Rosacea

❕Lifestyle changes❕

What can trigger: spicy food, chocolate, alcohol, caffeine, sun, steam, sauna, hot shower, exercise, heater air, sitting in front of a fireplace

❕Skin Care❕

Stop overwashing skin (just use water in the morning)
Stop make up wipes (not gentle)
Double wash at night
SPF in the morning and every two hours reapply outside
Use a hat and sunglasses and a face bandana if needed

Ask Bashir for:
15% Azelaic Acid Gel
Sodium Sulfacetamide Sulfur Cleanser
(Doesn’t need to be used every day forever, depends on a lot of factors)

Ingredients:
- Centella Asiatica
- Arnica
- Sulfur
- Azelaic Acid
- Hypochlorous Acid
- Ketoconozale (Dandruff of the face) (Nizoral anti-dandruff Shampoo) 1-4x a week only in the worst areas
- Benzoyl Peroxide (good for the mites!) 5% (not the best for rosacea but kills mites)
- Zinc Oxide (Triple Paste(!) - for Babies - Diper rash) good for skin barrier (over night treatment)

Prescriptions:
- Azelaic Acid 15%
- Metronidazol
- Soolantra (ivermectin)

In-care treatment:
- VBeam Laser (best) - 3-4 treatments back to back, then yearly 1-2