mild cleanser is important

This one of the simple but powerful things to learn about treating rosacea. A gentle and mild cleansing regime is important. Add a gentle moisturizer and a physical sunscreen and you have the basis to build on to treat your rosacea. The inflammation you see in rosacea can be helped just be be gentle with what you put on your skin. Once you have a good, gentle cleansing, moisturizing and sunscreen regime, then you can add other rosacea treatments knowing that your skin barrier is soothed and protected as a starting point.

Role of mild cleansing in the management of patient skin,
Dermatologic Therapy Volume 17, Issue Supplement 1, Page 26, February 2004

ABSTRACT: Routine everyday care of skin is an essential part of optimal patient management. Common problems such as xerosis, dermatitis, eczema, psoriasis, acne, rosacea, and photodamage leave the skin vulnerable to external insults, partly as a result of varying levels of barrier dysfunction. Cosmetic surgery procedures also typically damage the stratum corneum (SC) and leave skin with a very weak barrier during recovery phase. Cleansing is an important aspect of any skin care, since it not only removes unwanted dirt, soil, and bacteria from skin, but also removes dead surface cells, preparing skin to better absorb topically applied drugs/medication. Care must be taken to minimize any further weakening of the SC barrier during cleansing. Cleansers based on mild synthetic surfactants and/or emollients that cause minimal barrier perturbation are ideal for these patients. The present paper is a brief review of four clinical trials that evaluated the efficacy and compatibility of either mild syndet bars or cleansers in patients with atopic dermatitis, acne, rosacea, or patients who had received chemical peels or Retin-A (tretinoin) treatment for sustained photodamage.

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