Rosacea 101: How to Treat, Manage, and Prevent Flare-Ups

Rosacea 101: How to Treat, Manage, and Prevent Flare-Ups

This post was reviewed and updated by Sarah Otto, Dermatology Nurse Practitioner and Founder of Otto Skin Goods on May 20, 2026.

If you’ve noticed a red flush to your cheeks, acne, dryness, skin sensitivity, and visibly broken blood vessels that branch across your face, you may be suffering from rosacea (pronounced roh-ZAY-sha)—a common chronic skin condition that affects nearly 14 million Americans. According to the American Academy of Dermatology, rosacea is believed to be genetic, and tends to affect women between the ages of 30-50. And while many will suffer from a multitude of rosacea symptoms, keep in mind that there are different subtypes of rosacea; some may experience only redness and sensitivity, while others struggle with acne and flaky skin.

But thankfully, rosacea isn’t life-threatening, and although it is difficult to treat, rosacea doesn’t severely affect your physical health. However, it can wreak havoc on your mental and emotional wellbeing. Similar to acne, a flushed, bumpy complexion may lead to feelings of frustration, low self-esteem, embarrassment, social isolation and depression. In these cases, it’s extremely important to seek medical attention ASAP, because treating the signs and symptoms of rosacea has been shown to improve quality of life.

By tackling common rosacea triggers, you can significantly reduce the number of flare-ups your complexion receives on a daily basis. Keep scrolling for a few quick tips for treating and caring for your rosacea-prone skin:

How to Treat Rosacea

Take Care While Cleansing Your Face

Avoid scrubbing or using harsh physical exfoliants at all costs. Instead, use a gentle cleanser designed for those with sensitive skin, like a cleansing balm or cleansing oil. My all-time favorite is Cerave hydrating cleanser—and remember to rinse your face using lukewarm water only.

Hydration is Everything

Keep your skin hydrated. Use a moisturizer that helps to repair the skin barrier and lock in moisture. Need a hand? Look for one with ceramides and hyaluronic acid.

Steer Clear of These Rosacea Irritants

Check the label. Avoid products with ingredients that might irritate your skin, like silicones, fragrances (including essential oils), alcohol, glycolic or lactic acid, sodium lauryl sulfate, menthol, or urea. These irritants are hiding in all kinds of skincare, including cleansers, toners, serums and moisturizers.

Leave These Products High and Dry

Avoid products that will dry out your skin, such as chemical exfoliants, toners or astringents. In general, let the motto “less is more” be your guide, and only use products that are considered gentle. Pro tip: if you’re dying to try out a new product, always test something on your arm before applying it to your face.

Avoid These Common Triggers

Everyone is different when it comes to rosacea flare-ups. What triggers one person may be perfectly fine for another. However, there are some pretty common culprits to steer clear of. Some examples of triggers include harsh skincare products, the sun, extreme heat and cold, spicy foods, caffeine, alcohol and stress.

Keep a Journal to Log Your Flare-Ups

It’s helpful to keep a journal for at least two weeks to log your flare-ups. This way, you’ll understand your own personal triggers—some may be from the list above, while others may be totally unique to you. Once you identify what triggers your rosacea, do your best to avoid these so you can prevent them whenever possible.

How to Prevent Rosacea Flare-Ups

All in all, caring for your rosacea-prone skin will take time, patience and experimentation. However, there are a few methods to preventing rosacea flare-ups as often as possible:

  • Apply daily sunscreen
  • Find ways to help reduce stress, like meditation or exercise
  • Avoid hot showers and use lukewarm water while cleansing your face
  • Be aware of your consumption of alcohol, caffeine and hot beverages
  • Be aware of foods that trigger your flares and try to avoid them, if possible
  • Look for skincare products designed for those with sensitive skin
  • Avoid extreme heat and cold environments

Frequently Asked Questions

What is rosacea?

Rosacea is a common chronic skin condition affecting nearly 14 million Americans. It's characterized by symptoms like redness, acne, dryness, skin sensitivity, and visibly broken blood vessels on the face. It's believed to be genetic and most commonly affects women between the ages of 30–50.

Is rosacea dangerous?

Rosacea is not life-threatening and doesn't severely impact your physical health. However, it can take a real toll on mental and emotional wellbeing, potentially leading to frustration, low self-esteem, social isolation, and depression. Seeking medical attention and treating symptoms has been shown to improve quality of life.

What triggers rosacea flare-ups?

Common triggers include harsh skincare products, sun exposure, extreme heat or cold, spicy foods, caffeine, alcohol, and stress. That said, triggers vary from person to person, so keeping a journal for at least two weeks to track your flare-ups is a great way to identify your personal ones.

What skincare ingredients should people with rosacea avoid?

Avoid silicones, fragrances, essential oils, alcohol, glycolic or lactic acid, sodium lauryl sulfate, menthol, and urea. Chemical exfoliants, astringents, and harsh physical scrubs should also be avoided.

What type of skincare routine is recommended for rosacea-prone skin?

Keep it simple and gentle. Use a mild cleanser (like a cleansing balm or oil), follow with a moisturizer containing ceramides and hyaluronic acid to support the skin barrier, and always apply a daily sunscreen. When trying new products, test them on your arm before applying to your face.

Can rosacea be prevented?

While rosacea can't be cured, flare-ups can be minimized. Wearing daily sunscreen, managing stress, avoiding hot showers, being mindful of food and drink triggers, and sticking to gentle skincare products all go a long way in keeping symptoms under control.