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Interview with Dr. AMODE: "Living with Rosacea Daily."

Depending on its severity, rosacea can have a more or less significant impact on the daily lives of patients and can impair their quality of life. In this interview, Dr. AMODE, a Dermatologist and Venereologist in Paris, shares his advice for managing symptoms, controlling the onset of redness, and living better with rosacea on a daily basis.

Summary
Published April 23, 2024, updated on April 23, 2024, by Pauline, Chemical Engineer — 4 min read
Rosacea

Question No.1: "What are the most common pieces of advice you give to your patients?"

"Rosacea is characterized by skin reactivity. Therefore, it is important to avoid any micro-trauma, such as scrubs and aggressive chemical peels. We also recommend patients to perform a gentle cleansing of their skin, avoiding rubbing it. Finally, it is also necessary to avoid as much as possible exposing the skin to any situation that promotes significant vasodilation and therefore the occurrence of redness, such as high temperature variations, intense heat, spicy food, and of course sun exposure, UV rays being a factor that worsens the disease."

Question No. 2: "What recommendations can be given regarding skincare products and makeup?"

"For rosacea-prone skin, which is reactive, it is recommended that patients opt for products that are not harsh on the skin and contain a minimum amount of surfactants and a minimum amount of preservatives. Similarly, it is preferable to lean towards minimalist formulas that do not contain a large number of compounds. This helps to avoid stimulating the skin's reactivity and, consequently, vasodilation phenomena.

It is thus advised to maintain a simple cleansing routine, using gentle, soap-free cleansers, with the help of a syndet or a micellar water that should be rinsed off. It is also recommended to apply a moisturizing cream twice a day. It is important to ensure that your cream is non-occlusive, as most people with rosacea have combination to oily skin. Finally, it is important to not forget about photoprotection when leading a lifestyle that exposes you to light and UV rays.

Regarding the makeup, it is not strictly contraindicated in cases of rosacea, as long as it is non-comedogenic and non-occlusive. Opt for light and non-compact textures, similar to a tinted serum. Moreover, tinted products can help enhance photoprotection."

Question No. 3: "Can certain diets help to alleviate symptoms?"

"In acne, it is known that a diet with a low glycemic index improves symptoms. However, this has not been proven in the case of the rosacea. Thus, apart from a low-sugar diet and combating sedentary lifestyle, which is advised for everyone, there are no specific recommendations regarding the diet for individuals suffering from rosacea."

Question No. 4: "What is the psychological impact of rosacea?"

"Rosacea is a visible disease that can have a strong psycho-social impact and can affect the mood of patients. Some may withdraw or exhibit depressive symptoms, but this is not the majority of patients.

The psychological impact of rosacea can significantly depend on the life stage at which the disease manifests. It is not the same in one's second or third decade of life, a time when one is building their identity and their image is important, as it is in their sixties or seventies.

There is no established rule, mild rosacea can have significant psycho-social consequences in some patients, while others with rhinophyma do not seek treatment."

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