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.

Related articles

• A Simple Rosacea-Safe Skincare Routine
• Best Ingredients (and Worst Irritants) for Rosacea
• Retinoids for Rosacea

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis and treatment, Mohs micrographic surgery, facial reconstructive surgery, laser treatments, regenerative dermatology, acne, rosacea and acne scarring. Since 2019, I have been passionate about sharing information online about dermatology and skin care. 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 and skin cancer diagnostics, and I constantly aim to translate the latest findings into better patient care. You can learn more about my Research.

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.

How I can help

My NHS practice is at Guy's Hospital. I consult with private patients at several well-appointed and conveniently located sites across central London:

• London Bridge Hospital: Conveniently situated within The Shard, next to London Bridge station.
• Skin55 Ltd: Located at 55 Harley Street, this beautiful Edwardian building houses one of the largest private dermatology facilities in the UK with a comprehensive laser suite.
• OneWelbeck: Located close to Bond Street underground station. Mohs surgery, lasers, and other skin surgeries are performed in the state-of-the-art surgical suite here.

A new consultation is £250, a follow up consultation is £220. For more information on fees, please visit Prices.