Can I Exfoliate If I Have Rosacea?

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

In my view, exfoliation has minimal benefits even in healthy skin. In rosacea the risks of triggering a flare are much greater so I advise against it.

How to smooth texture without stripping?

Often, the best way to improve texture in rosacea-prone skin is not through direct exfoliation. Instead, focus on treatments that normalise skin cell turnover without irritation. Azelaic acid is excellent for this, as it has a mild keratolytic effect that smooths the skin while also reducing redness and inflammation. A prescription retinoid, introduced very slowly and applied with moisturiser, can also improve texture over the long term, but may require careful guidance from a dermatologist.

Dr. Magnus Lynch, Consultant Dermatologist

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

I am the founder of Revessa Health which provides online consultations for acne and rosacea across the UK (see below).

Can I Exfoliate If I Have Rosacea?

How to smooth texture without stripping?

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About Dr Magnus Lynch

The Online Acne & Rosacea Specialists