The Best (& Worst) Ingredients for Rosacea Skin – Complete Guide

One of the key factors for healthy skin is the skin barrier, aka the stratum corneum. This barrier acts as a protective shield by blocking out unwanted substances and preventing moisture loss. However, in rosacea skin, this barrier can be severely compromised.

This is where knowing your skin care ingredients can make a huge difference.

In this article, we’re going to look at the best ingredients for rosacea and how they support not the skin barrier, but the overall health of your skin. In addition, we will briefly dive into ingredients that are generally best to avoid if you have rosacea.

TOP 15 INGREDIENTS FOR ROSACEA SKIN

1. Zinc Oxide

Zinc has antioxidant and anti-inflammatory properties that have been shown to help rosacea when used internally and topically.

When it comes to internal use, one study showed that taking 100 mg of zinc sulfate supplements helped to alleviate rosacea symptoms. In addition, the supplements didn’t produce any major side effects, except for mild gastrointestinal upset in 3 of the 25 study participants.

As for topical use, zinc oxide is a good choice for sunscreen because it’s a physical sunscreen, as opposed to a chemical sunscreen which is absorbed into the skin and can cause irritation.

In addition, zinc oxide has antibacterial and anti-inflammatory properties that can soothe redness, reduce the size of pores and regulate oil production.

2. Green Tea
Green tea is best known for being antioxidant-rich and anti-inflammatory. A lot of this is due to EGCG (epigallocatechin gallate), which is the most abundant – and most studied – antioxidant in green tea.

In fact, research has shown that a cream containing EGCG reduced the number of lesions in people with papulopustular rosacea.

It’s also worth noting that green tea, comes in two forms: standard green tea and matcha (green tea leaves that have been ground into a powder).

Matcha can have up to 3 times more antioxidants. So, whether you’re making your own DIY products or purchasing one, look out for matcha.

3. Hyaluronic Acid, Glycerin and Other Humectants

Humectants are an essential part of a rosacea skin care routine because they attract water and subsequently, increase the skin’s moisture levels.  Some of the main humectants to consider adding to your skin care routine include:  glycerin, aloe vera, hyaluronic acid, honey, seaweed, oats,

4. Vitamin C

Vitamin C has proven to be an effective topical therapy for rosacea because of its anti-inflammatory effect and ability to protect against free radical damage. But note that the research done on vitamin C and rosacea used ascorbic acid (pure vitamin C). While ascorbic acid is definitely very effective, it can be too harsh for some people.

So, what’s a better alternative? Use a vitamin C derivative. These are gentler on the skin, more stable and they tend to penetrate the skin better. Some examples of these derivatives include:

L-Ascorbic Acid (L-AA).
Ascorbyl Glucoside.
Methylated L-Ascorbic Acid.
Magnesium Ascorbyl Phosphate (MAP).

5. Carrier Oils
Because they’re particularly rich essential fatty acids and antioxidants, carrier oils are a great way to nourish your skin and support delicate rosacea-prone skin.

Furthermore, oils that are rich in the fatty acid, linoleic acid, can be particularly beneficial for rosacea. This is because linoleic acid is an essential component of the skin barrier and has powerful anti-inflammatory properties.

Some of the best plant-based oils to include for rosacea skin care routine are:

Rosehip oil: Rich in linoleic acid, vitamin A (in the form of beta-carotene) and antioxidants like vitamin E, anthocyanin and polyphenols. Brightens the skin, improves elasticity, and reduces inflammation.
Grapeseed oil: Rich in linoleic acid. Has antimicrobial and anti-inflammatory properties. Packed with antioxidants like tocopherol (vitamin E), resveratrol (which we’ll be discussing later) and quercetin.
Sea buckthorn oil: High in omega 3, 6, and 9 fatty acids. Also a rare plant-based source of palmitoleic acid, an omega 7 fatty acid that has powerful anti-inflammatory and wound healing properties (source).
Jojoba oil: Suitable for oily or acne-prone skin since its composition is so similar to our natural skin sebum. Also has antibacterial, antimicrobial and anti-inflammatory properties.

6. Azelaic Acid
This natural compound is commonly found in grains like wheat, barley and rye. When used on the skin, azelaic acid exhibits anti-inflammatory and antimicrobial effects that are helpful for rosacea or acne-prone skin. More specifically, research shows azelaic acid reduces redness and the number of inflammatory lesions.

It’s worth noting that the research on azelaic acid used a 15% azelaic acid gel and focused on mild to moderate papulopustular rosacea.

7. Beta Hydroxy Acids (BHA)
Unlike alpha hydroxy acids, beta hydroxy acids (BHAs) provide a gentler form of chemical exfoliation that can be helpful for some rosacea patients.

In particular, BHAs like salicylic acid can improve your skin if you tend to get acne or oily skin.

That said, BHAs can be too strong for some people. As is always the case with rosacea, listen to your skin.

NOTE: a gentler alternative to BHAs is goat milk. Although it is an alpha hydroxy acid – which is usually a no-no for rosacea – there is anecdotal evidence that goat milk can actually be very soothing to sensitive skin.

8. Oats
(Colloidal oats) Oats have traditionally been used to soothe inflamed and irritated skin. The main reason why oats are so helpful for sensitive skin is because they have humectant properties that pull moisture to the skin and increase ceramide levels. These ceramides are fatty compounds that soften the skin and also help lower inflammation. When using oats for rosacea, you can use them in the form of colloidal oats or oat oil.

Colloidal oats are simply oats that have been ground into a fine powder (not to be confused with oat flour). They’re great for DIY face masks!

As for oat oil, it’s packed with antioxidants and fatty acids. Research shows that it repairs the skin barrier, even though it has only a moderate amount of linoleic acid (36 – 46%).

9. Resveratrol
Resveratrol is used internally and topically, because of its protective antioxidant properties and its connection to increasing collagen III.

This specific type of collagen is often damaged by excessively dilated blood vessels. This means those with rosacea can already have compromised collagen III levels.

When you increase type III you encourage fibroblast function. This is significant for the skin because fibroblasts are the cells that produce collagen, elastin and hyaluronic acid.

Lastly, one particular study showed that topical use of a product containing resveratrol, green tea and caffeine reduces redness.

While it’s not clear exactly how much resveratrol alone reduces redness, the results of this study are promising for anyone with inflamed skin.

10. Rose water (or pure hydrosol)
Rose water is a by-product of the production of rose essential oil. It contains very little essential oils (about 0.05%) which means it’s less likely to irritate the skin.

Overall rosewater helps to:

soothe redness and inflammation.
hydrate the skin.
balance pH.
reduce oiliness.
fight off free radicals (thanks to its antioxidant content.
For rosacea, combining rosewater and glycerin can be particularly soothing and hydrating.

11. Aloe Vera
Aloe vera gel is an incredibly hydrating humectant that also packs in lots of nutrients, including:

• minerals like zinc, selenium and manganese
• vitamins C and E
• B-vitamins
• antioxidants like beta-carotene

In addition, aloe stimulates fibroblasts (those cells that produce collagen, elastin and hyaluronic acid). It’s no wonder, that this natural ingredient is used for dryness, itching, inflammation and anti-aging!

But that’s not all. Consuming aloe juice is often used in some detoxes. It may help to lower inflammation and promote the elimination of toxins that are contributing to skin issues.

12. Niacinamide
Niacinamide is one of the B vitamins – specifically, one of the two forms of vitamin B3 – that stimulates collagen production, improves cell turnover, and helps smooth the surface of the skin.

In fact, because of its potency, niacinamide is used as an alternative to topical antibiotics that are prescribed for rosacea.

13. Ceramides
Ceramides are found naturally in the outermost layer of the skin. They help regulate moisture loss, protect the skin barrier and prevent the development of skin conditions.

According to various publications, these ceramides are found at lower levels in rosacea-prone skin. This makes the external application of ceramides to your skin crucial.

If this isn’t enough evidence for their relevance with rosacea, a survey of dermatologists unanimously concluded ceramides contribute to successful rosacea therapy.

14. Sulfur
While the use of sulfur for skin conditions goes as far as back ancient Egypt, the first effective (and documented) use of sulfur for rosacea dates back to 1855. These days it’s available commercially in a variety of over-the-counter products and has been shown to reduce inflammatory lesions and perilesional erythema. It is best used for acne-rosacea. Modern sulphur containing formulations for rosacea incorporate 10% sodium sulfacetamide combined with 5% sulphur. The new foam formulations are easier to apply and exude fewer odors. Antiseptic, antibacterial, and antifungal properties have been attributed to sulphur.

Despite these positive outcomes, sulfur can cause unwanted side effects such as dryness, itchiness, irritation or temporary redness. (Use with caution).

15. Herbs
Herbs offer bioactive compounds that can benefit rosacea skin in various ways. For example, research shows that licorice root can improve redness and redness when applied twice a day over the course of four weeks (source).

Similarly, feverfew has been identified in clinical studies as an herbal remedy for rosacea. This herb offers UV protection (helping to shield the skin from potentially aggravating UV rays) and has antioxidant properties (source).

 

INGREDIENTS TO AVOID FOR ROSACEA
In general, it’s best to avoid these ingredients if you have rosacea (1, 2, 3):

Artificial fragrance.
Sodium lauryl sulfate.
Menthol.
Drying alcohols.
Camphor.
Tretinoin.
Urea.
Essential oils like eucalyptus and peppermint.
Benzoyl peroxide.
Hydroquinone.
Physical scrubs (such as sugar scrubs).
Astringents.
Lastly, witch hazel is another ingredient that can be troublesome for rosacea. However, it’s worth noting that witch hazel extracts can be extracted either in alcohol or water.

Unfortunately, many skin care companies use the alcohol-extracted form. So, a lot of the irritation that people experience with witch hazel, often comes from the leftover alcohol.

Witch hazel itself is a soothing herb. So, if you’d like to try witch hazel, find one that is extracted in water (and check with your dermatologist before adding it to your routine).

 

FAQs ABOUT ROSACEA INGREDIENTS
Is retinol good for rosacea?
In certain cases, retinol can help rosacea. But retinol is a potent ingredient and it could cause dryness, plus other forms of irritation.

So, if you decide to add retinol to your rosacea routine, make sure to use it sparingly, especially at the beginning. Also, seek guidance from your dermatologist in terms of what strength of retinol to use and how often.

Is vitamin E good for rosacea?
Vitamin E has various healing properties that could help rosacea. When used topically it reduces dryness and combats oxidative damage. According to anecdotal reports, vitamin E oil may also improve dryness, reduce acne flare ups and lower redness.

Is olive leaf extract good for rosacea?
While there isn’t research specifically on olive leaf and rosacea, olive contains compounds like oleuropein, which has antioxidant and anti-inflammatory effects. One study showed that olive leaf extract has skin-rejuvenating abilities (source). This might benefit rosacea-prone skin.

In addition, olive leaf supports the immune system and is used as a supplement for candida overgrowth. Some people link rosacea to candida. So, depending on the underlying cause of your rosacea, olive leaf may help.

Is collagen cream good for rosacea?
The evidence indicates collagen cream can have a positive influence on rosacea. Research has shown a strong correlation between collagen and microvessels: when collagen levels decrease, microvessel density and size increase. This can worsen skin that’s already prone to abnormal vascular functioning.

Topically applying collagen could help counteract this tendency, thus improving the skin’s underlying structure and strength.

Is vaseline good for rosacea?
As an occlusive, vaseline prevents water loss. For rosacea, it can be applied onto damp skin to lock in moisture.

CONCLUSION
While there’s no perfect ingredient or remedy for rosacea, there are many scientifically-backed ingredients that can help and many different types of ingredients that you can add to your skin care routine. You can find MANY of these ingredients in the Vivoderm products, including the Zinc Repairing Facial Cream and the Herbal Facial Acne Mask and Anti-Aging Masks.

Chamomile is an essential ingredient that is used chiefly in skincare products. It is used as an essential oil and a skin conditioning agent. It is also useful in skin conditions where inflammation may be present. The herbs and oil promotes cellular regeneration and healing. Chamomile contains healing and antiseptic qualities which aids in relieving skin congestion. The herb also helps in softening the skin and acts as an anti-aging compound.

Chamomile is an excellent skin healer

After much research it has been proven that Chamomile is one of the most popular essential oils and herbs in the world. It consists of azulene that assists in reducing puffiness. Chamomile extracts in herbal skin care products also helps to clean the skin pores and remove impurities. Chamomile has healing properties and is very effective in treating skin disorders like rashes and acne by reducing inflammation. Chamomile is most often used in natural face wash, skin toner and night lotions. The Vivoderm line uses Chamomile in almost every one of our products, especially our rich, healing Chamomile Body Butter.

Chamomile herbs and oil can alleviate pain and irritation when you used regularly.  The oil has a soothing effect on your skin, reducing redness and irritation. So, whether it is a lotion or a cleanser you choose, with chamomile you can surely get great results.

Additional tip: Beauty should be skin deep and you must treat your skin from within so that you can get the best results. Along with using natural products you must maintain a healthy diet so that it reflects on your skin too. Along with water, you can also drink Chamomile as a wonderful soothing tea to help flush internal toxins from your body system.

Rosacea is a long lasting, non-scarring skin condition of the face that is often misdiagnosed as adult acne. It varies in severity and does not always worsen with time. Typically, you will experience inappropriate flushing that is not usually associated with sweating and/or persistent facial redness. It is common to have broken blood vessels (telangiectasias) on your cheeks. You may also experience bouts of inflammation that cause red papules (small bumps) or pustules. However, comedones (blackheads and whiteheads) are not part of rosacea.

About 50% of those with rosacea suffer eye involvement, including such conditions as conjunctivitis, blepharitis, dry gritty eyes, and recurrent sties. Nose enlargement (rhinophyma) is uncommon but mostly seen in men. It is only very rarely seen in women.

Key Features:

• Facial symptoms – burning and stinging
• Facial flushing, blushing evolving to persistant redness
• Inflammatory papules, pustules (pimples)
• Cheeks are not warm
• Telangectasiae, (blood vessel lines)
• Eye involvement
• Soft tissue hypertrophy or skin thickening (rhinophyma)

Facial flushing	Telangectasias	Rhinophyma

Who Gets Rosacea?

This condition is most commonly seen in those who have fair skin and is sometimes referred to as the “Curse of the Celts” or a “Peaches and Cream“ complexion.

Where Does Rosacea Occur On The Skin?

You will usually see rosacea around the central area of your face. It may occasionally be isolated to one patch.

When Does It Usually Start?

Onset usually occurs between 20-40 years of age.

How Does Rosacea Affect Us?

• Rosacea can be very embarrassing, flushing can be a source of social discomfort
• Many may feel that they are perceived as heavy drinkers
• Eyes can be gritty and uncomfortable
• Older men are frequently ashamed if their nose becomes bigger and knobbly

When applying antiacne drugs to the skin, people should be careful not to get the medicine in the eyes, mouth, or inside the nose. They should not put the medicine on skin that is wind burned, sunburned, or irritated, and not apply it to open wounds.

Because antiacne drugs such as benzoyl peroxide and tretinoin irritate the skin slightly, users should avoid doing anything that might cause further irritation. They should wash the face with mild soap and water only two or three times a day, unless the physician says to wash it more often. They should also avoid using abrasive soaps or cleansers and products that might dry the skin or make it peel, such as medicated cosmetics, cleansers that contain alcohol, or other acne products that contain resorcinol, sulfur, or salicylic acid.

If benzoyl peroxide or tretinoin make the skin too red or too dry or cause too much peeling, the user should check with a physician. Using the medicine less often or using a weaker strength may be necessary. Benzoyl peroxide can irritate the skin of people with skin of color and cause darkened spots called hyperpigmentation on the skin. Benzoyl peroxide may discolor hair or colored fabrics.

ORAL DRUGS. Oral antibiotics are taken daily for two to four months. The drugs used include tetracycline, erythromycin, minocycline (Minocin), doxycycline, clindamycin (Cleocin), and trimethoprim-sulfamethoxazole (Bactrim, Septra). Possible side effects include allergic reactions, stomach upset, vaginal yeast infections, dizziness, and tooth discoloration.

The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. One effective treatment is topical tretinoin, used along with a topical or oral antibiotic. A combination of topical benzoyl peroxide and erythromycin is also very effective. Improvement is normally seen within four to six weeks, but treatment is maintained for at least two to four months.

Special Conditions

People who have certain medical conditions or who are taking certain other medicines may have problems if they use antiacne drugs. Before using these products, the physician should be informed about any of the following conditions.

ALLERGIES. Anyone who has had unusual reactions to etretinate, isotretinoin, tretinoin, vitamin A preparations, or benzoyl peroxide in the past should let the physician know before using an antiacne drug. The physician should also be told about any allergies to foods, dyes, preservatives, or other substances.

PREGNANCY. Teens who are pregnant or who may become pregnant should check with a physician before using tretinoin or benzoyl peroxide. Isotretinoin causes birth defects in humans and must not be used during pregnancy.

OTHER MEDICAL CONDITIONS. Before using antiacne drugs applied to the skin, people with any of these medical problems should make sure their physicians are aware of their conditions:
• Eczema. Antiacne drugs that are applied to the skin may make this condition worse.
• Sunburn or raw skin. Antiacne drugs that are applied to the skin may increase the pain and irritation of these conditions.

In people with certain medical conditions, isotretinoin may increase the amount of triglyceride (a fatty-substance) in the blood. This may lead to heart or blood vessel problems. Before using isotretinoin, adolescents with any of the following medical problems should make sure their physicians are aware of their conditions:

• alcoholism or heavy drinking, currently or in the past
• diabetes or family history of diabetes (Isotretinoin may change blood sugar levels.)
• family history of high triglyceride levels in the blood
• severe weight problems

Using antiacne drugs with certain other drugs may affect the way the drugs work or may increase the chance of side effects.

The word Ayurveda translates to “the science of life” (Ayru – life and Veda – science). Ayurveda has brought true health and wellness to millions of individuals throughout the ages with simple changes in daily living practices. Incorporating just a few of these proven methods into your lifestyle can bring about radical changes in your life.

It is currently considered a form of complementary and alternative medicine (CAM) within the United States of America, but this ancient art of healing has been practiced continuously for over 5,000 years.

That said, there are some specific treatments that many recognize as effective treatments for skin conditions. For starters, regardless of the skin condition, Ayurvedic practitioners suggest staying hydrated. Ayurvedic practitioners believe that water helps to naturally stabilize dry or oily skin. Drinking enough water also helps prevent the loss of moisture through the skin, which helps to promote overall wellness.

Ayurveda also recommends adhering to a daily regimen for proper skin care, including the use of a natural soap and the use of natural skin moisturizers. This is true whether a person has naturally dry skin or suffers from a more serious condition such as psoriasis. The key is to make sure that the moisturizer is, in fact, natural, containing only substances such as aloe vera—a natural antibiotic that many believe is particularly helpful in the treatment of many skin conditions. Unfortunately, many commercially available moisturizers contain preservatives and other chemicals, and do not fully absorb into the skin, instead remaining on the surface and sometimes clogging pores as a result.

In addition to proper hydration and skin care, Ayurvedic medicine has identified three natural supplements that appear to help treat a wide range of skin conditions—neem, haemafine syrup and khadir. All three of these are widely prescribed to treat acne, psoriasis, and eczema, although many believe they can be used to treat any skin condition. The tree stem, root, and bark of neem, a large evergreen tree, have antibacterial properties. It is used in supplement form to treat skin conditions. In addition, many Ayurvedic soaps contain neem extract. Haemafine syrup is a natural solution made up of more than a dozen herbs. It is used as a remedy for all types of skin diseases through its natural blood purification properties. Khadir, also known as the acacia catechu herb, is another natural blood purifier used to treat skin conditions.

Besides supplements, some Ayurvedic sources also suggest that a person with a skin condition receive an abhyanga, a traditional Ayurvedic massage that uses herbalized oils to draw toxins out through the skin.

Is Ayurveda Safe?

Ayurvedic practitioners argue that their treatments have fewer side effects than prescription drugs and other traditional medical therapies, since Ayurveda is a completely natural approach. However, certain treatments, such as herbal supplements, should be taken with caution, since they can interact with other medications or even produce side effects such as rises in blood pressure. So as with any new medical treatment, consult your doctor prior to beginning any Ayurvedic therapies. This is especially true for people with pre-existing conditions such as diabetes, or for women who are pregnant.