Dr Belinda Welsh’s top skin tips for managing rosacea

26 . 3 . 18

Rosacea can affect people with all skin types, from dry to oily and everything in between. It can be very successfully managed with a combination of the correct skincare, medical treatment and laser.

Skin affected by rosacea is generally sensitive and needs to be managed with care, so having a simple reliable rosacea skincare regime (with a daily sunscreen) is key to keeping your skin under control. As a general rule, serums are for oilier skin types and creams for dry.

Here are some of my top do’s and don’ts for your rosacea skincare routine:

What to do

  • Cleansers should be soap free. Remove with wet cotton pad
  • Apply products gently with your fingers
  • Choose sunscreens that protect against ultraviolet A and ultraviolet B light. ‘Physical blockers’ (titanium dioxide and zinc oxide) are best tolerated
  • Cosmetics and sunscreens should contain protective silicones (dimethicone or cyclomethicone)
  • Choose a light foundation that is easy to spread and can be set with powder. Foundations that contain ultraviolet A–ultraviolet B sunscreen are encouraged
  • Green-tinted makeup or sunscreen can provide extra coverage of red areas
  • Avoid waterproof cosmetics and heavy foundations that are harder to apply and remove without irritating solvents

What not to do

  • Wash your face in the shower under the hot water stream
  • Rub it (for example, with a face cloth or towel)
  • Use harsh products – toners, exfoliants, masks, chemical peels, scrubs
  • Use products containing – acetone, alcohol or benzoyl peroxide
  • Use moisturisers if your skin is oily-look for serums fluids or lotions
  • Get regular facials or undergo facial steaming or microdermabrasion
  • Experiment with anti-ageing products
  • Deviate from your skin care regime


  • Stick to a simple routine
  • Keep away from the irritants
  • Use prescribed topical products to control your flare ups
  • When your skin is settled, consider introducing topical retinoids (Vitamin A) to rebuild the collagen and elastin and your skins strength
  • You may be able to introduce AHA’s (alpha hydroxyl acids) to maintain your skin barrier function at a later stage
  • Consider products containing niacinamide (Vitamin B3) like Rationale Immunologist serum or gel/crème


Should I consider laser treatment for rosacea?

Laser treatment is very important in managing rosacea long term. Once your rosacea is treated and under control, you may want to consider having treatment with our V beam laser to reduce the remaining redness and/or dilated blood vessels. Creams and antibiotics will not improve the blood vessels (capillaries) which can slowly get worse over time, especially if your skin is also sun damaged. Many people find that maintenance laser treatment every 1-2 years is an excellent way to keep their redness and capillaries under control and to keep their skin in great shape.

It’s worth considering laser if:

  • You have a strong family history of rosacea, and you know you’re probably going to get worse over the next several years
  • Your rosacea keeps flaring up despite your best efforts
  • Your flushing is bad enough that it is interfering with your work or social life
  • If people constantly ask you if you are sunburnt or worse, you’ve had people assume that you’re a heavy drinker because your nose and cheeks are red
  • You feel you need to pile on the make-up in the morning just to feel presentable for work or play

If you are not sure if laser is right for your rosacea-affected skin, book a consult with our experienced laser therapists Belinda Fraser or Jess Langtry who will get you on the path to great skin.