If you’re dealing with rosacea, you know how difficult it can be to treat. Figuring out which products to use on your sensitive or reactive skin can be a risky exercise in trial and error. And while there is no known cure for this chronic inflammatory skin condition, treatments can range from prescription gels to laser treatments and lifestyle changes. One ingredient that is trending right now as a first-line treatment is azelaic acid. Read on to find out more about this valuable addition to your skin care routine.
How Azelaic Acid Helps Rosacea
Rosacea is a skin condition that causes persistent redness, flushing and acne-like bumps (papules and pustules) on the cheeks, nose, chin and forehead. It can be accompanied by swelling and a stinging or burning sensation. It appears most often on the central face, but can also flare up on the neck, chest and scalp.
Azelaic acid is a naturally occurring acid found in grains including barley, wheat and rye. It has both anti-inflammatory and antimicrobial properties, making it a good option for treatment of inflammatory skin conditions like acne and rosacea. It is generally well tolerated by most skin types and, unlike some of the other acids, azelaic acid doesn’t disrupt the skin barrier. Because it's a mild exfoliator, it clears pores gently. It is also helpful in decreasing swelling, killing bacteria and keeping pores clear. Because of its low potential for irritation, azelaic acid is considered safe for daily use.
How To Use Azelaic Acid for Rosacea
Start by washing your face with a gentle cleanser. After serums but before moisturizer, apply your azelaic acid product over the entire face. As with any new ingredient, start slowly. Once daily or every other day to assess sensitivity, then increase to twice daily as tolerated. Do not forget to apply SPF as the final step for daytime. To maximize the efficacy of the products, consistency is key. It could take six weeks to start seeing results.
Side Effects, Safety & What To Expect
You may experience mild stinging, tingling or dryness at the beginning. This is normal and will usually subside within a couple of weeks, but it is a sign to pull back on the frequency of use. You can also “buffer” with a light layer of moisturizer under the azelaic acid to help with sensitive or reactive skin.
Or try the “sandwich method,” and apply a thin layer under the azelaic acid another one over it to help minimize the potential drying or irritating side effects. Again, azelaic acid is known to be less irritating than other acids, so this can be done as a precaution but may not be necessary.
Patience is important here. You may not notice results right away but after a few weeks, you should start to see a reduction in the look of redness, fewer inflammatory bumps, diminished visible blood vessels and overall more even-looking, less sensitive skin.
Frequently Asked Questions
Can azelaic acid make rosacea worse at first?
Some people experience mild tingling, redness or dryness when starting azelaic acid, especially in the first two weeks. This is usually temporary and improves as the skin adjusts. Starting with once-daily application and using a gentle moisturizer as a buffer can help minimize irritation.
How long does azelaic acid take to work for rosacea?
Most people begin to notice improvement in redness and bumps within 4 to 8 weeks of consistent use. Full results may take up to 12 weeks. Because rosacea is a chronic condition, ongoing use is often needed to maintain results.
Is azelaic acid safe for sensitive skin?
Yes, azelaic acid is considered one of the best options for sensitive and rosacea-prone skin. It’s non-comedogenic, fragrance-free and generally well tolerated compared to many other active ingredients.
Is azelaic acid safe for long-term use?
Azelaic acid is considered safe for long-term use and is often used as a maintenance treatment for rosacea, but it is always recommended to talk to your dermatologist or spa professional if you’re having any reactions or for more details about continued use.
If you’re dealing with rosacea and want to explore azelaic acid, visit your nearest Eminence Organics Spa Partner to find out more about skin care solutions that work for you.