Rosacea Triggers: Common Factors That Can Worsen This Skin Condition

Rosacea Triggers: Common Factors That Can Worsen This Skin Condition

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Individuals diagnosed with rosacea often endure prolonged episodes of facial redness accompanied by small, red bumps. These manifestations may persist for several weeks or months before subsiding temporarily. A significant challenge associated with this skin condition is that even brief exposure to sunlight can exacerbate facial redness. Additionally, the application of certain skincare products may result in a burning sensation. Various factors can intensify these symptoms. To better manage your condition, it is essential to familiarize yourself with the common triggers of rosacea, enabling you to avoid them and mitigate associated discomfort.

What is rosacea?  

Rosacea is a chronic inflammatory skin disorder characterized by persistent facial redness. According to a study published in the Journal of the American Academy of Dermatology in 2024, the overall prevalence of this condition is 5.1 percent, with individuals aged 25 to 39 being the most affected. "This condition, which may also result in acne-like lesions, typically exhibits a pattern of flare-ups and remissions," explains Dr. Karuna Malhotra, an aesthetic physician and cosmetologist.

Rosacea triggers

Stress is recognized as one of the triggers for rosacea. This indicates that symptoms may intensify and subsequently diminish for a period. According to the expert, "Many individuals confuse it with acne; however, rosacea is distinct due to its persistent redness and sensitivity, which often exacerbates over time if not addressed."

What are the symptoms of rosacea?

The symptoms associated with rosacea can differ, but they typically include 
"Persistent redness, particularly on the cheeks, nose, forehead, and chin, results from dilated blood vessels," the expert explains. This condition may resemble a constant blush or sunburn that does not fade. 
Individuals may also experience a burning sensation on their face accompanied by itchiness. 
Small, broken blood vessels may become visible on the skin's surface, creating a web-like appearance due to weakened blood vessel walls. 
Additionally, it can lead to the formation of small, red bumps or pus-filled pimples. "This is why this skin condition is frequently mistaken for acne," notes Dr. Malhotra. 
In more severe instances, the skin, particularly on the nose, may thicken and develop a bumpy texture due to excessive tissue growth. 
Those with rosacea may also experience dryness and itchiness in their eyes. "Some individuals may also encounter redness, swelling, and sensitivity to light," the expert adds.

What are the triggers for rosacea?

Below are some common triggers associated with rosacea:

1. Sun exposure

Ultraviolet (UV) rays emitted by the sun can inflict damage on the skin and induce inflammation, potentially resulting in persistent facial redness. Dr. Malhotra notes, "Sun exposure also compromises blood vessels, rendering them more susceptible to flare-ups."

2. Elevated Temperatures  

High temperatures enhance blood flow to the skin's surface, leading to excessive flushing. According to the expert, "Heat-induced perspiration can irritate sensitive skin, exacerbating symptoms, particularly during summer or in humid environments."

3. Psychological Stress  

Stress is a prevalent trigger for rosacea, as it prompts the release of hormones such as cortisol. The expert explains, "This hormone can instigate inflammation and aggravate rosacea. Feelings of anxiety, nervousness, or intense emotions may result in increased flushing, highlighting the importance of stress management in symptom control."

4. Spicy Cuisine  

Ingredients such as chili, pepper, and hot sauces often contain capsaicin, which can activate nerve endings and expand blood vessels. The expert states, "This reaction may lead to flushing, warmth, and discomfort, especially in individuals with sensitive skin."

5. Alcohol Consumption  

Alcohol is recognized as a common trigger for rosacea. Research published in The Journal of Clinical and Aesthetic Dermatology in 2021 identified alcohol, particularly red wine, as the most frequent rosacea trigger. The expert remarks, "Certain alcoholic beverages, like red wine, contain histamines that may provoke persistent flare-ups."

6. Hot Drinks  

Beverages such as coffee, tea, and hot chocolate can also act as triggers for rosacea. They can elevate body temperature, resulting in flushing. The expert notes, "The heat from these drinks activates nerve responses and heightens facial redness, making rosacea symptoms more apparent."

woman drinking tea

Hot beverages may not be advisable for individuals with rosacea. Image courtesy: Adobe Stock  

7. Cold Weather  

It is not solely high temperatures that can impact your skin; cold conditions can also play a significant role. Exposure to cold weather, biting winds, and dry air can deplete moisture from the skin, resulting in irritation. "The body's reaction to cold can lead to the constriction and dilation of blood vessels, which may provoke rosacea flare-ups," explains Dr. Malhotra.  

8. Specific Skincare Products  

Aggressive skincare components such as alcohol, fragrances, and exfoliating acids can compromise the skin barrier. "Sensitive skin often responds to these irritants with symptoms like redness, burning, and heightened inflammation, exacerbating rosacea," notes the expert.  
Maintaining a symptom diary can be beneficial in recognizing and managing triggers associated with rosacea.

How do you calm a rosacea flare up?

To soothe a rosacea flare-up, do the following:

  • Utilize gentle, fragrance-free skincare products, including cleansers, moisturizers, and sunscreens. According to the American Academy of Dermatology Association, sunscreens containing zinc oxide and titanium dioxide, without added fragrance, are least likely to irritate skin that is prone to rosacea.
  • Applying a cool, damp cloth may alleviate the redness and discomfort associated with this condition.
  • It is important to identify and avoid known triggers of rosacea, such as stress and hot beverages.
  • Topical or oral medications prescribed by a healthcare professional can assist in managing symptoms. An expert notes that "Metronidazole, an antibiotic, is frequently utilized to treat rosacea due to its ability to reduce inflammation."

Managing rosacea symptoms can be effectively achieved through topical or oral treatments, but understanding the triggers of rosacea can also be beneficial.

Read Also: 9 Natural Ways to Balance Your Hormones: A Doctor’s Guide

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