Rosacea is an inflammatory skin disease that causes facial redness. You may mistake some of its characteristics - small, red, pus-filled bumps or pustules - for acne. In fact, rosacea has been called adult acne or acne rosacea, but the disease has little to do with the pimples and blackheads that commonly afflict teenagers. It's also a misconception that this red-faced condition is caused by drinking alcoholic beverages.

Rosacea affects mostly adults, usually people with fair skin, between the ages of 30 and 60. Although it's more common in women, men may develop more apparent signs of the disorder. It's not life-threatening, but it can affect your appearance and lower your self-esteem.

Left untreated, rosacea tends to be progressive, which means it gets worse over time. However, in most people, rosacea is cyclic, which means it may flare up for a period of weeks to months and then signs and symptoms lessen for a while before rosacea flares up again. Besides acne, rosacea can also be mistaken for other skin problems, such as skin allergy or eczema. Once diagnosed, it's quite treatable.

Skin Renewal Tip

It must be emphasised that Rosacea is a chronic condition and cannot be cured; however, its appearance can be improved. The revolutionary fourth-generation IPL device Limelight ™ or Candela V-Beam shrinks the tiny vessels causing diffuse redness and dramatically improves the outcome of redness and rosacea.

Frequently Asked Questions

The cause of rosacea is unknown, but researchers believe it's likely due to some combination of hereditary and environmental factors. Although the exact cause of rosacea remains a mystery, a number of factors can aggravate it or make it worse by increasing blood flow to the surface of your skin. Avoid any activity or ingredients that might provoke an inflammatory reaction.

Some of these include:

  • Hot foods or beverages Spicy foods
  • Alcohol
  • Temperature extremes
  • Avoid sitting in front of fires
  • Sunlight
  • Stress, anger or embarrassment
  • Strenuous exercise
  • Hot baths, saunas, steam rooms
  • You may be sensitive to chlorine in swimming pools
  • Corticosteroids
  • Drugs that dilate blood vessels, including some blood pressure medications

At Skin Renewal all patients with skin conditions are treated holistically by ourexperienced medical doctors. In other words, in an rosacea consultation at Skin Renewal, your doctor will take a comprehensive history to ensure that there are no underlying medical conditions which are contributing to you rosacea.

There are numerous significant medical conditions that are associated with rosacea which we need to identify and address. Conditions such as low stomach acid, dysbiosis and leaky gut all compromise skin and may cause rosacea but more importantly these conditions may have future health ramifications such as auto immune disease, food sensitivities, allergies, asthma, depression and even cancer if they are not adequately addressed.

In addition, low stomach will eventually lead to low levels of Zinc and other important minerals and vitamins which are essential for healthy skin.

From what you are describing , it sounds like it could be rosacea. Rosacea is a common condition we see at our clinics, what is important to note is that Rosacea almost always have an internal trigger causing systemic inflammation, so it is important check your diet, some food might be the trigger. When is comes to homecare, we need to start rebuilding your skins barrier, look for ingredients such as peptides and ceremides. For the redness, various ranges have anti-redness serums or creams that will help reduce redness by rebuilding health capillaries and reducing skin inflammation. 

This is not an uncommon occurrence, unfortunately. The problem is that the Tetracycline and Rosex gel, while brilliant tools to help with coping with the Rosacea is only a temporary solution as it is treating a SYMPTOM, and not the actual CAUSE of the problem. So unfortunately, it will keep the problem at bay for a short while, but recurrence will happen due to the underlying triggers not being treated. VERY often the problem is internal and normally gut-related. The aim to help you in the long term would be to sort out what is triggering your Rosacea and then focus the treatment on that trigger so that we address the cause. While that is happening, we can certainly also treat what we are seeing topically to help deal with the appearance of your skin, but the real issue needs to be to focus on managing the cause so that you don’t get this problem reoccurring all the time. 

At Skin Renewal, during your initial consultation with one of our qualified doctors, it may be advised that you are checked for low stomach acid thereafter a complimentary Betaine HCl acid test is explained and done.


  • Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.
  • Adequate Stomach acid prevents dysbiosis
  • Adequate stomach acid will help prevent a "leaky gut" with all its health ramifications from developing
  • Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.
  • Adequate stomach acid is necessary for the absorption of the B vitamins.
  • Stomach acid activates protein-digesting enzymes and is necessary for proper digestion of protein.
  • Adequate stomach acid is necessary for the pancreas to release its cascade of digestive enzymes for absorption of carbohydrate and fat.
  • Sub-optimal fat digestion means we won't benefit from the anti-inflammatory properties of omega-3 fats, nor the wide array of beneficial effects of fats for fertility, skin health, immunity, etc.
  • Adequate stomach acid destroys pathogens (bacteria, fungi, parasites etc) and a lack of stomach acid can lead to bad bacteria proliferating in the small intestine dysbiosis (bad bacteria) and unwanted parasites which have Health Renewal ramifications down the line.

How can we expect to stay healthy with healthy skin if we have chronically poor nutrient and mineral absorption due to incomplete digestion? In fact, absorption can be reduced to the point where even if someone is consuming a nutrient-dense diet, they can suffer both sub-clinical and overt deficiencies. This is because they are not assimilating those nutrients because they have low stomach acid.

We can treat rosacea topically but if we don't improve the absorption problems associated with rosacea, then the condition will resurface at a later stage.

Having normal levels of stomach function the first important step for a healthy skin and immune system. If ones stomach acid is adequate, the rest of one's digestion and absorption won't be compromised. At Skin Renewal our doctors will explain and check for low stomach acid to ensure optimal treatment of your rosacea condition.

Topical Therapies:

At Skin Renewal, we offer traditional topical therapies such as Azelaic acid as well as prescription medications to treat Rosacea.

The following is a list of skincare ingredients to AVOID if you have redness and rosacea, alpha-lipoic acid, acetic acid, allantoin, balsam of Peru, benzoic acid, camphor, cinnamic acid, cinnamon oil, cocoa butter, coconut oil, DMAE, isopropyl isostearate, isopropyl myristate, lactic acid, menthol, parabens, peppermint oil and quarternium -15.

Don't use toners on your skin if you have rosacea unless witch hazel is used.

Sunscreens that cause sensitivity and to be AVOIDED are avobenzone, PABA, benzophenone, butyl methoxydibenzoylmethane, octyl methoxycinnamate, Methyl benzylidene camphor, phenyl benzimidazole sulfonic acid.

Sunscreens which can be used for sensitive skins contain micronized zinc oxide, recommended especially for oily skins.

In-Office Therapies:

At Skin Renewal, we offer light and laser therapies such as Limelight ™ Photo Genesis ™, Candela V-Beam, Photodynamic therapy, and Laser genesis™ to improve redness. As each patient's case is different; we will tailor a treatment program specifically for you and your circumstances. A highly professional team led by a medical doctor assesses every patient and an appropriate combination treatment together with a long-term maintenance program is recommended.


See all reviews
*Please note results may vary by individuals.
Review -Facials and Pedicures
Reviewed on 28 June 2018 by Anne-Marie Louw

Excellent service. Feeling great. Thanks Sharon

Review -Treatment
Reviewed on 28 May 2018 by Anonymous

One of the best treatments ever experienced, and I have had a lot. Skin felt fantastic from the first touch. I love being here.

Review -Always takes great care of me!
Reviewed on 9 February 2016 by Tammy Theron

Beverley has been my therapist and she is always clear on the treatment and post care. She is very gentle and takes the time to explain everything. She makes you feel very relaxed and always takes great care of me.

Review -Helette at Willowbridge!
Reviewed on 24 December 2015 by Cookie Pillay

Always excellent service and treatments, Helette and all the consultants are always very helpful and knowledgeable.

Review -Helette!
Reviewed on 23 December 2015 by O.S from Willowbridge

I have been a customer of Helette at Willowbridge fo a couple of years and my skin is radiant. the anti-ageing results achieved is much more than expected!

Review -Great Massage!
Reviewed on 23 December 2015 by Rene Solomon

Really great treatment. Thoroughly enjoyed the treatment and very professional therapists!

Review -Turning back time!
Reviewed on 6 November 2014 by Anonymous

Unfortunately one cannot undo years of damage in a day, yet with the help of professionals is it possible to regain and repair what you once had and lost. To Skin Renewal Stellenbosch and my therapist Jana, it is great to get what you expect for a change. Thank you & Well done!

Review -Excellent Service, Brilliant Results!
Reviewed on 11 September 2014 by Anonymous

I have been treated at multiple branches around Cape Town for the past three years for a number of different skin conditions. I always feel most at home with Bianca in Constantia, her ability to listen to my concerns and develop a plan that gets the results I am after is unparalleled. I am a lifetime customer, thank you Skin Renewal Constantia!

Review -Take that Rosacea!
Reviewed on 10 September 2014 by Anonymous
Very happy, explained very well before and during treatment. Happy with results so far!
Review -I am forever a fan!
Reviewed on 2 September 2014 by Anonymous

I arrived at Skin & Body Renewal in 2011, a very desperate Rosacea sufferer, having tried every product available on the market. Nothing helped and the condition was quickly getting worse. The treatment i received resolved every symptom and 3 years later my skin remains clear with no redness. I am forever a fan!

Sharon Izak Elaine Chat staff ) WhatsApp