I received this question below about dry rosacea via e-mail the other day and was reminded that skin hydration is so important. Dehydrated skin is more sensitive, more likely to scar and more open to the elements which leads to more skin damage and moisture loss. With any skin condition the first thing I look at doing is increasing skin moisture content and reducing inflammation. While many skin care products multi-task, it is important that these issues are addressed otherwise it takes that much longer to see any improvements.

Q: I am in my 40′s so lines are a problem, but my biggest concern, is my DRY ROSACEA, winter is the worst season for me. Besides that I have an oily T Zone, and my skin is red and blotchy [mostly marks I guess
from past breakouts] a lot of the time, any suggestions?

A: Thanks for your e-mail. From what you have said it seems to me that the acid mantle (protective barrier) of your skin is disrupted which is why your skin is dry, red and blotchy. This also explains why you have an oily T-zone. Skin cells that are deficient in good fats (essential fatty acids) and moisture will react by over producing sebum in some areas and then be overly dry in others. Then the rosacea compounds the issue but also indicates there is inflammation and possibly underlying digestive issues. First things first, a light oil based serum will help with repair the acid mantle and the moisture content of your skin. I recommend the following:

Remedica Clair Visage

Remedica Clair Visage – will helps to repair the acid mantle, reduce inflammation and redness and increase the skin’s moisture content. It is not congesting or overly rich so won’t make the rosacea or the oily T-zone worse. I recommend use for at least 3 months. Then we can re-evaluate and if necessary go to a slightly richer serum such as Remedica Sensitive Visage.

Minerelle Centella Gel – will help to strengthen the blood vessels and reduce the hyper-reactivity of capillaries. It is a light gel so won’t be enough to counteract the dryness. You couldn’t use this by itself but in combination with the Clair Visage it will be useful.

In your case, with dry rosacea, it is important that you avoid any AHA or salicylic acid type products which are commonly used to manage rosacea.

Internal moisture is essential where skin is dry and inflamed. I have put some dietary suggestions below but please in particular think about the Lemon Detox Drink even if just as a trial for 7 days. It does amazing things for the skin by repairing the essential fatty acid levels of the skin cells and allowing them to hold onto moisture.

From a dietary perspective a high fat, high sugar (processed foods) diet will contribute to inflammation. Avoiding foods high in saturated and trans fats and simple sugars will help to reduce this effect which will also minimise localised skin inflammation. Foods that commonly contain trans or saturated fats include milk, milk products, margarine, shortening and other synthetically hydrogenated oils as well as fried foods. For rosacea specifically it is also advisable to avoid the foods that are likely to directly cause flushing such as alcohol, coffee, hot beverages and spicy foods. Avoiding simple sugars and highly processed foods also helps avoid the over-secretion of insulin, which occurs in response to raised blood sugar levels and is linked with systemic inflammation.

There is some research to suggest that low gastric acid levels in people with rosacea may contribute to the development or progression of the condition. Some rosacea patients have responded well to hydrochloric acid supplementation. Low stomach acid is also more likely to be associated with Helicobactor pylori (H. pylori). Supporting this theory is the finding that levels of H. pylori have been found to be higher in rosacea sufferers. A trip to the naturopath would be a good idea if you can identify any digestive issues such as bloating or irregularity.

Essential fatty acids are important in the treatment and management of rosacea and sensitive skin. They work to reduce skin inflammation as well as improving skin moisture and appearance. Good sources of essential fatty acids include deep sea fish such as tuna, salmon and mackerel as well as nuts and seeds. Flax oil and fish oil capsules are suitable alternatives if dietary intake is insufficient (or see Lemon Detox Drink recipe below). Zinc is also important for skin repair and inflammation control. Good dietary sources of zinc include lean beef, whole grains, sunflower and pumpkin seeds.

Lemon Detox Drink

This drink is fantastic for anyone with sensitive, dry or inflammed skin. The lemon has an astringent effect which means it stimulates the liver to release bile into the digestive tract to be eliminated. The bile contains stored toxins so effectively you are dumping waste from your liver. The lecithin and flax oil prime your digestive system for the day, particularly your fat digestion so again supporting the liver. And of course water is just plain good for you and helps flush out daily waste particularly via your kidneys.

It also has the effect of super-saturating your body with essential fatty acids. So in addition to the excellent detox effect, flax seed oil supports the moisture holding capacity of your skin cells and has a anti-inflammatory effect thereby supporting your skin’s health. Feedback from client is that skin is generally less red and much more even toned since being on the Lemon Detox Drink.

The recipe is as follows:

1/2 lemon (wash the outside)
1 tablespoon of soy lecithin (German is better than US variety)
1 tablespoon of flax oil (organic)
300mls of filtered water

Method: finely grate the rind of the lemon into the blender then squeeze in the lemon juice. Add the lecithin, flax oil and water. Blend for 1 minute until frothy. Pour and drink.

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