How to Treat Rosacea: Are Natural Remedies Beneficial?

Rosacea is a common skin condition that causes redness, swelling, and often small, pus-filled pimples on the face. It predominantly affects middle-aged women with fair skin. Without proper treatment, Rosacea can worsen over time. Its symptoms may flare up in cycles, occurring weekly or even monthly, before gradually subsiding and then flaring again. Rosacea can often be mistaken for acne, allergic reactions, or other skin conditions. While it can appear alongside acne, Rosacea differs from it. Typically appearing in adults between the ages of 30 and 50, the exact cause of Rosacea remains unknown. It is thought to result from genetic factors, a weakened immune system, or bacterial or mite infections. Although a cure does not exist, the symptoms can be managed effectively.

Choose a facial cleanser with oils. Sebum, the natural oil, can clog pores and irritate the skin. Using a different type of oil is the best way to dissolve sebum (along with dirt, debris from dead cells, bacteria, etc.). We once believed that oil was bad for the skin, forgetting that it also protects and hydrates it with its natural oils. This led us to use facial cleansers with chemical ingredients (often) that irritate the skin.

• Select the best oil from the non-comedogenic oils list. Non-comedogenic means it won't clog pores. Some oils are more expensive than others, and some may be easier to find. According to the American Academy of Dermatology, the best non-comedogenic oils rated 0-1 out of 5 are:
  • Hemp seed oil (0)
  • Mineral oil (0)
  • Shea butter (0)
  • Sunflower oil (0)
  • Castor oil (1): Castor oil is moisturizing for some, but it can also dry out the skin in other cases.

Test the oil-based cleanser on a small patch of skin first. It is important to check how your skin reacts to the oil-based cleanser. Apply the product to a small area of skin and wait for about a day. If the skin condition worsens, discontinue use and try a different product.

• Avoid using cleansers that may trigger allergic reactions. For example, if you are allergic to nuts, do not use hazel oil.

Massage the oil into the skin. Pour a small amount of oil into your palm. Gently massage the oil onto your face for 2 minutes in small circular motions.

• Massage your face with oil twice daily and after sweating heavily.
• You can add essential oils to the oil-based cleanser. Add 1-2 drops of essential oil to each 1/2 cup of cleanser. Some essential oils to consider are:
• Oatmeal
• Chamomile
• Lavender

Apply a warm, damp towel to your face. Soak a washcloth in warm water and apply it to your face for about 20 seconds. This will help the oil penetrate your skin more effectively.

Gently remove the oil from your skin. Use a warm, damp cloth to gently wipe the oil off your skin. Soak the cloth in warm water and continue wiping until the oil is fully removed from your face.

Pat your face dry. Use a soft cotton towel to gently pat your face dry. Avoid rubbing too hard to prevent skin irritation.

Use an oil-based moisturizer. After cleansing your face and gently patting it dry, apply an oil-based moisturizer to hydrate your skin. The moisturizer does not necessarily need to contain the same type of oil as your cleanser. However, if you notice improved skin condition with an oil-based cleanser, it’s recommended to use a moisturizer with the same oil.

Apply oil-based cleanser to other affected areas. If Rosacea affects other parts of your body, you can also use the oil-based cleanser to cleanse those areas. Apply the oil, let it absorb, then rinse with warm water. Follow with the application of the oil-based moisturizer all over your body.

Apply sunscreen. Protecting your skin includes shielding it from sun exposure and high temperatures. Apply sunscreen when outdoors for extended periods, typically over 15 minutes. Additionally, try to limit your sun exposure.

• If your skin is highly sensitive to chemical sunscreens (like most regular sunscreens), opt for a physical sunscreen. This type of sunscreen contains ingredients that reflect sunlight off the skin. Look for sunscreens with zinc oxide or titanium dioxide. You could also try natural sunscreens containing ingredients like retinyl palmitate (a form of vitamin A), vitamin E, or beta-carotene.

Apply a cool compress to soothe your face. Rosacea can worsen in hot weather, so it’s important to cool your skin down. You can do this by soaking a cotton cloth in cool water and placing it on your face to reduce redness.

Apply a herbal and oil mixture to the skin. Most herbs used for treating Rosacea have anti-inflammatory properties, including lavender, chamomile, ginger, basil, cinnamon, garlic, and turmeric. You can use dried herbs or essential oils combined with an oil-based cleanser.

• Add 1/2 teaspoon of dried herbs or 1-2 drops of essential oil to a carrier oil (the oil used in the cleanser).
• Mix the herbs or essential oil with the carrier oil and apply directly to your skin.
• Leave it overnight if possible, or at least for 30 minutes to an hour, twice a day.
• Gently wash off the oil with warm water.
• Use a clean cotton cloth to pat your skin dry.

Be cautious with certain herbs. Some herbs like turmeric and cinnamon may cause the skin to stain yellow or brown. Exercise caution when using these herbs and be prepared for your skin to turn slightly yellow or brown.

Cleanse with oat paste. Oat paste is a special type of oatmeal used as a moisturizing ingredient. Oat paste can help reduce inflammation, soothe, and protect the skin.

• Take a small amount of oat paste and gently massage it into your skin in small circular motions. Wash your face thoroughly and pat dry with a towel.

Try an anti-inflammatory diet. Since Rosacea is an inflammatory condition, an anti-inflammatory diet may help alleviate symptoms. This diet focuses on whole foods and organic items (if available). Additionally, avoid consuming preservatives and food additives.

• Anti-inflammatory foods include salmon (rich in omega-3 fatty acids), spinach, garlic, whole grains, beans, berries (blueberries, raspberries, strawberries, elderberries, blackberries), fresh fruits, and vegetables such as kale, collard greens, spinach, and broccoli.
• Avoid processed and pre-packaged foods, sugars, artificial sweeteners, and red meat (except for meat from grass-fed animals).

Eat more fruits and vegetables. Increase your intake of fruits and vegetables (they should make up about half of your food intake). Focus on consuming a variety of fruits, berries, and nuts. Additionally, eat more leafy greens like rainbow chard, spinach, mustard greens, Brussels sprouts, and lettuce.

Avoid foods and drinks that cause redness. Hot beverages, alcohol, coffee, and spicy foods can dilate blood vessels and cause facial redness. Avoid these foods and drinks to reduce redness on your skin.

Consider taking supplements. Many supplements can enhance the body’s natural anti-inflammatory response, support vascular health, and offer various other skin benefits. You may want to consider taking the following supplements:

• Riboflavin: A B vitamin that helps correct B vitamin deficiencies in individuals with Rosacea. B vitamins can also support skin cell growth.
• Pancreatin (8-10× USP): Take 350-500 mg before meals. Pancreatin is a digestive enzyme that helps reduce inflammation.
• Zinc: Supplement with 60-75 mg of zinc daily. Be cautious and DO NOT take zinc for more than 3 months. High zinc levels can be toxic. Zinc can also be used in the form of azelaic acid gel (15%) - a natural acid that aids in treating Rosacea. Consult your doctor before using azelaic acid.
• Vitamin C: Supplement with 500 mg of vitamin C daily to improve vascular health.

Recognize the types of Rosacea. Rosacea is a common skin condition characterized by redness, often found on the nose, cheeks, forehead, and chin. Redness may also appear on the ears, chest, and back. There are four main types of Rosacea:

• Redness and telangiectasia Rosacea: This type features red blood vessels resembling a spider web.
• Papulopustular Rosacea: This type causes swollen, red skin with acne-like spots.
• Phymatous Rosacea: This type leads to thickened, bulging skin.
• Ocular Rosacea: Eyes affected by Rosacea become red and irritated, and eyelids may swell. Ocular Rosacea is often described as resembling a stye.

Examine your skin for signs of Rosacea. Rosacea comes with a variety of symptoms. You can look in the mirror and check for the following signs:

• Redness in the center of the face.
• Spider-like blood vessels (broken capillaries).
• Swollen skin.
• Increased skin sensitivity.
• Sharp, burning sensations in the skin.
• Dry, rough, or flaky skin.
• For pustular Rosacea, acne-like breakouts are common, especially on areas with redness.
• For phymatous Rosacea, skin and the nose may thicken, and pores may become enlarged.
• For ocular Rosacea, eyes may water excessively, become red and irritated, and feel sharp or burning, often with visible blood vessels. Eyes may also become sensitive to light.

Assess your risk of developing Rosacea. Rosacea is quite common, typically occurring between the ages of 30 and 50. People with fair skin, a family history of Rosacea, and women tend to be at higher risk.

• Additionally, individuals who are prone to blushing are more likely to develop Rosacea.

Seek a diagnosis from a dermatologist or doctor. Rosacea is usually diagnosed through a physical examination. Your doctor may recommend treatments such as medications, moisturizers, and antibiotics. While you might not need these treatments immediately, it is crucial to receive an accurate diagnosis.

• If your skin thickens, laser surgery may be necessary to remove excess skin.

Inform your dermatologist if you're using natural remedies. Even if you plan to switch to natural ingredients and stop using prescription medications, it's important to tell your dermatologist or doctor about your skincare habits. They can help you find the best solution and advise on potential side effects of certain natural ingredients.

• Rosacea must be diagnosed by a qualified doctor. Visit your doctor if your skin condition does not improve after 1-2 months.