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Is it Rosacea?

Updated: Sep 8, 2023

We often have guests come in with an array of skin sensitivities, and this time of year is no exception. Touting our spa as a haven for those with sensitive skin and have been trained in oncology esthetics, we see all kinds of skin conditions and know how to treat THEM gently and effectively. Some clients experience seasonal flare ups, rashes, reactions to such an extent that we think it best to refer them out to one of the trusted dermatologists whose contact info we keep here due to their expertise and care. Having been in the field of aesthetics for several decades now, I have accrued enough experience to know how to distinguish a common histamine reaction from actual rosacea. Here are some factors…

Rosacea is more common for those with fair skin. Most people develop rosacea over the age of 30. Anyone can develop rosacea and it may be hereditary. While it’s best for a dermatology provider to officially diagnose you with rosacea, some common symptoms include facial redness, flushing, acne-like bumps, and visible blood vessels (telangiectasias). Some people with severe cases of rosacea can develop phymatous changes (thickened irregular skin). This most commonly occurs on the nose. It can occur on all skin types, including oily, and is most often misdiagnosed on those with oily skin as acne.


While there is no cure for rosacea, we CAN be proactive. With regular skin treatments, a plan from your derm, and good skin care products like Hale & Hush and HYLUNIA (info on website: make an appointment today, we can help reduce the symptoms.

Rosacea may not be curable, but the good news is that it’s treatable.

Now, another note: did you know rosacea usually appears in cycles known as flare-ups? Flare-up variations are determined person to person, so you need to do your own research to find out what your triggers are. Some common triggers include harsh acids like glycolic acid and chemical peels, retin a, tretinoin etc., menthol (often found in cold creams; may feel good on the face initially but not good overall), artificial fragrances, alcohol.

Other triggers can be:

  • Stress

  • Cold weather or humidity

  • Prolonged wind exposure

  • Intense workouts

  • Alcoholic beverages

  • Spicy foods

Your dermatologist may prescribe medications like “Metrogel” or “Azelaic Acid”. Use as directed. These are formulated to calm and soothe depending on the type of rosacea you are diagnosed with.

Use oil free, gentle cleansers and moisturizers from holistic SOURCES like Hylunia and Hale & Hush (formulated for Sensitive Skin, available at MISSION Day Spa) and try and reduce stress internally and externally.

Here is a fresh mask recipe to try at home to comfort and soothe your skin in the meantime.

One fresh cucumber

1 tsp honey

1/2 cup water

1/4 cup finely ground oats ground in coffee grinder

1/4 cup aloe gel

1/4 cup

rose water (can get in natural food section at grocer)

Blend together & keep in fridge up to one week. Apply to clean skin for up to 10 min.

Ingredients in mask match skins natural ph and help balance and soften.

•continue to use your pharmaceuticals

•don’t use any other harsh ingredients or chemicals

•calm your skin from the inside with ginger, turmeric, beet juice (if you can), clean eating and avoid inflammation triggering foods.

Jesseca Zollars Smith

Owner/MISSION Day Spa

Licensed Master Aesthetician

Licensed Continuing Education Provider for TDLR

Licensed Aesthetics Educator, sensitive skin specialist, oncology esthetics trained. Wimberley resident, Jesseca apprentices Wimberley ISD students at her spa. With 30 years in the spa industry and a background in cosmetics chemistry, Jesseca holds CE classes Monday evenings and online. “We only make it if we all do”.

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