Do you experience acne that rebels against typical acne products and treatments? If so, you might have rosacea. This is often a missed diagnosis in your dermatologist's office because it's an acne lookalike. Rosacea generally affects the central region of the face, like the cheeks, nose, chin, and sometimes forehead. Women begin to notice the signs of rosacea, characterized by redness, visible blood vessels, and papules, in their late 30s. If you have a parent with rosacea, you likely will too as there is a strong hereditary connection. 

Rosacea "pimples" are formed from lymph leaking into the skin, not the dead skin cells, sebum, and bacteria associated with acne. Rosacea is also considered a dry acne which means that your skin produces a normal amount of oil (unless you have both rosacea and acne). Keep in mind that rosacea skin can look "oily" but feel tight, because this shininess you experience is actually water seeping out of your skin (transepidermal water loss or TEWL). You skin's lipid barrier should act as a waterproof barrier, preventing hydration from escaping your skin, however if your skin isn't supported, the barrier will be compromised. 

Skin with rosacea possess a higher pH (more alkaline) and low grade inflammation compared to typical skin. If rosacea goes untreated the heat will damage collagen, and the dermis will thin do due to rapid water loss. There is some overlap with rosacea and acne treatment, but because rosacea is considered a reactive skin type, it's best to be extra cautious and gentle with your skin care routine.

Example Morning Routine
Cleanse: Infinity Hydrating Cream Cleanser
Mist: Roccoco Purifying Treatment Essence
Serum 1: Alternate Infinity Hydrating Serum*
Serum 2: AnteAGE Serum
Serum 3: Roccoco Reactive Skin Serum
Moisturizer: Roccoco Peptide Serum or Mirabella Daily Renew Moisturizer
Eye Cream: Roccoco Jasmine Eye Cream
Sun Protection: TIZO AM Replenish SPF 40

Example Evening Routine
Cleanse: Roccoco Pore Cleansing Oil & Infinity Hydrating Cream Cleanser

Mist: Roccoco Hydrating Treatment Essence
Serum 1: Infinity Hydrating Serum*
Serum 2: AnteAge Serum
Serum 3: Roccoco Reactive Skin Serum 4x days / Infinity Revital-A Lite 3x days
Moisturizer: Roccoco Peptide Serum or Mirabella Daily Renew Moisturizer
Eye Cream: Roccoco Jasmine Eye Cream

Roccoco Hydrating Mask (4 to 8 times a month)
Roccoco Papaya Radiance Peel (4 times a month)
Roccoco Peptide Sheet Mask (2-4 times a month)

Mirabella Prime Makeup Primer
Mirabella Invincible Anti-Aging Foundation or Lancome Teint Idole Ultra Liquid 24H Longwear SPF15 Foundation

Alternate the Infinity Hydrating Serum with Roccoco Globiotic if your skin is slow-healing and/or angry. You can also alternate it with Roccoco Agave Dew if your skin is feeling very dehydrated/dry or are wanting more anti-aging action. Agave Dew is film-forming so it should be the last serum you apply before your moisturizer.