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The two main features of Rosacea are an abnormal skin vascular response and skin-barrier fragility.
Rosacea gets worse when the skin is exposed to things that increase the capillary blood flow in your skin or that irritate the fragile skin-barrier.
A number of them increase during the fall and winter. Others happen year-round:
Classic, rosacea trigger-factors include drinking hot beverages, eating spicy foods, being in warm environments (such as running indoor heater).
In many rosacea cases,when the skin’s capillary network dilates, rosacea gets triggered. Hot beverages, spicy foods, exposure to hot environments, and strenuous exercise all cause skin vasodilation. Menopause is associated with worse rosacea, and anyone who has gone through it knows that the "hot flashes" are associated with flushing and vasodilation.
Extremes in weather, such as strong cold wind, will trigger rosacea. Sun and humidity aggravate rosacea, too. Heat causes vasodilation. Wind and cold may also, but these cause additional skin-irritation by damaging the fragile, rosacea skin-barrier.
Harsh skin-care products trigger rosacea through irritation of the fragile rosacea skin-barrier. Products such as alpha hydroxy acids, retinoids, rubbing alcohol, acid face peels, and other irritants will seep readily into a rosacea-prone skin and trigger an acute flare.
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