The authors tell us that there is little research into whether makeup both makes rosacea worse or whether those who suffer from rosacea can also successfully use makeup like foundation.

What Makeup Did they Apply?

We are told in the paper that no particular foundation was used, but that participants applied a foundation, powder and eye shadow. As a cleanser, Cetaphil Gentle Skin Cleanser was provided to each trialist.

Each participant was instructed to wash the face with the provided Cetaphil Gentle Skin Cleanser, rinse, and pat dry.

They then were told to apply metronidazole gel 1% once daily (morning) and wait 10 minutes for it to dry before applying their usual facial foundation (no particular foundation was used), powder, and eye shadow.

This regimen continued for 2 weeks. The first and last doses of metronidazole gel 1% and cosmetic applications were applied under the supervision of study staff at the study site during the baseline visit and the final visit at week 2

Foundation and other cosmetics, used for covering up rosacea symptoms can be a powerful weapon in the battle against rosacea. The boost in self esteem when one is able to cover over unsightly lumps and bumps and facial redness should not be underestimated.

Your Tips

Have you any makeup tips you would like to pass on ? Feel free to leave a comment below, thanks.

Abstract

The appearance of facial foundation cosmetics applied after metronidazole gel 1%, Cutis. 2011 May;87(5):251-9.

Draelos ZD, Colón LE, Preston N, Johnson LA, Gottschalk RW, Dermatology Consulting Services, High Point, North Carolina, USA.

The purpose of this study was to assess the cosmetic appearance of commonly marketed facial cosmetics when used after the application of metronidazole gel 1%.

An observational. open-label, single-site study was conducted with women (N=30) aged 20 to 75 years and diagnosed with moderate papulopustular rosacea (investigator global severity score of 3).

After cleansing the face with a gentle skin cleanser, participants applied metronidazole gel 1% once daily before applying their usual facial foundation.

Two surveys were conducted:

1. investigator assessment of cosmetic appearance; and
2. participant assessment of cosmetic appearance.

The investigator also evaluated erythema, disease severity, and tolerability at baseline and week 2. Adverse events were collected. The 28 per-protocol (PP) participants had a mean age (standard deviation [SD]) of 54.0 (10.3) years and a mean duration (SD) of rosacea of 15.4 (13.2) years. The median response score for both the investigator and participant assessments of cosmetic appearance was 10 (best) for each survey question.

Signs and symptoms of rosacea did not increase with use of metronidazole gel 1% and the participants’ selected cosmetic regimen. At baseline all 28 participants were classified as having moderate erythema. At week 2, 18 (64%) participants were classified as having moderate erythema and 10 (36%) mild. At baseline all 28 (100%) participants were classified as having moderate rosacea according to the investigator global severity score. At week 2, 10 (36%) participants were classified as mild and 18 (64%) moderate. In addition, few participants reported cutaneous irritation during the study. At week 2, 10 participants had dryness, 2 had itching, 8 had scaling, and 2 had stinging/burning.

According to surveys completed by the investigator and the participants themselves, most participants had a good cosmetic appearance with their facial foundation cosmetics that were applied after metronidazole gel 1%.

The use of various cosmetic regimens after application of metronidazole gel 1% did not cause rosacea symptoms to worsen and treatment was well-tolerated.

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Cosmetics that are suitable for rosacea sufferers are hard to come by.

This product looks interesting for its potential to reduce swelling. Also the related anti-redness product is worth keeping an eye on.

Don’t be too persuaded by the promise of something as exotic sounding as “Tetrapeptide-14” though. It is a long way from a laboratory peptide to something that rosacea sufferers rave about.

That being said, here is some of the information that is currently available about products based on this peptide.

Tarte Dark Circle Defense

A natural under eye concealer that doesn’t just conceal – it also corrects! Our dark circle defense is clinically-proven to reduce the appearance of under eye puffiness in just 4 weeks.

Unlike concealers that just lay on top of the skin, this under eye corrector is clinically proven to reduce the appearance of eye puffiness in just 4 weeks. Finely milled light refracting minerals actually brighten skin to help camouflage dark circles, puffiness, redness, fine lines and wrinkles.

Tarte Dark Circle Defense Ingredients

Canola Oil, glycine soja (soybean) germ extract, zea mays (corn) starch, silica, bis-diglycerol polyacyladipate-2, octyldodecyl stearoyl stearate, methyl methacrylate crosspolymer, tribehenin, ozokerite, tocopheryl, lecithin, silica, aqua, honey extract, tetrapeptide-14, polysorbate 20, sorbitan laurate. (+/-): Mica, titanium dioxide (CI 77891), iron oxides (CI 77491, CI 77492, CI 77499).

Where to Purchase

Tarte Dark Circle Defense is available online from Sephora.com and also at amazon.com

Related Anti-Redness Product

Another product touting the benefits of Tetrapeptide-14 is Granactive AR-1423.

Alleviating Redness with Tetrapeptide-14

Posted: March 23, 2009

Grant Industries Inc. has launched a product that can be used to alleviate skin redness. Granactive AR-1423 (INCI: Water (aqua) (and) Butylene Glycol (and) Camellia sinensis (Tea) Extract (and) Aspalathus linearis (Rooibus) Extract (and) Boswellia serrata Extract (and) Honey Extract (and) Tetrapeptide-14 (and) Phenoxyethanol (and) Sodium Benzoate) can be used in cosmetic treatments to alleviate the redness associated with red (rosacea-like) skin types or after mild sun exposure.

According to the company, this ingredient combines a redness diminishing peptide with the antioxidant properties of tea, the calming properties of Boswellia serrata, and the soothing quality of honey. Tetrapeptide-14, a specific peptide sequence designed by the company’s supply partner Helix Biomedix, acts by down regulating interleukin-6 (IL-6) to prevent inflammation, which in turn reduces MMP-1 damage with the net effect of a bright and even skin appearance.

The ingredient was screened in a leave-on cosmetic treatment at 5% on several subjects with excessive facial redness and, when used with tetrapeptide-14 and botanicals, reportedly diminished the redness by 50% in 4 weeks.

See also: Grant Industries Granactive AR-1423

Granactive AR-1423 was evaluated in a leave-on cosmetic treatment at a 5% level on several subjects having redness associated with rosacea. This cosmetic treatment was effective at diminishing the redness by 50% over the course of the 4 week study.

Granactive AR-1423 Available?

It seems that this product is still in the development and promotion phase, and not available to purchase.

Related Product

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We are working on a new cosmetic line of gentle, effective products to conceal rosacea and other skin flaws and create a flawless, natural-looking complexion. We are looking for women who might enjoy panel testing the products. If they qualify, they will be invited to visit our Soho, New York studio, where a professional makeup artist will apply the products and a photographer will take before and after photographs of them to be used in a how-to video and brochure. In return, they will be given a portable on-trend wardrobe of cosmetics to keep.

PLEASE NOTE: WE ARE SEEKING ORDINARY WOMEN OF ANY AGE, NOT PROFESSIONAL MODELS.

We ask that potential testers please email a photo of themselves and a daytime phone number where they can be reached.

Adrienne Penna

apenna AT manaproducts.com

Product Development

Mana Products Inc.
32-02 Queens Blvd.
Long Island City, NY 11101

718-361-2550 x 3326

Recently that the Australian company Microskin has opened an office in New York. The Brisbane office opened in July 2005, with the NY office opening in January 2010.

Microskin mention rosacea as one of the conditions that they treat. The product is slated as a simulated second skin. The product is applied using a Stipple (a special type of sponge) or an air brush for larger areas.

The company says that the product will not rub off, is completely waterproof, allows the skin to breathe and sweat, and lasts for several days.

The New York Times published an article on February 24, 2010 that highlighted the use of microskin as a coverup for Vitiligo.

Vitiligo: Ignoring What Is Painfully Obvious

Starting on Friday, vitiligo patients will have an alternative stateside. Microskin — a simulated second skin that’s been available in Australia for years — is set to open its first outpost in the United States at the Laser and Skin Surgery Center of New York, in Midtown. Microskin is formulated to bridge the gap between a vitiligo patient’s paler patches and unaffected skin so that skin tone appears even. (It can also cover burns, birthmarks and the effects of psoriasis.)

Each shade is customized. “There’s only one skin color for one person in the world,” said Linda Lowndes, who founded Microskin in 2005 after working as a makeup artist. “I don’t care if you’re black or white.”

Microskin is waterproof and won’t rub off on clothing. “You’ve got to use a removing serum to break the barrier,” she said, referring to a liquid that is included in the Microskin system.

…

Still, at the start, applying Microskin on his face, arms and legs would take 75 minutes, which was “pretty annoying,” he said. He does his face daily, but Microskin lasts for a few days elsewhere. And practice has made the application faster.

The Microskin system, with training, starts at $670 for sponge application and rises to $2,250 for airbrush application. Seasonal scans ($200) are recommended to update your Microskin shade.

The article also mentions Dermablend, ColorTration and Cover FX as options for covering up

Another option is camouflage. Some patients with vitiligo, rosacea or birthmarks rely on opaque foundations specially marketed to mask them. Dermablend and ColorTration are two. Lee Thomas, a television broadcaster who wrote a book about his vitiligo called “Turning White,” endorses another foundation, Cover FX, on his Web site.

For more information about Microskin see:

US Site: http://www.microskincenter.com/

Australian site: http://www.microskin.com.au/

Microskin has been in contact with me in the past and say that they have seen rosacea patients. Microskin received national coverage in a 2006 item on A Current Affair titled Second Skin (the video link to the article doesn’t appear to work).

There are very few good treatments for the redness of rosacea. Being able to cover the red angry face of rosacea can do wonders for self esteem.

Would love to hear from anyone who tries it to cover up their rosacea.

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Prosacea is promoted as a homeopathic topical gel to treat Rosacea. Prosacea is said to contain medically recognized homeopathic ingredients that provides “complete and effective treatment for rosacea”.

Prosacea is conveniently available over the counter and online at Walgreens and also online at drugstore.com. Prosacea is only briefly mentioned in the online rosacea support groups. Below is a hopefully balanced selection of user comments from rosacea sufferers who have tried Prosacea.

Prosacea Ingredients

Prosacea lists its Active Ingredients as Sulphur 1x (Rosacea/Acne Treatment Gel), and Inactive Ingredients as Acrylates, Aloe Barbadensis Leaf Juice, Diazolidinyl Urea, Lactose, Methylparaben, Propylparaben, Tetrasodium EDTA, Triethanolamine, Water.

Best I can tell, “Sulphur 1x” is a homeopathic measure which means 10% sulphur. So it would appear that any possible benefits seen when using Prosacea are based on the inclusion of sulphur. If you are a homeopathic expert, please feel free to leave a comment below to confirm that Sulphur 1X does indeed mean 10% Sulphur. Thanks.

User Comments

tkr on28th August 2006 wrote:

I tried it and reacted horribly, had to stop prosacea…strong stough!! tamara. Only used maybe 4 days made me terribly blotchy, irritated.

patricia49423 on Sat Sep 29, 2007 wrote:

I have some great news to share! I have had Rosacea since 1994 (my pregnancy brought it on) and Finally, an over the counter treatment that works!!!!! The Product is called “Prosacea” and I bought it at Walgreens for $9.99. It is a tube of “homeopathic gel”. I find it an ANSWER to prayers!!!  It’s good to be here to share the news…… Try it…… it may help a lot of discouraged sufferers!

hikari on Wed Jan 09, 2008 wrote:

Hi everyone!!! I’m back with my report!

I LOVE PROSACEA!! Many of the reviews said that the users saw immediate results within 1-2 days. For me, it took about 10 days to see results. However, now all of the bumps are gone and the redness has faded incredibly!

hikari on Tue Jan 22, 2008

I am bummed to say that one month after starting Prosacea my skin is not looking good again. The little bumps have re-appeared, although the redness and painful under the skin bumps have not yet. I guess it’s back to square one…

lynniegirl on 25th March 2007 wrote:

Prosacea is AWESOME!!. Have been using this product since NOV 2007, once a day in the morning. I’m on my second tube. $10 dollars for fixing a disheartening problem I’ve been dealing with for over 15 years. My skin is now beautiful. My nose is no longer red, not swollen or sore, no more pustules. I look in the mirror and can’t believe how great my skin looks, with or without makeup. Others have noticed the improvement, too.

My friend also has a bad case of rosacea like mine, her skin started looking so much better, I asked her what she was doing and it was the Prosacea she picked up at a drug store. I have spent literally thousands of dollars trying to correct my rosacea and can’t believe a cheap little tube of ointment cleared it up. I am still amazed. I’ve have never posted on any forum like this, but I had such a positive experience-I just wanted to share it.

Kelvweb on 26th November 2007 wrote:

I used it sparingly only once-I couldn’t stand the smell. It reminded me of other sulphur-containing acne products I tried as a teen.

gerlygerl on Wed Aug 30, 2006 wrote:

I’ve been using prosacea off and on since it first came out, with great results. i can’t use it everyday or it makes me peel. i also like to use it as a spot treatment.

Lucia on Wed Aug 30, 2006  wrote:

It does not work for me either!

rose jill on Tue Aug 29, 2006 wrote:

Bought it on ebay. Used it only 4 days or so, burned like hell and irritated my skin more than anything. Sorry, I thought it would be good too when I seen all the positive feedback. Stronger stough than I thought. not a good choice for rosacea skin. this is me though.

Rosacea-LTD: If you think you might benefit from using sulphur as a treatment, you may also wish to check out Rosacea-LTD. This consists which is a compressed `disk’ of various salts. The yellow disk contains a high percentage of sulphur.

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Tell Us Your Thoughts

How about you, have you tried Prosacea ? What did you think ?

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The new Clinique Redness Solutions range consists of ;

• Redness Solutions Urgent Relief Cream is said “rushes soothing relief to upset skin. Quickly calms flare-ups of visible redness, irritation.”
• Redness Solutions Daily Protective Base SPF 15 is claimed “Protects skin from the UVA/UVB exposure that can aggravate skins with Rosacea or reactive redness. Does it without chemical sunscreens.”
• Redness Solutions Daily Relief Cream is said to “instantly calm skins with Rosacea. Relieves visible redness, blotchiness. Soothes to cool discomfort. Over time, helps improve skin’s comfort, lessens the look of broken capillaries.”
• Redness Solutions Soothing Cleanser is said to “melt away makeup and impurities. Helps calm redness, irritation while preserving skin’s moisture balance. Smooth with mild exfoliation. Leaves skin clean, comforted.”
• [NEW] Redness Solutions Instant Relief Mineral Powder claims that this powder will reduce visible redness and `broken capillaries virtually disappear-instantly and for hours’. Further `Patent-pending formula helps skin “keep its cool.” Oil-free, talc-free. With anti-bacterial brush. Appropriate for skins with mild-to-moderate Rosacea or reactive redness.’

Update: The Urgent Relief Cream contains hydrocortisone 0.5%. Perhaps some care should be used with the Urgent Relief Cream as we know that over the counter steroids can cause rosacea itself.

Paul H says:

I have been using the Clinique daily redness relief cream and it is really good. I have been unable to tolerate ANYTHING – but this seems to be ok. The “urgent relief cream” is OK also, but it is mainly for “itching,” and doesn’t work as well as the daily redness relief cream, which is very soothing.

bellemichelle says:

The urgent relief cream is NOT a rosacea product, but for reactive redness. It’s just hydrocortizone actually, and hydrocortizone doesn’t do anything for rosacea. Save your money on that one, especially at $30!

The daily relief cream is identical to the CX relief cream, just less expensive. I like it though, it’s a nice mild moisturizer. Don’t believe the claims about it “over time reducing rosacea flare-ups”, I can’t believe how much companies get away with in their marketing!

They have a sunscreen and cleanser too. The sunscreen is too oily for my skin, but it’s gentle at least, I didn’t react to it. The cleanser is my favorite product, it’s mild and non-reactive and it doesn’t dry your skin out.

mecheleshnm says:

Hi, I’ve been using Clinique’s Redness Relief for a week so far. Results are good, not great. On the plus side, it’s the only product I’ve tried (and I’ve tried a lot!) that gives me immediate relief. The relief though only lasts a few hours. I’m going to keep using it
because and relief is welcome– and it costs $40! I’ll check back in a month and let you know how it’s going.

Katgo says:

I swung by the clinique counter for something else right before christmas and saw this line…of course I had to try it! I bought the cleanser ($25), the moisturizer ($65), i refused to buy the calming stuff since it was full of hydrocortisone. Basically, it’s a total waste of money. The cleanser was nice, but not worth that kind of cash, and the cream is meant for all the clinique skintypes(1,2,3,4) therefore isn’t very moisurizing.

I used it for three days and called it quits. My skin is combination and this stuff was making it very dry/dehyrated, which in turn lead to my face becoming more red! The women at the clinique counter also said they had a training on this product and were told to tell clients not even to use other clinique products in combination with this stuff or it would effect results, so who knows if they want you to even take your meds with these products.

Lucky for me, the clinique counter took all these products back, so you can always try it pretty risk free. If you do buy this product, I hope you have better results

Spotlighted Products

Also available from sephora.com and boots.com

Your Turn

What about you ? Do you like these new products ? Are you excited that Clinique is now directly addressing rosacea ? Leave a comment below to let us all know what you think.

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I love CHOICE Magazine in Australia. They do great reviews, always concentrating on practical outcomes. A recent report dealt with moisturisers (yes we spell them with an "s") on the Australian market that also contain sunscreen. For those that want both the protection offered by a sunscreen and a good moisturizer, this report is for you. A solid, but gentle cleansing, moisturizing and sunscreen regime is a key requirement for all rosacea sufferers.

Their detailed report is titled Moisturisers with Sunscreen, and is available from their web site for $13.95.

As a special favour to all you out there, here are the 3 cheapest of the recommended products, with their manufacturer’s fancy sounding description.

1. Garnier Nutritionist Regenerating Daily Moisturiser SPF 15 (This day cream helps the appearance of fine lines look smoother and skin look brighter while providing added protection against the signs of ageing with SPF15.)
2. Dove Essential Nutrients Protective Day Cream SPF 15 (Rich, smooth Deep Moisture Day Cream SPF 15 combines broad-spectrum UV protection and rich moisture to quench, hydrate and defend dry skin, for a healthy looking glow that lasts.)
3. Cancer Council Moisturising Face Cream SPF 30+ (A light, non-oily hydrating lotion specially formulated for daily use either alone or under make up. Contains UVA and UVB sunscreen filters for broad spectrum skin protection.)

As well as making some recommendations, the CHOICE report also makes some good points about sunscreens in general.

As well as protecting us from cancer, sunscreen can reduce the signs of premature aging, such as wrinkling, rough skin, broken or burst capillaries, and uneven colouring. The sun is thought to be responsible for about 90% of the visible signs of aging among Australians.

I get the feeling that the average Australia still doesn’t use enough sunscreen, especially given our climate. Perhaps a moisturizer with a sunscreen in one way to get better protection.

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Here, in the new Makeup and Cover Up forum, she gives us the low down on how tinted moisturizers can work well for rosacea sufferers.

Tinted moisturisers are not spoken of very often, but I think they are a valuable rosacea tool. Many people don’t like to wear makeup everyday. Likewise a tinted moisturiser is perfect for men because it doesn’t look like makeup. In fact you can’t see it at all.

(click to read more)

Visit the forum, hit POSTREPLY and let us know what you think about tinted moisturizers.

See Also:

• choosing a moisturizer
• Moisturizer and sensitive skin barrier
• moisturiser for dry skin

This article was first highlighted by Rosacea News in March 2006 as result of the 2006 Annual Meeting of the AAD, Poster Session in San Francisco. The paper was called Tolerability and efficacy of a moisturizing lotion containing 0.1% kinetin for improving the signs of acne rosacea in facial and neck skin.

The follow-on paper has now been published in a peer reviewed journal, Clinical and Experimental Dermatology.

Paula Begoun has this to say about Kinetin.

Kinetin is a plant-growth hormone, and its technical name is N6-furfuryladenine. What makes kinetin interesting are the in vitro and animal studies demonstrating its effect as a growth factor.

…

I suspect that when it’s applied topically, kinetin isn’t of much use to the skin cell, and even if it could be utilized, there probably isn’t enough kinetin in any product to have a negative or positive impact but that is only a guess, no one knows for sure (Source: Dermatologic Clinics, October 2000, pages 609-615).

So the summary is that there appears to be some modest improvement in rosacea redness and lesions (papules/pustules) by using topical kinetin. Here is the abstract.

Topical kinetin 0.1% lotion for improving the signs and symptoms of rosacea., Clin Exp Dermatol. 2007 Sep 14; Wu JJ, Weinstein GD, Kricorian GJ, Kormeili T, McCullough JL. Department of Dermatology, University of California, Irvine, Irvine, CA, USA.

Many patients with rosacea are unable to tolerate extended treatment periods with topical agents because of the unusually high skin sensitivity that often accompanies rosacea. Kinetin (N(6)-furfuryladenine) is a plant cytokinin that reportedly helps restore skin barrier function and may be useful to ameliorate the signs and symptoms of rosacea. The purpose of this open-label study was to determine the tolerance and efficacy of twice-daily application of kinetin 0.1% lotion for improving the signs and symptoms of mild to moderate facial rosacea. Subjects applied kinetin 0.1% lotion twice daily to the face, with daily use of a sunscreen of sun protection factor 30. Subjects were evaluated at baseline and at 4-week intervals for 12 weeks to assess efficacy and tolerance. Results of this study suggest that kinetin 0.1% lotion is a well-tolerated moisturizing lotion option for subjects with mild to moderate inflammatory rosacea.

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This study is saying that a gentle moisturizer is an important part of a rosacea beating regime. This was one of the gems that took me years to realize. In order to best treat rosacea, you will need to find a good gentle skin care routine. This routine should include a cleanser, moisturizer and sunscreen. Any prescription or over the counter topicals can then be added to your gentle care regime.

Another recent study found similar benefits when using Cetaphil Gentle Skin Cleanser. The conclusion of that 2006 study was that “Cetaphil Gentle Skin Cleanser may be a good choice for the cleansing part of a total rosacea skin care regimen.” This study concludes “in the management of rosacea, basic skin care regimens, including daily use of a therapeutic moisturizer, offer optimal benefits“.

Beneficial use of Cetaphil(R) Moisturizing Cream as part of a daily skin care regimen for individuals with rosacea. J Dermatolog Treat. 2007;18(3):158-62. , Laquieze S, Czernielewski J, Baltas E. , PERITESCO. Paris. France.

Introduction: Rosacea is a common and chronic disorder characterized by flushing, erythema, papules, pustules, and telangiectasia on the central part of the face. Because the facial skin of individuals with rosacea is particularly sensitive, irritants can trigger a worsening of the signs and symptoms of the disease. This enhanced sensitivity is thought to be linked to a deficient stratum corneum barrier function.

Materials and methods: In the present study, 20 individuals receiving twice-daily applications of metronidazole 0.75% gel for at least 15 days applied a gentle non-irritating moisturizing cream (Cetaphil Moisturizing Cream) twice daily for 15 days on one half of the face; the other side remained treated with metronidazole only and served as the control.

Results: Clinical assessments, confirmed by biophysical measurements (electrical capacitance, transepidermal water loss (TEWL), and lactic acid stinging test), provided evidence that the moisturizer contributed to the restoration of the skin barrier: skin dryness, roughness and desquamation were much improved and skin sensitivity was significantly reduced. Skin properties and skin discomfort were also greatly enhanced and the patients were very satisfied with the product.

Conclusions: It can thus be concluded that in the management of rosacea, basic skin care regimens, including daily use of a therapeutic moisturizer, offer optimal benefits.

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