Freedom From Rosacea
24 November 2024

Freedom From Rosacea

It's no fun having a health condition that shows on your face. I really want to help people on the road to freedom from rosacea. Although it shares some similarities with acne, it is distinctly different, characterised by several symptoms which may include: Redness across the cheeks, nose, forehead, and/or chin. Noticeable small blood vessels on the face. Facial spots or pimples. Watery, irritated, or bloodshot eyes. Rosacea is a chronic and progressive condition, typically marked by periods of flare-ups followed by remissions. It can significantly affect one's quality of life due to its impact on personal appearance. It has a negative impact on many peoples self-esteem. But stay out of that pit, let's get to solutions, I will cover foods, lifestyle, supplements and technology to help. Always check back as I add as I discover more. Please really read the whole Guide, I've looked at other articles they are literally copy and pasted off each other, there's no depth, even people I respect and sites I like just seem to all have said the same thing. Go through all this, I've covered every scenario.

For those with more severe symptoms, a significant proportion report that rosacea has negatively influenced their professional lives, with nearly half of this group staying in more due to the condition and thats awful, I said no to Stay at Home, we all should of done. So don't let this do that to you too. So rosacea is more commonly seen in individuals with fair skin, although it can affect people of all skin tones. Those who are fair-skinned and prone to blushing or flushing easily are at a higher risk. The condition is more frequently observed in women, but the most severe cases tend to occur in men. Probably this may be because men are often less likely to seek treatment as promptly as women. It is evident that this condition is widespread, given that many major cosmetic companies now offer products specifically formulated to conceal redness and manage symptoms. But what we want is Freedom right? so I'm doing my best with a collection of information gather since 2010 and I've been reading up on new developments and this Guide is the best of what I know at present moment.

Diagnosis & Causes

Clarity - Diagnosis & Causes

First lets be sure it is Rosacea that you have, then look at the possible causes and then by far the best part of this, let's look at what to do.So as I said in the first part have you got... redness on the cheeks, nose, chin, or forehead. It can also manifest on the neck, ears, scalp, or even chest. In its early stages, this redness may come and go, which can lead to confusion with simple flushing. Have you noticed visible blood vessels appearing on your face, along with pimples or other bumps. In severe cases, the nose may appear swollen and bumpy due to excess tissue growth, a condition known as rhinophyma. Are your eyes affected? irritation, frequent watering, bloodshot appearance?. Other warning signs to watch out for include: Burning, stinging, itching, or a sensation of tightness in the face. A rough, dry texture to the skin. Raised, red patches. Facial oedema (swelling). There are 4 Subtypes of Rosacea, but it is possible to experience more than 1 subtype at the same time, and these subtypes may also occur consecutively. Remember I have to stick to some science here but never be a slave to genetics, choose to a blank canvas and know anything is achievable in your health, mind, body and spirit. The root cause of rosacea remains elusive within the mainstream medical community, although several theories have been proposed. I'm into solutions, so I'm going to list 5 theories here that are the medical consensus then go into the target solutions for those, then my whole overall freedom from rosacea guide.

  • One theory suggests that the condition may result from oversensitive blood vessels in the face.
  • Another theory points to the presence of mites (Demodex folliculorum), more on this later.
  • Genetics may play a role, as a family history of rosacea appears to increase one’s risk.
  • There is also a theory suggesting a link with a stomach infection caused by Helicobacter pyloribacteria.

Immune System Dysfunction Theory

Recent research led by Dr. Richard Gallo at the University of California, San Diego, along with an international team of scientists, has shed new light on what might be the most plausible cause of rosacea: a malfunction of the immune system. Dr. Gallo’s studies have discovered that certain immune system proteins may trigger the onset of rosacea. These proteins, while protecting the body, can paradoxically initiate symptoms of the condition. The immune system produces natural antibiotic proteins to combat disease and protect overall health. These proteins target harmful bacteria and activate additional immune responses. Such defensive agents can be activated by factors like irritation or infection. Current research is exploring whether the action of a specific immune system protein called cathelicidin, known for its antimicrobial and pro-inflammatory properties, may contribute to the development of rosacea in some individuals. Symptoms such as skin inflammation and dilated blood vessels are associated with the activity of cathelicidins. These proteins are activated by an enzyme known as SCTE (stratum corneum tryptic enzyme). Studies have shown that individuals with rosacea have abnormally high levels of cathelicidins in their skin, as well as elevated levels of SCTE. For these patients, the chronic production and activation of cathelicidins appear to exacerbate, rather than inhibit, bacterial growth, thereby potentially triggering the symptoms associated with rosacea.

Dysfunction Theory

Freedom from Rosacea

While conventional medicine has traditionally relied on prescribing antibiotic tablets, topical creams, and occasionally more invasive treatments to alleviate the symptoms of rosacea, I have witnessed people get their face back after dealing with the root cause of the condition. As always it's about freedom, total freedom, not managing symptoms, I hate that phrase so much. I won't allow it at Ancient Purity. Anyway far too much emphasis in mainstream medicine has been placed on merely avoiding rosacea triggers rather than investigating the underlying cause of the disorder. These so-called "triggers" can include otherwise beneficial activities like exercise and exposure to sunlight, as well as unavoidable environmental factors such as hot weather or sudden changes in temperature. I would never advise someone to completely forgo exercise or sunlight in the hope of avoiding flare-ups. In this instance, the supposed “cure” would end up being far worse than the condition itself. Rosacea can be ended through dietary changes, particularly by eliminating grains and sugars, combined with stress management techniques. In my experience, it is rare for people not to see a significant improvement in their rosacea symptoms when they adopt these natural dietary and lifestyle adjustments.

Demodex Mite & Rosacea - What they Are / What to Do

The Demodex mite theory suggests that these tiny skin-dwelling mites play a significant role in the development and worsening of rosacea, a chronic skin condition characterised by facial redness, visible blood vessels, and sometimes pimples or pustules. This theory has gained traction among researchers and dermatologists in recent years, as evidence increasingly supports the link between an overabundance of these mites and the symptoms of rosacea. Demodex mites are microscopic organisms that naturally live on human skin, particularly in the hair follicles and sebaceous (oil) glands. There are two main types of Demodex mites found on humans: Demodex folliculorum - Mostly inhabits hair follicles and is more closely associated with rosacea. Demodex brevis - Lives in the sebaceous glands and is less frequently implicated in skin disorders. Most people have some level of Demodex mites on their skin, especially on the face, but they usually do not cause any symptoms in healthy individuals. However, certain conditions, such as a weakened immune system, oily skin, or underlying inflammation, can lead to a proliferation of these mites, which may contribute to skin issues like rosacea.

How Demodex Mites Are Linked to Rosacea: The Demodex mite theory posits that people with rosacea may have higher densities of Demodex mites on their skin compared to those without the condition. Studies have shown that individuals with rosacea can have up to ten times more Demodex mites in the affected areas than people without the condition. The theory suggests that this overpopulation may trigger or exacerbate the inflammation characteristic of rosacea.

Mechanical Irritation and Inflammation: The mites feed on sebum and skin cells, which can irritate hair follicles and surrounding tissue. This irritation may lead to an inflammatory response, causing redness, swelling, and the characteristic flushing associated with rosacea.

Bacterial Involvement: The mites themselves are not directly harmful, but they can carry bacteria on their bodies, notably Bacillus oleronius. When these bacteria are released into the skin as the mites die, they may provoke a strong immune response, potentially worsening the symptoms of rosacea.

Immune Dysfunction: People with rosacea may have an overactive immune system that reacts more aggressively to the presence of Demodex mites. This heightened immune response can lead to increased inflammation and visible skin changes, such as redness, papules, and pustules

Skin Barrier Compromise: A higher density of Demodex mites can compromise the skin barrier, making it more susceptible to environmental triggers (like UV exposure, extreme temperatures, or spicy foods) that can worsen rosacea symptoms.

Evidence Supporting the Demodex Mite Theory: Several studies support the link between Demodex mites and rosacea: A study published in the Journal of Medical Microbiology found that Demodex densities were significantly higher in people with rosacea compared to those without the condition. Another study reported that when patients with rosacea were treated with therapies targeting Demodex mites, such as topical ivermectin, they showed significant improvement in symptoms. The use of tea tree oil, known for its mite-killing properties, has also been reported to reduce rosacea symptoms, suggesting a connection between mite population control and symptom relief.

Treatments Targeting Demodex Mites in Rosacea

Given the potential role of Demodex mites in rosacea, treatments aimed at reducing their numbers have gained popularity. These are some of the conventional treatments that have been shown to work, not what I am recommending per se. My recommendations further down will fully cover this.

Topical Ivermectin: Another benefit to this medicine, it targets both the mites and associated inflammation. It has shown efficacy in reducing the papules, pustules, and redness of rosacea.

Tea Tree Oil: Believed to be toxic to Demodex mites. Diluted tea tree oil solutions are sometimes used as a natural remedy, though it can be irritating to sensitive skin if not properly diluted.

Metronidazole: This medicine was traditionally used as an anti-inflammatory treatment for rosacea, metronidazole may also have some effect on reducing the number of Demodex mites. It is a drug remember, but it has the studies. However alternatively you could try Colloidal silver, Aloe Vera - both of these are together in our gel. Manuka Honey could also be an option.

Oral Antibiotics: Again I'm not promoting drugs on Ancient Purity, I'm just talking about the studied ways to remove the Demodex mites. Anyway while primarily used for their anti-inflammatory effects, some antibiotics may reduce bacterial populations associated with Demodex Mites, potentially helping to control rosacea symptoms. I can only theorise maybe Oregano could be the alternative, but I have no results or info to back that up based on Demodex mites.

The Demodex mite theory offers a compelling explanation for why some people develop rosacea while others do not. By understanding the role of these mites, more targeted treatments have emerged, providing relief to many sufferers. However, it is essential to note that rosacea is a multifactorial condition, meaning that while Demodex mites may contribute to its symptoms, they are likely only one piece of the puzzle. This whole Guide is just part of the puzzle, but as always I will add new info I find to it over the next few hundred years.

Helicobacter Pyloribacteria

Helicobacter Pyloribacteria

(H. pylori) is a type of bacteria that infects the stomach lining, often causing gastritis, ulcers, and other gastrointestinal issues. Research suggests a potential link between H. pylori infection and rosacea, as the bacteria can trigger systemic inflammation and an immune response that may worsen skin conditions. Studies indicate that H. pylori may increase the release of inflammatory mediators, such as cytokines, which contribute to the redness, flushing, and bumps characteristic of rosacea. Eradicating H. pylori has been associated with improvements in rosacea symptoms in some individuals, suggesting a shared inflammatory pathway. While the exact relationship is not fully understood, beating it naturally can offer relief for rosacea, particularly those with concurrent digestive issues.

Most of the supplements I will recommend later but Probiotics (Lactobacillus and Bifidobacterium) inhibit the growth of H. pylori. Manuka Honey contains methylglyoxal, which has potent antibacterial properties shown to inhibit H. pylori. Cranberry Juice can prevent H. pylori from adhering to the stomach lining, reducing bacterial colonisation. Mastic Gum has been used traditionally to treat stomach ailments and has proven efficacy against H. pylori. Drink Green Tea as it contains catechins, which have antibacterial properties that can suppress H. pylori. Deglycyrrhizinated Liquorice (DGL) impossible to pronounce so I'll say DGL soothes and protects the stomach lining while reducing H. pylori growth. Ginger has anti-inflammatory and antimicrobial properties that can inhibit H. pylori. It also soothes nausea and promotes digestion.

Oversensitive Facial Blood Vessels

Oversensitive blood vessels in the face are linked to conditions like rosacea or frequent flushing, can be managed through natural solutions. These strategies focus on reducing inflammation, strengthening the blood vessels, and calming the skin. However I want to mention standard medical treatments too as some may be ok short term, this is about freedom and information and you choosing. Focus on foods that reduce inflammation and strengthen blood vessels: Whole foods berries and dark leafy greens to support vascular health. Omega-3 Fatty Acids found in wild salmon, flaxseed, and walnuts, to reduce inflammation. Vitamin C: Strengthens capillaries and reduces redness. Vitamin K: Improves blood clotting and vessel integrity, helpful in reducing redness. Rutin (Bioflavonoid): Found in buckwheat, strengthens blood vessels and reduces capillary fragility. Horse Chestnut Extract: Contains aescin, which helps tone blood vessels. Cold Compresses: Applying a cool compress during flare-ups can calm inflammation and reduce vessel dilation. Niacinamide: Reduces redness and improves skin barrier function. (I will go into real depth on this later) Aloe Vera & Chamomile: Both calm irritation and supports skin healing. Facial Massage: Gentle lymphatic drainage massage can improve circulation and reduce pressure on superficial blood vessels. Aloe Vera & Chamomile: Both calm irritation and supports skin healing. Facial Massage: Gentle lymphatic drainage massage can improve circulation and reduce pressure on superficial blood vessels.

Strengthening the Immune System

Rosacea is not merely a skin condition; its root causes often link to systemic inflammation, immune dysfunction, and microbial imbalances. Strengthening the immune system will play a pivotal role in freedom over rosacea. It's the final of the 5 main medical theories of the cause of rosacea, so let's cover what to use specifically to enhance immune function to have freedom. Vitamin C: Supports immune health, fights oxidative stress, and aids in collagen production. It’s especially helpful during periods of illness or stress, you must take Vitamin C throughout the day, at least 3 times to really make it work at its best. Vitamin D3 with K2: This combination optimises Vitamin D absorption and utilisation, critical for immune function and bone health. Vitamin D deficiency is linked to weakened immunity. Zinc: Supports immune function, reduces inflammation, and promotes wound healing. Its antimicrobial properties can also help control demodex mites. Clinical research in Clinical, Cosmetic, and Investigational Dermatology found that oral zinc supplementation improved rosacea symptoms by reducing pustules and redness. Chaga: Rich in beta-glucans, which are known for their ability to modulate the immune system. These compounds help activate immune cells, such as macrophages and natural killer (NK) cells, which are essential for defending against pathogens. A study published in Mycobiology found that Chaga extracts stimulate the production of cytokines, enhancing immune response and promoting the body's ability to fight infections. It contains high levels of antioxidants, particularly superoxide dismutase (SOD) and melanin, which protect cells from oxidative stress. By reducing inflammation and oxidative damage, Chaga indirectly supports immune function. A study in Phytotherapy Research highlighted Chaga’s potent antioxidant activity, which helps regulate inflammatory processes that can weaken the immune system Chaga’s compounds, such as betulinic acid, have antiviral and antimicrobial properties. These help prevent infections and maintain a healthy immune defence. Studies have shown that Chaga extracts inhibit the replication of certain viruses, including herpes simplex virus, and may have applications in controlling infections. The polysaccharides in Chaga support gut health by promoting the growth of beneficial gut bacteria. A healthy gut microbiome is closely linked to strong immune function. Evidence suggests that Chaga polysaccharides improve intestinal immunity, creating a supportive environment for the gut-skin-immune axis. Other Immunity Tips: Remember a strong immune system is creating by not just supplements and not only those I have listed. Eat whole, organic foods, lean proteins, healthy fats, vegetables. Engage in moderate-intensity exercise like brisk walking, cycling, or yoga for 30 minutes daily to improve circulation and immune cell activity. Prioritise 7-9 hours of quality sleep, as rest is essential for immune regulation and recovery. Practice mindfulness, meditation, or deep breathing exercises to reduce cortisol levels, which can suppress immune function. Drink plenty of pure, clean water to maintain hydration, which supports overall cellular function and helps flush toxins. More on the foods below.

Foods that Heal

Foods that Heal

Meats: Prioritise lean and nutrient-dense meats: Chicken, turkey, grass-fed beef, and organ meats (liver is rich in zinc and B12). Seafood will give you omega-3, so wild Salmon, mackerel, sardines, flaxseeds, chia seeds, walnuts. Omega-3 fatty acids have potent anti-inflammatory properties, which help calm redness and inflammation associated with rosacea. A study in Advances in Nutrition noted that omega-3s reduce systemic inflammation and improve inflammatory skin conditions.

Probiotic Foods: Yogurt (unsweetened), kefir, sauerkraut, kimchi, miso. Probiotics support the gut-skin axis, helping to balance gut microbiota and reduce inflammation, which is often a trigger for rosacea. A review in Frontiers in Microbiology highlighted the link between gut microbiota health and reduced rosacea symptoms.

Fruits: Blueberries, cherries, apples, pears. These fruits are high in antioxidants, such as flavonoids and polyphenols, which combat oxidative stress and reduce inflammation. Antioxidants have been shown to improve skin barrier function and reduce redness in inflammatory skin conditions. Water rich foods provide extra hydration, which is essential for keeping rosacea-prone skin calm and moisturised.

Green Leafy Vegetables: Consider Spinach, kale, Swiss chard. They're rich in vitamins (like Vitamin C and K), minerals, and antioxidants, green leafy vegetables reduce inflammation and support skin health. A 2017 review in Dermatologic Therapy noted the benefits of vitamin-rich foods in managing rosacea.

Zinc-Rich Foods: Pumpkin seeds, oysters, beef, chickpeas, lentils. Zinc is vital for skin repair and reducing inflammation. It also regulates the immune system, which can calm rosacea flares. Cucumber: Eaten fresh, blended into juice, or used topically. Cucumbers are hydrating and cooling, which can soothe irritated skin and reduce redness. Hydration and soothing compounds in cucumbers make them a natural remedy for inflamed skin conditions.

Ginger: Fresh Ginger added to dishes has anti-inflammatory and antioxidant effects, which can beat inflammation-driven rosacea. Studies in Food & Function show that gingerol, the active component, reduces inflammatory markers.

Avocado: High in healthy fats and vitamin E, avocado nourishes the skin and helps maintain its barrier function.Research published in Skin Pharmacology and Physiology indicates that vitamin E helps protect against skin inflammation.

Foods that Harm

Avoid Trans Fats and Processed Foods: Many people are unaware that the majority of fats found in the membranes of skin cells are omega-6 fats. Consuming processed foods laden with damaged omega-6 fats can lead to their incorporation into cell membranes, making skin cells more vulnerable to conditions such as rosacea and even skin cancer. Ensure you consume healthy sources of omega-6 fats from organic pumpkin, sesame, or sunflower seeds, or from their cold-pressed oils. Processed or cured meats (like sausages and bacon) are high in nitrates and additives, which may exacerbate inflammation.

Limit Sugar & Grains: To normalise your insulin levels, it is crucial to reduce your intake of foods that can raise them, such as sugar, bread, pasta, rice, corn, and potatoes. Ideally, you should monitor your fasting insulin levels to ensure your diet is not leading to excess insulin production. A fasting insulin level of 3 or lower is optimal.

Other Triggers: Some individuals find that reducing acidic foods like citrus, chocolate, and spicy foods can help control rosacea. An anti-inflammatory diet focusing on whole foods may also contribute to skin health. Always always choose a whole food organic diet. Avoid or limit down by 75% the amount of processed food you eat.

Good Drinks

Water: Pure, clean, structured water, gives proper hydration and helps flush toxins and keep the skin moisturised, water is key.

Green Tea: The classic herbal tea is rich in antioxidants like catechins, which reduce inflammation and protect against oxidative stress. Its anti-inflammatory and soothing properties make it beneficial for rosacea. Studies suggest that green tea reduces skin redness and may improve the skin barrier function.

Aloe Vera: Aloe vera is hydrating and has anti-inflammatory properties. Consuming aloe vera juice may help reduce systemic inflammation associated with rosacea. Drink 1/2 cup daily and ensure it's food-grade and safe for consumption.

Chamomile Tea: Chamomile is calming and anti-inflammatory, making it a gentle option for soothing the skin.

Turmeric Milk (Golden Milk): Tone of my favourite ever drinks, turmeric contains curcumin, a potent anti-inflammatory and antioxidant compound. Add Manuka Honey for a soothing drink.

Drinks to lessen/avoid

Alcohol: Alcohol dilates blood vessels, increasing redness and flushing, which are hallmark symptoms of rosacea. Red wine, in particular, contains compounds like tannins and histamines that can act as triggers. Research in the Journal of the American Academy of Dermatology confirms that alcohol consumption is associated with an increased risk of rosacea, especially in women.

Caffeinated Drinks: While caffeine itself isn’t a direct trigger for everyone, highly caffeinated drinks like strong coffee and energy drinks may irritate sensitive skin by increasing heart rate and blood flow, indirectly causing redness.

Sugary and Sweetened Drinks: Beverages high in sugar, such as sodas, energy drinks, and sweetened juices, promote systemic inflammation and can disrupt gut health, both of which are linked to rosacea. Excess sugar has been associated with inflammation in the body, potentially worsening inflammatory conditions like rosacea.

Carbonated Drinks: Carbonation can irritate the digestive system and indirectly contribute to triggers through gut-skin axis imbalances.

Lifestyle

Exercise Regularly: Regular physical activity helps to normalise insulin levels and significantly enhances the performance of your immune system.

Optimise Sun Exposure and Vitamin D Levels: Adequate vitamin D levels enable your body to produce over 200 antimicrobial peptides, which play a crucial role in fighting infections. If you are unable to get regular sun exposure, consider a high-quality vitamin D supplement.

Manage Emotional Stress: Uncontrolled emotional stress can severely weaken your immune system. For those who already suffer from rosacea, stress is a known trigger for flare-ups. As always, focus on coming to peace.

Apple Cider Vinegar

Apple Cider Vinegar

Apple Cider Vinegar (ACV) is a popular natural remedy that has shown promise for some individuals with rosacea. Its benefits are largely attributed to its anti-inflammatory, antibacterial, and pH-balancing properties. ACV is also believed to reduce skin redness, itchiness, and flakiness, potentially helping with conditions exacerbated by the presence of microscopic mites like Demodex. ACV contains acetic acid, which may help balance the skin's natural pH and reduce inflammation. Additionally, it has antibacterial and antifungal properties that can help clear up infections or reduce the presence of bacteria on the skin. For many, applying diluted ACV helps manage symptoms like redness, itching, and even the dryness associated with rosacea.

Topical Use of ACV

  • Dilution: ACV is highly acidic and can be irritating if applied directly. Start by diluting it 1:1 with water (equal parts ACV and water). For those with sensitive skin, consider using a 1:3 ratio (one part ACV to three parts water).
  • Application: After cleansing your face with a gentle, non-irritating cleanser (like glycerin soap), soak a cotton pad in the diluted ACV solution. Gently dab it onto affected areas of your face. Be sure to include your hairline, eyebrows, and even eyelids if rosacea affects these areas, but avoid getting it into your eyes.
  • Burning Sensation: Some users report a stinging or burning sensation during initial applications, especially if there are open sores or very inflamed skin. This may lessen with continued use. If it becomes intolerable, try diluting the solution further or discontinue use.
  • Moisturise: After the ACV has dried, apply a mild, non-comedogenic moisturiser to prevent dryness. Consider using moisturizers with ingredients like glycerin, aloe vera, or hyaluronic acid to restore moisture without clogging pores.
  • Frequency: Begin with once-a-day applications, preferably at night. Once the skin adjusts, you can increase to twice daily if your skin tolerates it.

Using ACV Internally

In addition to topical use, some people find relief from rosacea by consuming diluted ACV. The idea is that it helps balance the body’s internal pH and reduce inflammation from within.

  • Recipe for ACV Drink: Mix 1 tablespoon of raw, unfiltered ACV (with the “mother”) in a glass of water. Drink this solution once or twice daily before meals.
  • Bicarbonate of Soda Addition: For those who find the acidity too harsh, adding a small amount (1/4 teaspoon) of baking soda to the ACV drink can neutralize some of the acidity.
  • Benefits: Drinking ACV may help reduce facial flushing and heat, especially if consumed before triggers like hot showers.

Hydrogen Peroxide

Hydrogen Peroxide, often referred to as oxygenated water, has shown promising results in the treatment of rosacea due to its skin-brightening and antibacterial properties. Here’s an expanded guide on how this natural remedy works and how it can be used to manage rosacea symptoms effectively. Hydrogen peroxide is a powerful ally in combating rosacea. It works by introducing oxygen into the skin, which creates an environment where harmful bacteria cannot thrive. Bacteria associated with rosacea cannot survive when exposed to oxygen-rich solutions. This makes hydrogen peroxide an effective treatment, as it can reduce inflammation and diminish redness over time. The reason for the benefits of Hydrogen Peroxide for Rosacea are as follows:

Kills Bacteria: The antibacterial properties of hydrogen peroxide are particularly beneficial for rosacea sufferers, as it targets and kills bacteria on the skin's surface, reducing the chances of flare-ups.

Skin Brightening: Hydrogen peroxide is known for its mild bleaching effect, which can help even out skin tone and reduce the redness associated with rosacea./p>

Deep Cleansing: When used in the right concentration, a solution of hydrogen peroxide can penetrate deeply into the pores, removing impurities, excess oils, and dead skin cells, which may help prevent further irritation.

What you need / How to use

  • Food-grade hydrogen peroxide (3% concentration)
  • Saline solution (a mixture of salt and purified water)
  • Cotton pads

Instructions:

  1. Dilute the Hydrogen Peroxide: Mix equal parts of 3% hydrogen peroxide and saline solution. This will help reduce the strength to ensure it remains gentle on sensitive skin.
  2. Application: Using a clean cotton pad, gently apply the diluted solution to the affected areas. Avoid rubbing the skin harshly as it can cause irritation.
  3. Leave It On: Allow the solution to sit on the skin for about 5-10 minutes. You may experience a slight tingling sensation as the hydrogen peroxide works its way into the skin.
  4. Rinse Thoroughly: Rinse your face with cool water and pat dry with a soft towel. Follow up with a gentle, fragrance-free moisturiser to soothe the skin.
  5. Frequency: This deep-cleansing treatment should be done once every two weeks to avoid over-drying or irritating the skin.

Warning: Before applying the solution to your face, it’s crucial to do a patch test on a small area of your skin to check for any adverse reactions. Avoid sensitive areas and be careful when applying near eyes and lips. Since hydrogen peroxide can be drying, always follow up with a gentle moisturiser to keep your skin hydrated.

Topicals

Topicals

Niacinamide I will mention below in supplements, many people use it as topical too, it is covered below.

Colloidal Silver Aloe Gel: Our own blend this Colloidal Silver infused with Aloe Vera Gel. Together, they address the redness, inflammation, and sensitivity characteristic of this condition. Colloidal silver helps eliminate bacteria and other microbes that may aggravate rosacea symptoms. It calms redness and reduces swelling, making it particularly helpful during flare-ups. Its wound-healing properties support recovery of irritated and damaged skin. Aloe vera provides immediate relief from irritation and burning sensations, which are common in rosacea. It deeply moisturises without clogging pores, ensuring the skin barrier remains intact and resilient. Aloe's natural compounds, like aloin, help reduce redness and swelling. The cooling effect of aloe vera complements the calming properties of colloidal silver, offering quick relief from irritation. The antimicrobial and healing actions of colloidal silver, paired with aloe vera’s moisturising and regenerating properties, work synergistically to promote healthier skin. Both ingredients are suitable for sensitive skin, making the combination ideal for managing rosacea. Apply a small amount of the gel to clean, dry skin, focusing on affected areas. Use up to twice daily. For flare-ups, apply a slightly thicker layer to calm redness and irritation.

Hypochlorous Acid: Also known as HOCl, it is a natural compound produced by the body's immune system, is gaining recognition in skincare for its gentle yet effective properties. It’s particularly useful for managing rosacea. HOCl helps reduce redness and swelling by calming inflammation in the skin. It targets harmful bacteria that can exacerbate rosacea symptoms, without disrupting the skin's natural microbiome. It is non-irritating and safe for rosacea-prone skin, making it ideal for regular use. You can use a hypochlorous acid spray directly on cleansed skin, focusing on affected areas. Let it dry naturally before applying moisturiser, do this 1–2 times daily.

Pearl Powder: Pearl powder has long been valued in traditional Chinese medicine and skincare. Its natural properties make it particularly beneficial for rosacea, a condition marked by redness, inflammation, and skin sensitivity. Pearl powder's amino acids and minerals help reduce redness and calm irritation. It has the ability to strengthen the skin barrier, making it less prone to flare-ups. With its cooling and mildly exfoliating properties, it soothes and revitalises without aggravating sensitive skin. Mix a teaspoon with water, aloe vera, or honey to create a paste. Apply gently to your face and leave for 10–15 minutes before rinsing. You can add a pinch of Pearl Powder to your daily moisturiser for ongoing calming effects.

Sea Buckthorn: I have a tree of this in my garden, on it grows a nutrient-rich berry. This has emerged as a powerful natural remedy for rosacea. Its oil, extracted from the seeds or pulp, is packed with bioactive compounds that soothe inflammation, nourish the skin, and support the healing process. The oil contains omega fatty acids, including omega-3, omega-6, and the rarer omega-7. These fatty acids help reduce skin inflammation, a key factor in rosacea flare-ups. Omega-7, in particular, promotes tissue regeneration and strengthens the skin's barrier. It is loaded with antioxidants like Vitamin E and carotenoids, which protect the skin from oxidative stress and environmental damage that exacerbate rosacea. Sea buckthorn's natural antimicrobial properties can address potential bacterial imbalances or demodex mite issues, often associated with rosacea. Its ability to repair and soothe damaged skin further helps calm redness and irritation. With its high lipid content, sea buckthorn oil deeply moisturises the skin, supporting the repair of the epidermal barrier. A healthier barrier reduces sensitivity and helps the skin resist triggers like dryness and irritation. A study published in Skin Pharmacology and Physiology highlights its ability to promote skin regeneration and reduce inflammation

Tea Tree Oil: I already mentioned that Tea Tree Oil can be helpful for Demodex Mites related rosacea. It is widely recognised for its antimicrobial, anti-inflammatory, and soothing properties. These qualities make it a popular natural solution for managing rosacea. It contains terpenes, natural compounds that exhibit strong antibacterial and antifungal effects. This makes it effective in reducing harmful bacteria or microbial imbalances that can trigger rosacea flare-ups. The oil's ability to calm redness and swelling is invaluable for rosacea sufferers. Its soothing properties minimise the visible signs of irritation, leading to a calmer complexion. It helps maintain clean, healthy skin by unclogging pores and promoting skin regeneration. It reduces the risk of secondary infections, which are common with rosacea. Tea Tree Oil is potent and must be diluted before application. Mix a few drops with a carrier oil such as jojoba, coconut, or almond oil. A typical ratio is 1 drop of tea tree oil to 12 drops of carrier oil. A 2012 study in the Journal of Dermatology highlighted tea tree oil’s effectiveness in reducing demodex mite populations and improving associated skin conditions. Anecdotal evidence from users in rosacea forums frequently cites tea tree oil as a game-changer for reducing redness and irritation

Powerful Supplements

Powerful Supplements

Niacinamide (Vitamin B3): Niacinamide, a form of Vitamin B3, is a powerful ingredient for both topical and oral applications in skincare. It is particularly beneficial for managing rosacea due to its multi-faceted properties, which target the root causes of redness, inflammation, and skin sensitivity. Niacinamide reduces the production of pro-inflammatory molecules, such as cytokines, which helps calm redness and swelling. It’s especially effective in soothing irritation from external triggers like weather, stress, or certain foods. Rosacea often weakens the skin barrier, making it prone to dryness, irritation, and environmental sensitivity. Niacinamide stimulates the production of ceramides, lipids that fortify the skin’s barrier, helping to retain moisture and reduce sensitivity. Some forms of rosacea, like papulopustular rosacea, resemble acne. Niacinamide helps regulate excess oil production, reducing the occurrence of pustules without drying out the skin.

Niacinamide neutralises free radicals, which can worsen rosacea symptoms by triggering oxidative stress and inflammation in the skin. Rosacea is often associated with visible blood vessels and flushing. Niacinamide improves microcirculation in the skin, potentially reducing redness and the appearance of dilated capillaries. Regular use helps diminish persistent redness over time. It is effective for reducing rosacea-related bumps and acne-like symptoms. Niacinamide is gentle, making it suitable for sensitive skin. By improving hydration and barrier function, it helps the skin resist environmental triggers. We have the supplement but you could use a niacinamide serum with a concentration of 2–5%. Higher concentrations (up to 10%) are available but may irritate sensitive skin. Look for products containing niacinamide alongside hydrating ingredients like hyaluronic acid, which I'll discuss more on below. Use it once or twice daily, depending on your skin’s tolerance. If you use a supplement take up to 5 tablets of our supplement a day this will provide systemic anti-inflammatory benefits. Oral niacinamide is sometimes combined with other nutrients like our Zinc & Copper supplement for enhanced effects. Both are at the site. Niacinamide works gradually. Use it consistently for at least 4–8 weeks to notice significant improvements. Studies have shown that topical niacinamide reduces redness and improves skin texture in conditions like rosacea.

MSM Organic Sulphur: MSM is beneficial in promoting collagen production in the joints which also extends to the skin. The market is inundated with skin products that highlight the presence of collagen, and for good reason. Collagen helps maintain skin elasticity, ultimately keeping it looking youthful. Additionally, MSM's anti-inflammatory properties can address specific skin conditions. One particular study focused on rosacea, characterised by redness, prominent spots, and visible blood vessels. After administering MSM alongside silymarin to 46 patients with rosacea, the study demonstrated improved skin conditions including redness, papules, itching, hydration, and skin colour.

Probiotics: Probiotics improve gut health, which is often linked to skin health. Dysbiosis (imbalance of gut bacteria) may contribute to rosacea flare-ups. Look for a supplement with multiple strains of Lactobacillus and Bifidobacterium, and aim for at least 10 billion CFUs daily. Emerging research highlights the connection between the gut and skin, often referred to as the gut-skin axis. An imbalanced gut microbiome (dysbiosis) can lead to systemic inflammation, which is believed to exacerbate rosacea. Probiotics restore balance, improving overall gut health and reducing inflammation. A 2016 review in Beneficial Microbes detailed how probiotics regulate inflammation and improve skin conditions, including rosacea, by modulating gut bacteria. Probiotics help reduce pro-inflammatory cytokines, which play a role in rosacea flare-ups. Certain probiotic strains actively calm inflammation both internally (in the gut) and externally (on the skin). Research published in Clinical and Experimental Dermatology found that probiotics decreased skin inflammation by altering gut microbiota composition and lowering inflammatory markers. I also mentioned earlier about Probiotics for Helicobacter pylori. A 2013 study in Journal of Medical Microbiology demonstrated that probiotics reduced levels of H. pylori, alleviating inflammation-related conditions like rosacea. Probiotics enhance the skin’s natural barrier, helping it retain moisture and resist environmental triggers that worsen rosacea. Topical probiotics also provide a protective layer on the skin. Research in Experimental Dermatology suggested that topical probiotics improve barrier function and reduce redness in inflammatory skin disorders. The strains I recommend for Rosacea are:

Lactobacillus Rhamnosus: Known for its anti-inflammatory properties and ability to improve gut health. A study in The British Journal of Dermatology showed significant skin improvements with supplementation.

Bifidobacterium Lactis: This strain enhances the skin’s barrier and reduces sensitivity to triggers. Research has linked it to reduced redness and fewer breakouts in rosacea patients.

Lactobacillus Casei: Balances the immune system and reduces systemic inflammation. A study in World Journal of Gastroenterology noted improved skin conditions with this strain.

Vitamin D3: Vitamin D modulates the immune system and can reduce inflammation, which may help control rosacea symptoms. Low levels of Vitamin D have been linked to rosacea in some studies.

Zinc & Copper: Zinc supports wound healing, reduces inflammation, and may help combat acne-like breakouts associated with rosacea. The Z&C combination enhances the effect of the Niacinamide.

Vitamin C: As a powerful antioxidant, vitamin C supports skin repair and reduces oxidative stress, which may trigger rosacea. Its anti-inflammatory properties can also help reduce redness.

Manuka Honey: Applying a thin layer of Manuka Honey at night can soothe inflammation and may aid in healing. Also as mentioned above it helps against Helicobacter Pyloribacteria.

Krill Oil: Omega-3s, found in fish oil but as always best and cleanest is Krill, reduce inflammation throughout the body, including in the skin, potentially calming rosacea-related redness and swelling.

Evening Primrose Oil: Rich in gamma-linolenic acid (GLA), this supplement supports skin hydration and reduces inflammation, helping with rosacea symptoms like dryness and redness. You need around 500–1,000 mg daily.

Collagen Peptides: Collagen supports skin elasticity and repair, which may help strengthen the skin barrier and reduce sensitivity. To make an effect you need 10-15 grams daily.

Quercetin: This plant flavonoid has strong anti-inflammatory and antioxidant properties, which can help calm redness and swelling in rosacea. Turmeric / Curcumin: The active compound in turmeric, is a potent anti-inflammatory that may help reduce rosacea-related redness and swelling.

Bone Broth: BB is rich in collagen and amino acids like glycine, which help repair the skin barrier and improve overall skin health. We have the powder, it's east to add to drinks or food.

Medical Resorts

Techno Hacks & Medical Resorts

BroadBand Light (BBL) Therapy: BBL therapy is a non-invasive treatment that uses intense pulses of light to target the visible signs and underlying causes of rosacea. This advanced form of intense pulsed light (IPL) therapy has shown promising results in reducing redness, flushing, and visible blood vessels associated with rosacea. The BBL device emits light at specific wavelengths that penetrate the skin and are absorbed by haemoglobin in dilated blood vessels. This absorption generates heat, causing the targeted blood vessels to coagulate and eventually be reabsorbed by the body, reducing visible redness and flushing. The therapy promotes collagen production and cellular renewal, which helps improve the overall texture and resilience of rosacea-prone skin. By modulating the inflammatory response, BBL can reduce the frequency and intensity of rosacea flare-ups.

It also is effective at destroying Demodex Mites which I think is a big cause, and frankly gross, so I have actually tried this treatment even though I am free of rosacea. You can kill them off with BBL treatment due to its heat and light effects. BBL also effectively reduces erythema (redness) caused by dilated blood vessels. It stimulates collagen helps smooth rough patches and improves skin resilience. Many patients report a significant decrease in the frequency and severity of rosacea episodes after a series of treatments. The procedure is non-invasive and typically requires little to no recovery time. A study published in the Journal of Dermatological Treatment demonstrated that BBL significantly reduced facial erythema and telangiectasia (visible blood vessels) in patients with rosacea. Participants reported high satisfaction levels, with noticeable improvements after 3–5 sessions. Research in the Journal of Investigative Dermatology showed that BBL stimulates gene expression patterns associated with younger skin, which may explain its effectiveness in improving rosacea symptoms. A study in Dermatologic Surgery found that regular BBL treatments not only improved rosacea symptoms but also maintained skin health over time, with continued reduction in redness and flushing up to a year after the last treatment. I'm sure you can find this in any Aesthetic Centre, there is at least one in every town these days.

Radio frequency (RF) Therapy: Controlled heat is delivered to deeper layers of the skin, stimulating collagen and reducing inflammation. This is best for those who experience flushing, improving skin elasticity, and managing thickened skin. It offers gradual improvements with minimal downtime but requires multiple sessions.

CO₂ Laser Resurfacing: A powerful ablative laser removes damaged skin layers, encouraging regeneration and collagen production. Helps thickened, bumpy skin caused by advanced phymatous rosacea. It is highly effective for reducing significant skin irregularities and thickening. Only issue is this one involves more downtime and potential side effects compared to non-ablative treatments.

Cryotherapy: This would be a first choice for me, I left out Ice Baths as this article was getting big, and I'm sure I've written about their benefits before. So here I am specifically on rosacea and cold therapy constricts blood vessels, reducing redness and inflammation. I don't go in too much because for me it is more providing temporary relief during flare-ups. It is effective for immediate, short-term reduction of redness. So this is more if you had some public event and you want fast, but temporary results.

Laser Therapy: I'm covering the last few here together, I think all are pretty effective from what I read. Pulsed Dye Laser (PDL): Targets haemoglobin in blood vessels to reduce redness and visible veins. Nd Laser: Penetrates deeper to treat larger, more persistent blood vessels. KTP Laser: Effective for smaller, superficial vessels and general redness. Lasers emit focused light to coagulate blood vessels or treat deeper skin layers, reducing redness and inflammation. They are good against persistent redness and visible blood vessels (vascular rosacea). Studies report up to a 75% reduction in redness after several treatments. So I think they are really worth doing.

Conventional Drug

I mention these because of the studies but my point is you can look for alternatives and explore things that may do the same thing. This is all about the info, so Doxycycline Monohydrate was given to Rosacea patients for 2 months and their symptoms improved dramatically. However this is 2 months on an anti-biotic. Anyway thats the information. Then there is EPSOLAY®, a collaboration between Sol-Gel Technologies and Galderma, as of now November 2024 it is the newest FDA-approved treatment for mild-to-moderate rosacea. It again is a drug and contains a proprietary encapsulated cream formulation of benzoyl peroxide 5%. Metronidazole (e.g., MetroGel, MetroCream): An antimicrobial that reduces inflammation and redness. Widely studied, metronidazole has been shown to improve rosacea symptoms significantly. A review in American Journal of Clinical Dermatology confirmed its efficacy for papulopustular rosacea. Azelaic Acid (e.g., Finacea): A natural compound with anti-inflammatory and antimicrobial effects. Azelaic acid helps reduce redness and pustules. A clinical trial in Journal of Drugs in Dermatology reported marked improvement in rosacea symptoms with azelaic acid use. Ivermectin (e.g., Soolantra): I love Ivermectin, I also mentioned it above already for its ability to target demodex mites, often associated with rosacea, it also has anti-inflammatory effects. Ivermectin has been shown to outperform metronidazole in some studies. Research in British Journal of Dermatology highlighted its superior long-term benefits.

Minocycline: An alternative to doxycycline, that I mentioned earlier, it is effective in reducing inflammatory lesions. Some newer formulations focus on sustained-release for better tolerance. Brimonidine Gel (e.g., Mirvaso): A topical alpha-agonist that temporarily constricts blood vessels, reducing redness. Clinical trials published in Journal of Drugs in Dermatology demonstrated its efficacy for transient redness relief. Oxymetazoline Cream (e.g., Rhofade): Another alpha-agonist that provides longer-lasting redness reduction by targeting facial blood vessels. FDA-approved after trials showing significant improvement in erythema. Isotretinoin (Accutane): For severe, refractory cases, isotretinoin is sometimes prescribed. It reduces oil production and inflammation, helping to control severe rosacea. A 2017 review in Dermatology and Therapy noted isotretinoin’s success in cases unresponsive to other treatments. Combination Therapies: Combining topical treatments (e.g., ivermectin with metronidazole) or combining oral antibiotics with topical agents often enhances outcomes. I'm not recommending any drugs but thats the info, it helps to have all the information now and make a decision yourself. Below I'll give a natural plan of action.

Take Action

Take Action

You want total freedom right, not bloody managing symptoms. Why is that even a term, get better, recover, heal, thrive, improve. Thats how we should look at health and definitely rosacea. So use and try everything you can combine, learn, change. You will find the solution and I think what is in this Guide holds the solution, probably not all, that would be too much but there is something. Consider 1 of the 4 major causes and target specifically to that, then look overall. From Whole Organic Foods, Exercise, Vitamin D, Emotional Peace and Immunity. It's all part of your big dream. Drink Green Tea and add Manuka Honey. Try the Apple Cider Vinegar, Hydrogen Peroxide and definitely Niacinamide (Vitamin B3). Get technical and go for BroadBand Light (BBL) Therapy or even Cryotherapy.

Add and subtract consider the others, don't overload, see if you can fix it easily without too much. I believe thats possible, by focusing on anti-inflammatory foods, incorporating soothing skincare ingredients, and utilising targeted natural treatments like the ones I've listed, you can help restore balance to your skin. Remember that consistency and patience are key, as healing naturally can take time. Here's to freedom and healthier skin. Blessed Be, Tom.