Q. I have special sunscreen, topical medication and special makeup. In what order should these three things be applied to my face?

A. From both medical and cosmetic standpoints, it makes much more sense to apply your medication before applying your sunscreen and makeup.

Rosacea has a formidable opponent in Beverly Kuykendall. The 53-year-old computer assistant from Texas was diagnosed with the disorder more than 20 years ago, but she has never let her guard down in the battle against rosacea's signs and symptoms. She arms herself with as much knowledge about the condition as possible, so much that friends refer to her as a "cornucopia of information."

Improper use of oral antibiotics, including long-term use over months to years, has resulted in resistant bacteria that are posing a serious health threat, according to Dr. Theodore Rosen, professor of dermatology at Baylor College of Medicine, at a recent meeting of the American Academy of Dermatology. He also noted that alternative options are available that can minimize this risk.

Soothing cleansing and other measures in addition to medical therapy may help relieve the symptoms of subtype 4 (ocular) rosacea, according to the standard management options for rosacea recently published by the National Rosacea Society (NRS).

"Gentle care in keeping eyelids clean is especially important in keeping eyes with ocular rosacea healthy," said Dr. Marian Macsai, professor of ophthalmology at the University of Chicago and a member of the consensus committee and review panel of 26 medical experts who developed the new standard options.¹

Many of the factors considered potential causes of rosacea are now coming into sharp focus as a result of medical studies funded by the National Rosacea Society (NRS) research grants program, and the growing body of scientific evidence is making major strides toward defining the precise development of this widespread disorder.

For many the coming of fall and winter means strong winds and colder temperatures, both of which can wreak havoc on the sensitive skin of rosacea patients. Even those who live in more moderate climates need to be prepared for sudden weather changes that can bring on a flare-up. Here are some tips to help you through the season:

While some people may enjoy a drink or two as a way to lift their spirits or relax and unwind, many rosacea patients find that alcohol simply adds to their stress level by causing an outbreak of signs and symptoms.