The global Rosacea Consensus Panel recommends “general skincare” as a fundamental management strategy for rosacea and it consists of the holy trinity:
1) Sun protection
2) Gentle skincare
3) Trigger avoidance (see my previous post on Rosacea Triggers)
SUN PROTECTION – SUN PROTECTION – SUN PROTECTION
Exposure to sun is believed to be both an initiating and aggravating factor of rosacea ☀
And there seems to be a dose-response correlation between sun exposure and rosacea severity:
The severity of the erythemato-telangiectatic subtype correlates with the degree of sun exposure. In other words, the more you’re exposed to the sun, the worse your rosacea gets.
UV light sparks inflammation and oxidative stress leading to defects in the tiny blood and lymph vessels in the skin, which is what we see as telangiectasias (also called thread veins), chronic redness and the swollen skin.
I prefer to wear a hat as much as possible, stay in the shadow and use inorganic sunscreens (aka physical filters), SPF 50+ with a tint to knock back my chronic redness 😎
What’s your preferred sun protection?
1) Schaller et al. “Rosacea treatment update: recommendations from the
global ROSacea COnsensus (ROSCO) panel” Br J Dermatol 2017; 176:465–471