So many derms talk about what to do about rosacea . Knowing you have personal experience with it makes a world of difference. Thank you for this video.

Thank you for sharing this information and also mentioning skin of color. I’m African American. I was 37 years old before a great dermatologist diagnosed me with rosacea. It presents differently on my Carmel brown skin tone than fairer skin. Game changer. I also grew up being told to wash my face twice a day. I was embarrassed to tell people I didn’t wash my face in the morning. It hurt! Now, I use Bioderma Micellar water in the mornings, and Bioderma Oil Cleanser at night. I live in Arizona. The desert has been frying my face. I diligently use and reapply sunscreen to no avail. Thank you for suggesting making life changes. I’ve decided that from 12pm-sundown, I’m not going outside in this desert heat. My skin can’t handle it.

I love the insight from a derm who has rosacea. I’ve grown so tired of seeing deems try to explain it and instruct on it without having the condition themselves. It’s always preaching the same stuff: use cetaphil, never go near retinols, stay out of the sun, stop drinking coffee and alcohol. It’s all very repetitive like reading a script of what they’ve read in literature. In reality, you can have sensitive skin and rosacea and still need something more cleansing than cetaphil, you may be able to tolerate and even benefit from retinol usage, and can moderate triggers rather than cut out entirely. Thank you for putting this out there because speaking on a derm condition you HAVE is very reassuring and comforting to those who have it and look to you for real life advice/tips.

Thank you so much for speaking about this, and about your personal journey with it! Seeing the picture of your flare was helpful, too. Your skin is so beautiful, it’s encouraging to see that rosacea-prone skin can get so much better with the right care.

I've learned more about my rosacea in this video than I've learned in any of my dermatology appointments. Thank you for this!

I've been using Cetaphil cleanser and lotion for 40+ years, and it totally keeps my Rosacea in check. My skin looks fabulous for a 61 year old.

wearing sunscreen indoors was a huge game changer for me. i work from home and my home has huge windows getting a lot of natural light throughout the day. and i noticed that if i weren’t wearing sunscreen, my skin would get red and hot even if i stayed at home all day. then dr dray informed me about uv rays from the sun penetrating the windows and basically being in all visible light so… yes, you need to wear sunscreen indoors unless you have light blocking curtains in every room of your home

I learned more in the first 5 minutes of this video than from multiple visits with Doctors over years. Thank you for sharing this information.

Wonderful video. Thank you so much for taking time to share all this information.

I tried all the cleansers you mentioned and currently use Aquanil cleanser as my second cleanse. My dermatologist suggested it, and my skin loves it.

I was diagnosed with rosacea years ago. The dermatologist told me I had rosacea scribbled out a prescription and sent me on my way. Sadly she explained nothing. The prescription she wrote did nothing because it wasn’t right for the type of rosacea that I have. I have since found a better doctor and have it under control. I will be talking to him about laser treatment for the blood vessels. This is something I would love to have done as well. Thank you so much for this video.

Thank you so much for pointing out how high altitude and extreme temperatures can affect your skin! I live in Colorado Springs and it’s been so hard to find the right products to use because of the crazy temp swings! I would love to see more videos that address these issues.

Thank you so much for this video . The fact that you have rosacea as well and are speaking on it makes this video more reliable. For cleanser I found that la Roche Posay’s Toleraine face wash (the blue one) is super gentle on my rosacea skin 💙

So relieved you didn't suggest antibiotics, a healthy gut balance being essential for rosacea treatment! Thanks for this excellent video!

Off topic but that paint color is absolutely beautiful and soothing.

Thank you for sharing your experience with Rosacea. I recently had 2 VBeam treatments and I am trying to protect my investment. I bought one of the large brimmed hats you recommended and now reviewing my skincare products to see if I can improve my situation more consistently. I think a big trigger for me, in addition to what you mentioned, is sugar consumption. If I get a sugar high I know I will get red and pimples the next morning! What really keeps it clear is eating a lot of salads and fresh vegetables. Thank you again. You are lovely and inspiring for me that I can keep it under control and feel good again 😊

Gosh! I have your exact problems with rosacea. I’m 67 and have always used SOMETHING to keep it quieted. There was a period of time where I developed some, well, CYSTS! Not the kind you would have drained or have to remove, but these bumps about the size of a nickel and very firm, always painful! One was to the left of my nose and just under my eyebrow. It actually HUNG THERE. My derm doc did the sulfur route and also helped me get a “special needs” scrub cap because the fibers from the caps falling on my face was causing this! Ugh. So that cleared up and now, I have every symptom you have. Avoiding the triggers is #1. I use Prosacea after CeraVe hydrating wash, which is nice but it doesn’t make me feel fresh and clean. Dermatologist recommended it and I’ve been at it for 2 years. I would like to firstly, find a cleanser that refreshes my skin and plumps a little but protects my barrier. The very same goes for my night cream. CeraVe again. I feel like it’s weighty and gummy and sticky, very mildly so but, as you said, you want to feel comfortable skin and I would like freshness with those two. What REALLY makes me feel skin happy is the CeraVe Vitamin C. Loved it from day one and actually look forward to it. I stopped their Retenol. I tend to get milia and it got worse with retinol. I’m looking into the azeliac acid. Trying it next. Thank you so much for going in depth with YOUR experiences. It was uplifting and I learned so much from hearing your approach to your own care. I had blepharoplasty for invasive 😊 hooded eyelids. There was an additional laser treatment done just above my cheeks and after it healed, I really didn’t notice much difference. Okay. I just really loved this video and your channel. I am like you in so many ways, you could be my daughter! When I was out and about it was ALWAYS 1n nature. I still have horses, ride my old lady 26 speed bicycle (with the basket option), go mud riding with a Polaris SXS, swim, play golf, and sit by the fire and sing 60s & 70s rock with other old hippies. My habits have drastically changed, as yours have, to keep my face QUIET. But let’s got give up nature & MINERAL sunscreen! BLESSINGS, Dr. Sam, AND BE SAFE ❤

I really appreciate the open, generous, and thorough way you share your experience and expertise. This information is so illuminating and helpful. I think I've been misdiagnosed with seb. dermatitis, as you mentioned was common. Now I feel more motivated to seek the care of a dermatologist, and more hopeful about better results (whereas before I felt there was little I could do).

I appreciate your honesty, I was just diagnosed and looking for understanding my options

I got my rosacea diagnosis in April of this year. I use metrogel (topical for face) in the morning and 15% azelaic acid in the evenings. My triggers seems to be stress, and the cold Canadian winters. I had very bad pustule/pimples from my rosacea. The treatment worked, but unfortunately I was left with awful scarring. I did 2 rounds of IPL photo facial which worked with helping it not spread and have my redness lessen. My dermatologist then said my skin was in a state were I could undergo mirco-needling to help with the scarring. I will be going to my appointment this week so hoping I will have results. The only way I have been able to afford these treatments is by getting it done my students in training. They are always supervised by professional (as well as have prior training before doing it on someone's skin) so that definitely made me feel better. I have had no bad experience yet. Hope this helps :)

I was diagnosed with rosacea in my 30s and was prescribed a number of topical products. It wasn’t until I switched my skin care products to all sensitive, no scent products that my skin cleared. No flares for the past 35 years. Throw out all your scented products for your best health.

Hi, a subscriber from the Netherlands here. What a comprehensive, helpful, honest and down to earth video! I can totally relate because a lot of my symptoms and triggers are the same. Thanks a lot for sharing in such a friendly yet professional way. I own remission of my rosacea to advice of my dermatologist, oral isotretinoin, and then sunscreen and IPL and my own dedication to stick to the routine in terms of gentle skincare and less wine. Your baby son is very adorable!

I would love to hear your thoughts on rosacea + melasma. Also, ocular rosacea! Thanks!!

I'd like to chime in and say an often overlooked trigger for rosacea is hair products. These products get on our skin and all over our pillows. If you're handling your other triggers but still flushing for unknown reasons, try using fragrance free hair care for a while and avoid aerosol hairsprays to see if there's an improvement.

I don't know why, but I get along best with the Defence Cleanser from Paula's Choice. It took me over 20 years to find a cleanser I can tolerate. So I am very happy to have finally found the right one for me.

Thank you Dr Ellis for this informative video on your journey with rosacea. I have been newly diagnosed with rosacea and I'm using azelaic acid and brimonidine cream on alternate days with a gentle facial cleanser and sunscreen. This morning I woke up, my face flushed and itchy so will be going to my dermatologist for his opinion on laser therapy. Except for being very fair-skinned, I don't have any trigger factors. Thank you once again.

I have been using the vanicream face wash and love how it is for sensitive skin but still suds up and makes my face feel very clean unlike some other sensitive face washes that I have tried and didn't feel good on my skin like cerave and some others. Thanks for the recommendations and tips!

Thanks for the video, Dr. Ellis! Unfortunately Rosacea is not studied as in depth as other skin conditions (Derm rep here). Nonetheless it can and does significantly impact the quality of life for those that suffer from it. I developed rosacea a month before I turned 38. No family history. I was flushing all day and all night for well over a year. I was unable to sleep and basically participate in life. I was even evaluated for carcinoid tumors (also due to some test results). About a year and a half into this a Derm where I live put me on Hydroxychloriquine to drive down some inflammation. It took a few months, but has has take the edge off for the most part. I do avoid triggers, such as alcohol and direct sunlight. I do have natural light sensitivity as well. Things are way better than they were. I am about to have my second V-beam treatment. It has taken 2.5 years, but I am getting better at dealing with and managing the condition. I do hope that there is more information in the coming years about the gut/skin connection and what lifestyle changes may be helpful in that regard.

Loved the eloborative video! The cleanser I use (as well as most of the other products of this brand), is 'the cleanser' from dr. Jetske Ultee, a Dutch cosmetic dermatologist. I also visit her clinic and my skin has never been this good (eczema and rosacea sensitive, fair skin tone)

I am Native American, dark skin tone, my parents never got rosacea, so guess I am the lucky one of 3... was diagnosed in 2017 in im mid 50's. I attribute it to that time in my life and all I can think of is stress related... I spent many years in the sun when I was a young girl playing softball, at the lake or beach, then after had 2 sons who were 3 sport athletes, so in the sun during the week and tournaments on the weekend. My mother was always in the sun as well, she had a beautiful complexion until she passed in 2019. My rosacea is not so much of the uncomfortable flushing, some redness, but the bumps are bothersome that are mostly on my forehead and right cheek near my nose. Before rosacea I used the "Calm line of Dermalogica" cleanser, very nice, cream based and this oil based booster serum that they no longer make was clutch. I found it on Amazon, so I will be ordering online. As far as sunscreen, never thought to apply it, it wasn't a thing when I was growing up, but I keep seeing the tinted Elta MD in other vids, so I will try that out first. Thank you for your story, Dr Sam ❤ Much love from the Bay Area of Cali

I was diagnosed with rosacea acne over 10 years ago and some of my acne is also hormonal which is SO FUN :) I'll say finally finding skincare products that worked for me and avoiding certain foods/situations has helped so much. - Neutrogena ultra gentle creamy cleanser - (hydrating cleanser creamy formula) I like this more than other creamy non-foaming cleansers because it has very few ingredients, no fragrance, no bells or whistles - I also use it on my body in the shower for my sensitive skin everywhere! - The ordinary 10% azelaic acid - love this during the day - it's pretty silicone heavy but my skin likes that as it almost acts as a protective barrier, absorbs oil, reduces redness, helps my bumps not get huge and angry, and it's so cheap! - curology - cerave moisturizing lotion - holy grail moisturizer head to toe for the past 12 years. - skin aqua super moisture gel - this sunscreen is spf 50 and is very liquid-y, but my skin likes that - the super thick, chauky sunscreens require lots of rubbing and tugging to rub it in, which exacerbates my rosacea. This sunscreen glides on and soaks in with hardly any rubbing. - food/situation triggers are: alcohol, stress, heat, super hot (temperature) food, tomato-based spicy foods (pasta sauces, salsa, etc.), dairy, gluten, whey, foods with lots of color dyes and super high sugar (candy and high processed high sugar foods), friction/lots of touching on my face

Sara age 75 here in Israel. When I was young I thought I was allergic to the sun. Only in the past few years did I get diagnosed. I have seen improvement in my skin with niacinamide both orally and topically and the best thing to fight the lumps and bumps is vitamin B 5 orally. If i do get a rare occasional pimple, using neem oil on it clears it up quickly. the cream my doctor prescribed did nothing for me.

Very practical and to the point, thankyou!

So true! No two rosacea cases are alike! I totally agree no face wash in the morning! Sunscreen application is huge! Literally have found any Oil of Olay with SPF within the moisturizer works well. Even applying the Oil of Olay and Hawaiian Tropic SPF 70 helps when I go outdoors for an extended period of time. It also seems like liquid serum style make up works nicely to cover up the redness. I do use the miscellar cleansing water. I follow it up with Dove unscented beauty bar or original to wash my face. I appreciate all the products others have recommended! Literally will try anything that will work! Also it is nice to hear a professional who has had rosacea discuss it!

This is so easily understandable and usefull! ❤️ Love your videos, best wishes from Ukraine 💙💛

hi doc! can you do a similar video on seborrheic dermatitis of the face? there are solutions out there but barely any advice on long-term management and recurring flare-ups, what products to use, what to avoid, etc. thank you

I was diagnosed with rosacea recently and did so much reading on how to manage it. And, I agree just washing your face with water in the morning has helped my face so so much! Another thing that I think has been helping is applying Aloe Vera gel every day as my moisturizer. I have oily skin, so the aloe Vera alone is enough for me. Last, I've been reading that adding probiotics for gut health is connected to rosacea. I've been adding it to my diet (I've been trying one Activia yogurt every day) and my flare ups lessened so so much. Thanks for talking about this! It's such an under-researched skin condition.

Great video, Dr. Ellis! V-Beam has been a total game changer for me personally, and diligent sun protection of course. Since being diagnosed with rosacea, my skincare motto is KEEP IT SIMPLE, which I’ve embraced and enjoy 😊

Very helpful. There are also so many food triggers for rosacea… tomatoes/tomato sauce is a big trigger for me. If I eat it I look like I have a sunburn across my face shortly after. Coffee can also be a tigger.

Thank you for sharing your knowledge in such an in-depth video🤍

Finally a derm who loves Elta MD sunscreen. This sunscreen is the GOAT !!

Excellent video!

I have Type I Erythematotelangiectatic Rosacea and have had it for years. Just signed up for my first IPL Laser treatment this August. I've changed my skincare regimen and have begun incorporating an azelaic acid derivative to condition my skin before I start using my prescription cream. I've also become very regimented about caring for my skin by using better, more hydrating products and largely sticking with fragrance free lines (I have a few guilty pleasures though I can't lie LOL). I've never used retinoids of any kind as I'm afraid of the retinization process (hate the feeling of peeling, red skin) As for triggers, I hate sunlight anyway and keep myself covered at all times when outdoors during the daylight hours (which is almost constant this time of year in Alaska) and keep my home cooler than most people will. I like wine but have significantly cut down my intake. And though I hate the way it feels, I've forced myself to incorporate sunscreen (mineral) if I am going to be outdoors during peak daylight hours (always wear a giant visor and giant Rx shades regardless along with keeping my body covered in UV protective materials). A major trigger for me is stress and light sensitivity (light eyes, mydriatic pupils). As soon as I'm upset or stressed about something I feel the heat rising to my face and the flushing sensation. In winter because stores keep the heat so high, I've actually been asked if I had a sunburn by cashiers because I turn so red. It's horrible and I'm sick of it. I have fair skin and would rather just stay pale than this red crap. I can thank my NW Euro ancestors for this LOL Thankfully I don't have the pustules or swelling but I do have the redness and visible capillaries. Rosacea sucks lol My skin is starting to look better. Plus because I've always stayed out of the sun, I have no wrinkles and very few lines at age 56. Moreover, I am now lacto-ovo vegetarian (seafood too at times) which means I'm eating much better.

Laroche-pose gentle foaming face wash is MY HOLY GRAIL! It leaves my skin feeling so young, elastic, plumped, and not stripping AT ALL.

I use cetaphil gentle cleanser & cerva hydrating cleanser!! My skin is totally good with it.

Nice video, your voice is easy to listen to. I find the low music distracting. Thanks for all the product tips and especially the advice to look for lifestyle triggers.

I love Avene Tolerance Extremely gentle cleanser. I use it as a second cleanse after by balm in the evening and I use it in the morning after I get back from the gym. I agree avoiding triggers is key and sunscreen. That has made a big difference for me.

I have mild rosacea and I have acne-prone skin. I've been using the Neutrogena salicylic acid body wash on my face and body and it makes my skin feel so soft and it doesn't strip my skin at all. I got one of my friends hooked on it too. In terms of other things I do, I wear sun protection and I eat a balanced low inflammation diet (low-ish sugar, low processed poor nutrient foods, etc). Edit: the sunscreens I like are: - EltaMD broad-spectrum SPF 41 tinted mineral sunscreen (can pill over skincare) - Australian Gold Botanical broad-spectrum SPF 50 water-resistant tinted mineral sunscreen (slightly dry under my eyes if I don't hydrate my skin properly bc that area is rly dry for me) - Make p:rem UV defense me daily sun fluid SPF50+/PA++++ hybrid sunscreen (very liquidy, the cheapest out of the 3) Also if anyone has recommendations of sunscreens available in Canada that are mineral spf50+ broad spectrum and no white cast (for a pale human) of the same price as the Australian Gold (~$0.3/mL) or cheaper please let me know!

My daughter has rosacea and we have found that cleansing her cheeks with selsun blue shampoo (one without menthol) 1-2 times a week has been helpful!

So glad you stopped using makeup wipes every night! They can be very rough on your skin leading to irritation from both the wipe and the chemicals within and don't properly cleanse as well as a cleansing balm would (as I am sure you know!). We all have those nights where something is better than nothing, but I think it's much more beneficial for everyone's skin to not make it a habit.

I LOVE the Laroche Posay hydrating cleanser for my acne rosacea type skin :)

The fact that you have rosacea is how i found your channel. Vanicreme is the only facewash that works for me, but I'm going to try your facewash when I finish my current bottle of vc. I also have found sun exposure is a big trigger for me as well as proper sleep. I'm hoping to find a great dermatologist in Orange county. that I can truust with laser therapy. If anyone has suggestions please share!

I have rosacea which is now under control with no flare ups. I was prescription Oracea, which I now don't take every day only Monday, Wednesday and Friday. I also use prescription azaleic acid. I also use Dr. Hauschka cream cleanser which is great at removing makeup.😊

The idea of looking for personal triggers is so fascinating. I've just felt burning cheeks just being cold at home.

Thank you Dr Ellis from China! Your sharing is so helpful and genuine. I was diagnosed with rosacea about two years ago, and is under control now by doing exactly what you mentioned in the video. There is only one issue that I’m still struggling with - my nose and chin are very oily that I constantly have black and white heads and small bumpy clogs. Meanwhile, there are systems of rosacea such as redness and red vessels. I find using products with petrolatum helps the redness and red vessels, but it doesn’t help (even worsens) the problems caused by excessive oil. So can you please give me some advice? Thanks again! I’m looking forward to your reply and your next video 🥰🥰

After trying to deal with acne rosacea for years I finally cleared it up with Rosivor. I used it for 3 months and finally my skin was clear. I use it twice a week for maintenance. It's for demodex. My favourite cleanser is Neutrogena Ultra gentle daily cleanser CREAMY not the foaming. Tried many sunscreens and my holy grail is Blue Lizard Sensitive Face. Never go outside without sunscreen and hat. Face has remained clear first time in years. Also only use Clinique Dramatically Different moisturizer morning and night.

Loved the video!! For my rosácea apart of the laser , my favorite products are from krave beauty, the matcha cleanser and the grape cleanser, then the great barrier relief also from krave beauty, the AHA kalelu ya ha also from the brand, the retinol from selfless by Hyram ❤

My gentle cleanser that I like and use the most is La Roche Posay Toleriane :) ( I think in US it is called Toleriane Hydrating Gentle Facial Cleanser).

Your skin is radiant! I don’t have a major issue with redness, just a little on cheeks, nose and chin. But I DO have pimples in those areas, which IS a major issue. The typical rosecea treatments have not worked for me. Sulphur cleanser dries my skin and I’ve seen no improvement. Azelaic acid made my face sting and increased redness and pimples. Metronidazole cream is virtually worthless. I eat a clean diet, no alcohol, caffeine, or spicy foods, very little diary or sugar. I’m not out in the sun other than normal coming and going for errands. I haven’t been able to determine specific triggers, except the treatments! I’m very frustrated at this point. Just purchased a red light panel and hope to see some benefits from that, but only 4 days in and no difference so far.

Thanks for the double cleansing at night tip. I use CeraVe dry skin cleansing bar and their hydrating cleansing gel gel and they work great for me.

I have had rosacea for years. I was diagnosed with PsA about 10 years ago. The meds I’m on for that has helped my inflammation and thus my rosacea. I flush in heat and cold. Exercise, sun, alcohol, spicy food all triggers. I don’t drink any more. I walk in early morning or after nightfall. Spicy food I still eat, just not very often. I used to get the little bumps with it. I changed my whole skin care routine. Double cleans, hyaluronic acid, and really good moisturizer. I really like La Roche- Posey products. I was able to start Tretinoin as well. I have decided it is a miracle drug! Malasma, rosacea all under control. My skin is smoother than it was in my 30’s and I’m 56 now. I would love to have laser treatments. Not in my budget.

Excellent video! I've had diagnosed type 1 and 2 rosacea for many years and was diagnosed with ocular rosacea several years ago. After trying so many skincare products, both OTC and prescription, what works best for me is Jordan Samuel Skincare Matinee Cream Cleanser, Hydrate the Mist, Hydrate Serum, and Performance Cream. They are very gentle and soothing. What has been a complete game changer for me has been using topical Ivermectin Horse Paste 1.87%, specifically the Duramectin brand. After all my own research, I knew my rosacea was caused by demodex but my derm didn't seem to know much about that. She prescribed Soolantra but for whatever reason it did nothing for me. So I started applying the topical ivermectin horse paste to my entire face, particularly heavy in my eyebrows, making sure not to get it actually in my eyes. Within just a few days, I had zero red bumps anywhere on my face. My eyes look and feel better. I do still have mild to moderate flushing , but it was all the little red demodex bumps that looked the worst, and now that's gone. Since there is about a 3 week demodex life cycle, I'm continuing to use the horse paste, about once a week. I wear wide brim hats when in the sun and, thanks to your videos, found a sunscreen my face can tolerate (SKIN1004 Hyalu-CICA Water-fit Sun Serum) and one for my body (Banana Boat Light As Air Sunscreen, Broad Spectrum Lotion, SPF 50). I'd love to try laser for the flushing but need to save up for it and find a well-qualified, experienced person to do it.

Love your makeup in this video. What products/shades are you wearing on lips and cheeks?

My new favorite find was adding the supplement Heliocare to my daily pill popping lol. If I know it's going to be particularly hot or I'm heading out mid day for a walk I'll take a pill and it really helps my skin stay stable without flares for far longer than if I skipped the pill. Instead of becoming red and hot within 10 mins or so I can go about 45 before I feel the burn/stinging start up. It's really been helping, if you're super reactive like I am I highly recommend you try it.

Dr Sam buntings products which are Azelaic acid and niacinamide based have helped me get on top of my rosecea. Her gentle cleanser is fabulous. I also used finacea every night, which I now replace with dr Sam’s flawless nightly serum which contain granactive retinoid. My led home face mask I also swear by. I would love to be able to use more and higher strength actives, maybe one day. Thankyou for the video.

Dr sam ellis ,loved this video🎉 😊 ❤ xx

My favorite cleaners: the Aveeno Calm and Restore ones. I love the gel cleanser & the foaming face wash.

LRP all the way for cleansers. Biossance moisturizer (both cream and gel) are among my faves. My other fave is 21 peptides cream with pump.

Absolutely love the bioderma micellar water!!! I’m probably going to order the sunscreen you mentioned, because that is one thing I don’t put into my routine… But I suffer from the bumpy/rough/thickened skin, alongside redness and the burning sensation. Once it flares is takes SO long for it to calm down :( There are definitely factors that I’m sure aren’t helping.. such as stress (I’m in my MSW program), caffeine intake, chocolate/spicy food intake. Im going to try and slowly change these habits… I absolutely love your videos!! Thank you so much 🙏🏼🙏🏼🙏🏼

Laser treatments are the most effective for my rosacea, followed by topical skincare, sunscreen and avoiding triggers ❤ Unfortunately lasers also tend to be the most expensive

Sunscreen has been a game changer for me.

Now I watched the whole video and heard that you do talk about burning sensations with your rosacea. My mom never said she had burning. She said it was just hot. On a different note I wanted to say I kept hearing for years to wear a wide brimmed hat and wear skin protective clothing but I always fought the hat thing especially because I'm not normally a hat person and I even have a kind of big head. I finally bought and wear a wide brimmed hat that has upf 50 and is washable. I wanted to get the color teal because it's my favorite color but it would depend on what I'm wearing so I got a charcoal colored hat. I feel so good and protected while wearing it and my sunscreen and sunglasses. Thank you for this video!

My skin has responded well to Ethique Bliss Bar. It is super gentle yet removes makeup, is plastic free and great for travel. I’ve been using it for years and plan to continue.

Thank you!❤

Low dose antidepressants dealt really well with my evening flushing.

Great video! I love your channel! I was diagnosed with rosacea 10 yrs ago after moving to Denver. Now I also have dermatitis and eczema. I have been on different scripts throughout the years but now it is under better control and I do know my triggers. I love the Vanicream cleanser (per your suggestion), the Youth to The People Cleanser and Aveeno Calm and Restore Redness Relief Cleanser. I use Niacinamide daily and prescription Tretinoin but only on acne spots when I flare. I also have prescription azelaic acid but it's 20% and I think it's too high. Wish I could use Vitamin C but it usually is a trigger for me along with retinol products. I struggle finding things to help the antiaging process. Is the VBeam safe for darker skin tone? I've been told because I have olive skin tone, I could discolor with the IPL laser.

Love you, Dr. Ellis!!! I started my skincare journey at 23/24 . I never used skincare and never had skin issues UNTIL I started trying out skincare and my face freaked out 😅 I went and saw the dermatologist, and she said that I had triggered rosacea- I had and still am treating red bumps around my mouth, chin, and around my nose. I am so glad we caught it early. I am turning 26 this month- so it’s been a couple years. My face is super sensitive and freaks out at 99.99999% of all products 😂 BUT: The Peach Slices Redness Relied cleanser is my HOLY GRAIL. I also love the Facetheory Azelaic acid serum (though I am going to try the peach slices one next) I also stand by the Naturium Sulfur Spot treatment- I put it around my rosacea prone areas every night as a preventative measure ;AND as a spot treatment in conjunction with other exfoliants when I do break out 🩵 I hope this helps another rosacea warrior out there!!!

Face theory porebright N10 serum (contains Azelaic acid and niacinamide), La Roche Posay Rosaliac Intense serum, La Roche Posay cicaplast Baumé B5+, no alcohol, no wheat, very little sugar

What a great video! For me it was also a combo of genetics, too much sun exposure in childhood and in my 20's, unhealthy lifestyle choices and autoimmune disease. Overall, what works is the Bioderma Sensibio Cleansing Oil, the La Roche Posay Toleriane line, Cerave Foam cleanser (combination skin) and Cetaphil's Redness Control line. I also use The Ordinary's Buffet, Niacinamide serums without any problem, recently started to use Cerave's resurfacing retinol serum and planning to try azelaic acid in the future. Best sunscreen tried so far is the Beauty of Joseon one. I am curios if laser treatment would help furthermore.

My derm put me on oral Oracea for 3 months and my skin looked so good. After being off for a month I’m back to flare ups.

Cofee makes me flare up. Luckily I stopped drinking in 2018 so its just coffee right now but have noticed Native Sunscreen and removal of ALL scented / fragrance items including body lotions really helps. I switched to Ponds lotion and ive noticed improvement in just a full week.

Love your channel. Can you do a video on acne treatments for young kids? My 9 year old is starting to have breakouts. I am looking for some good gentle products to help her.

Wow, we are die hard University of Michigan fans, and my son (who attends Purdue 😮)is currently spending his summer as a camp counselor in Estes Park CO!! So cool…thank you for this info! I’ve learned less is more but gentle as well! Double cleanse only at night, and for sure sunscreen every day! I found azaleic acid by Naturium or Paula’s choice, and niacinamide are loved by my skin! I was thinking of getting the Qure led mask, do you recommend them? Thank you so much!

I developed it about two years ago and after 1 year and a lot of $$$ later it cleared up. My dermatologist had me on oral med for about a year, then this expensive prescription cleanser and then she had two creams I had to use. Now I maintain by a prescription ointment of a combo with 3 different ingredients. She stated she thinks I had stripped my skin so much it reacted

Sorry if it’s invasive to ask - have you ever had any plastic surgeries? Or implants? Your bone structure is looking better and better with time!!

Omg! Your story sounds so similar to mine. I also moved to Denver for my internship year and started noticing changes to my skin then, although I also have a genetic predisposition as well (my dad has very bad Rosacea). I now live in Louisiana for my residency and my rosacea somehow is now at its worst. Also, even just having ONE beer I would flush TERRIBLY, which extended down to my chest. Wasn’t sure if it was an alcohol intolerance (although this was a new symptom I developed) or related to my rosacea. But also I noticed my pores were much more pronounced and new blood vessels. I finally saw my dermatologist and she prescribed me oral Doxycycline, Finacea Foam, and Rhofade. Unfortunately, I didn’t feel like this dermatologist really took her time to know my history and even look at my skin. She was in and out in 5 min and just prescribed these medications without even hearing me talk. I felt like this is just her general go to for new patients with Rosacea, but I was wondering what you thought? Is this a typical protocol?

What a great video! I appreciate the transparency that you provide to your followers Dr. Ellis. I personally did two treatments of IPL with no improvement of my rosacea and I'm currently on a medication compounded with oxymetazoline and azelaic acid. I really would like to find a place near me that offers VBeam so I could give it a shot. 😊 -Fellow flushie

I use Circadia post peel morning and night and I wash with Cetaphil for sensitive skin. Totally was a came changer.

I use a K beauty 2nd cleanser that is very gentle and soothing - Make Prem Safe Me, relief moisture cleansing milk.

I know this video has been out for 8 months or so but it just appeared in my feed and I’m glad it did. I’ve not been diagnosed with rosacea but I sure resonated with so many of the things you said in describing your experience. My hurdle has been the other things I am diagnosed with tend to cloud the picture - I have s’jorgrens and RA and take daily med - I would like more improvement out of my current med but if I have to go off of it for any reason, my skin, particularly on my face, will begin to flush and flair with some of the swelling you mention. It is so uncomfortable. My RA doctor refers me to derm as skin isn’t her road best traveled (her words) and my derm tends to default to the “well you have auto immune so all things just react funny” in a chalk it up kind of way of not focusing on my skin complaints. Indoor heat is the enemy. I don’t run the central heat but will turn on a small plug in heater if need be. My face prefers the cold. My raynaud’s doesn’t love the cold so it’s a fun dance. I love red wine. My cheeks do not. I may have 5-7 drinks a year. Skin care - when flared up, I find relief with La’ roche posay B5 - I coat my face with it at night. I like their face wash and lotion for body care. When I’m not flared, I use mostly skin ceuticals products with a few Tatcha and Revive products and dailies. I like multiple fans at night to cool room down but cheeks get almost wind burned so I now sleep with sheet over face.

Along with the azelaic acid, I also use .05% tretinoin and take oral zinc, which I believe have both helped.

I wish you were located in Florida! I would book an appointment with you right away. I enjoy watching your content and have learned so much about skincare/health from the information you share. I just got diagnosed with Rosacea today and was prescribed a topical treatment for it. I am not sure which medication it is though. Should I ask about azelaic acid and the prescription cleanser? I don’t get the rosacea bumps but I do get redness around my nose and cheeks here and there. Also, I just had a BBL laser treatment done a few days ago that definitely helped get rid of the broken blood vessels around my nose. The treatment was very painful though… is the vbeam any less painful?

I use Repechage red out cleanser. Its a little on the expensive side, but I have found it doesn't strip my skin, and it helps with my rosacea.

Thank you for this! I loved your white wide-rim hat, where is it from?

I’ve had rosacea for over 20 years unfortunately not much known when diagnosis with acne rosacea so just thought it was a type of acne so used all the wrong products and had the worse flare ever. Went on antibiotics for years which worked great for the spots but my face felt like I had put it in a fire specially in the late afternoon and evening. I used Azelaic acid which was great for spots but because I was using wrong skin care at the time it dried my skin out badly. Also didn’t realise sun was bad but sun got rid of spots so couldn’t wait for summer to clear my skin. 🤦‍♀️ Now I have learnt more I use cereve hydrating cleanser, avene redness cleanser, I use la Roche posay spf fluid, azelaic acid 20% (pm) and dr Sam bunting brightly (am) la Roche posay toleraine fluid moisturiser and if feeling dry I use la Roche posay cicaplast. I’m also having IPL to reduce the flushing and burning which works great. My skin is much happier and definitely need to keep it hydrated. I also take a probiotic (optibac) I have noticed if I stop taking that my skin starts to get dry and spots start coming back. Thank you Dr Sam Ellis for your honest information and tips

Roseaca sufferer here. The only two cleansers I have found that work for me are the 1) Aveeno Calm and Restore (in the clear cylinder bottle) and 2) Geek and Gorgeous Jelly cleanser. The Aveeno leaves my skin just good not quite moisturized but good. If I only used that cleanser, I'd think I had normal skin. It's my first choice. The Geek and Gorgeous leaves my skin just skin (not stripped or dry or moisturized; just skin) but I can tell within about 30 minutes that my skin really is dry and needs hydration and moisture. failures for me: La Roche Posay Toleriane Hydrating Gentle Face Cleanser (stings), Glow Recipe Avocado Ceramide Moisture Barrier Cleanser (left my skin feeling dry and tight), Hydrating Facial Cleanser (skin felt stripped and tight while using, let alone after rinsing), Fresh Soy Hydrating Gentle Face Cleanser (stripped and tight), Krave Beauty Matcha Hemp Hydrating Cleanser (same result as Glow recipe; fine while using and seemed good but left my skin feeling dry and tight in a bad way). *I have not tried the reformation from Cetaphil so I don't know how it works for me (but it wasn't good in the past).

I have to be very careful with trying new sunscreens. Even mineral ones. They’re definitely a trigger for me and now I stick to the ones I know that work and don’t trigger a flareup. My dermatologist recommended Vanicream Moisturizer with SPF in it. It works really well for my skin. I have a couple of others that don’t bother my face either but that one saved me in the beginning and I still use it every morning.

My mother had rosacea when she got older. I think the air in her apartment was just too dry for her and her blood pressure meds did not agree with her. My cheeks would redden now and then when I was younger, ie I blushed easily. My big problem occurred when my PCP prescribed a calcium channel blocker which not only caused rosacea but made me ill. Now when I’m outdoors in the summer, Western Pennsylvania, I wear sunscreen. My sunscreen discovery is still occurring because some are too moisturizing and some are supper drying.

For me the cleanser that works very gently with my skin is the Sensibio gel moussant by Bioderma. I also recently bought the new sensibio cleansing oil as well and it's very gentle to use when your make up is more difficult to remove.

Thank you 😊