry skin. Mica serves no healing purpose except to create bulk and a finer texture to the minerals in the product and reduce the appearance of fine lines. Using Methicone treated Mica in smaller portions will still offer this benefit for youthful looking skin, but without the added irritation. This is why I use very little Mica in all of my foundations and the Mica is always treated with Methicone.

    For the most part, mineral makeup is about applying the essential minerals like Titanium Dioxide and Zinc Oxide to the face in order to achieve the proposed healing treatment for the skin. Then combining these with other minerals or botanicals is the best way to deliver these to the skin without causing more inflammation. Methicone treated Mica, Rice Powder, Oat Powder, Boron Nitride, Kaolin Clay, Aloe Powder and Allantoin to name a few are excellent for creating the lowest risk of irritants within a mineral cosmetic. Also, using a high quality synthetic brush to apply minerals can prevent further distress to the skin.

    One more thing to consider when looking for that perfect mineral makeup, Titanium Dioxide when used with little filler, can also cause irritation to the face even in the absence of Mica and Bismuth. Although an anti-inflammatory, in high proportion, Titanium Dioxide can cause a strong reaction to sensitized skin and can also contribute to dryness and leave a chalky appearance to the face. With little filler it may also require more buffing in order to get it to cover and disperse on the skin.

    For best results, read the ingredients and make sure there is a balance of your two very important skin calming minerals combined with a nice blend of skin conditioning powders which will glide across skin with little buffing action. You will have a lovely smoother application of our mineral cosmetics that will meld with your skin, leaving it rose petal soft, and reduce risk of irritation.
    So explore further and try others besides the typical 4-5 basic ingredient mineral makeup. Your Face Will Love It!
    Below is an example of emails I received from mica sensitive customers. In the interest of saving time I decided to post an update and provide the answer to all that may still be experiencing this similar problem:

    Good Afternoon Katherine,

    I have tried samples of your foundation, and I love the way they feel and how they look on my face. I have never worn a mineral makeup that has looked as good. However, I'm still experiencing some itchiness when I get warm, and I think I have an allergy to mica. Do you have a mica free version of your foundation? 

    Smiles, Melanie
    Portland, OR

    UPDATE 3/15/2008: After receiving many emails and phone calls in regards to this article and in the interest of further assistance to these women who may be mica sensitive, I did some follow up. Since a small number of ladies were still experiencing slight itching when they perspired after using Sterling Minerals Foundation, though their skin problems had greatly improved, I decided to do further research with my dermatologist since it was known that my formulations should greatly reduce most sensitivities of the skin. Furthermore, I reminded the women that slight itching is normal when skin is trying to heal.

    Together we investigated the skin care regimens with these women and in every instance they were using either AHA's, Retin A, Facial Scrubs, Acne Treatments, mainly Benzoyl Peroxide and washcloths on a daily basis. Their skin was overly sensitized. Once these women reduced exfoliation practices, the mild itching they were still experiencing was resolved. Women with sensitive skin should not over exfoliate, but reduce it to 2-3 times per week which gives skin time to rest and rejuvenate.


    1. It is definitely trial and error trying to find moisturizers and makeup that work. I can only try new ones when I know I don't need to go any where the next day because I tend to have some pretty bad reactions. I do know that anything with petroleum is a big no-no for me. I can tolerate the cerave face wash but it doesn't take off make-up so I don't wear make up very often now. The cerave face cream tends to burn and react. The bobbi brown skin stick foundation doesn't irritate but finding something to take it off does irritate so darned if I do, darned it I don't. -Pippa

    2. It is Pippa, and oddly and unfortunately enough, I found my skin became more sensitive and intollerable with time. I now only tollerate (water diluted) jojoba oil. But the Avene products might be a safe bet/try as well as they have so little ingredients and almost no irritants. They are pretty affordable too. I no longer use make up, as it burns my skin (even the best of the best) and it's a nightmare getting it off; the cleaning of my skin after make up application is like an exfoliation :(

    3. Just thought I'd share my skincare/makeup routine as I have bad vascular rosacea. I'll start off with the products I use: Aquaphor- gentle and non irritating for me, It's the ONLY thing my skin will tolerate when It's going crazy, Toleraine Riche- This is by La Roche Posay and is also very gentle, I prefer it to Avene as even that has made my skin burn before.
      Avene Thermal Water Spray- The only thing I really like from Avene as It's soothing and cooling on my face
      Vichy Dermablend corrective foundation in Opal- Love the coverage on this and it's non irritating pluscontains SPF.
      Garnier 2in1 Makeup Remover- This is an oil in water solution that you shake (I know it sounds irritating) but it's not neither is it ever drying and I find using this is the only way I can remove my foundation with out it leaving behind flakes of makeup stuck to the skin. It also requires zero rubbing which is a must for me.

      My A.M routine- Spritz face with Avene thermal water then gently apply Aquaphor mixed with a small amount of toleraine to my face.. let that sink in the apply Vichy Dermablend with a damp sponge (my preferred method as it's soft on my skin) Then set with a light powder.

      P.M routine goes as follows- Soak a damp cotton pad in Garnier 2 in 1 makeup Remover, press gently on cheeks then sweep away, repeat until makeup is gone
      Spritz face with Avene Thermal water then Apply Aquaphor/Toleraine Riche.
      It seems like a lot to do but It's so simple and the only way to keep my skin in the balance. :)

    4. Thank you so much Mel for sharing your skin care routine here. I'm so happy for you that you found products that work for you and that your skin tolerates. Thanks for sharing it here :)
      Best wishes Nat

    5. Hi there. I found your blog and wanted to share my skincare routine. I only use Dr. Bronner's Baby Mild soap (in bar form) as a cleanser and Heritage Rosewater & Glycerin spray as a moisturizer. I've had rosacea for over 10 years and this is the only combination I've used that helps. I am unable to tolerate Cetaphil, Cerave and a host of other ones that help most rosacea sufferers. I hope you can try these and that they work for you!


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