Ask a Dermatologist your Question: Rosacea

papulopustular rosacea

Dear Doctor

In 2011, I had a skin allergy and was prescribed 2 creams containing steroids by a Chinese doctor. I used both creams everyday for two months. After this time my skin recovered so I stopped using these creams.

A few months later, my skin would occasionally become itchy, and I would break out in pimples, so I started to use the two creams at night. The following morning, my skin would be much improved.

I did this for a few weeks before research made me realize that the creams contained steroids and were having a detrimental effect on my skin. I stopped using the creams at once, but the itchiness and pimples kept coming and going.

I even stopped washing my face, drinking alcohol, and tried to avoid eating spicy food and seafood. Since that time, I have tried numerous different kinds of medication, both pharmaceutical and natural, but my skin has never really recovered.

Recently I have been using some natural Chinese facial masks but my skin has just become worse. At this point, I have no idea what to do. I would be extremely grateful if you could give me some kind of advice or information that would help me, as I am beginning to think my skin will never get better!

ask a dermatologist online

Dear Patient

Your symptoms are suggestive of rosacea.


I recommend that you:

A. Avoid all the following factors which can trigger rosacea:

1. Dietary factors

a. Alcohol

b. Spicy food

c. Hot drinks

d. Marinated meats

e. Dairy products


2. Climate factors

a. Sunny weather

b. Hot weather

c. Cold weather

d. Windy weather

e. Humid weather


3. Personal factors

a. Emotional stress

b. Skin care products

c. Strenuous exercise

d. Hot baths

e. Medications


B. Consult your physician

If you are using prescription medications for another medical condition consult the doctor who prescribed it and ask them if it can cause rosacea flares.

Medications used to treat high blood pressure, corticosteroids and high dose vitamins are some examples.

C. Stop using face products

Stop using all the medications, Chinese natural masks, skin care products and cosmetics you are currently using on your face.


D. Use a gentle face cleanser

Cleanse your face with a gentle, soap free cleanser like Eucerin Redness Relief Soothing Facial Cleanser.


E. Rinse face with lukewarm water

Rinse your face with lukewarm (not hot or cold) water after cleansing it and pat (not rub) it dry.


F. Apply sunscreen everyday

Apply sunscreen 5 to 10 minutes after washing your face when it is totally dry. You can try Eucerin Redness Relief Daily Perfecting Lotion with SFP 15


G. Avoid makeup

Avoid using cosmetics, makeup or any other products on your face and follow this simple skin care regimen for 1 – 2 months.

If the condition seems to get worse, send us a picture right away and we will advise you further.

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