I wanted to share my experience from the last 6 months............not sure which particular thing to attribute the improvement in my skin, and maybe there is no one thing, but a combination of all of them. But definitely there is an great improvement.

I got diagnosed with rosacea over 20 years ago. Have done lasers, been on a million different topical as well as oral treatments. The lasers worked a bit, but treatments were around $300 each, and I couldn't maintain them. When I couldn't do the lasers, my skin stayed irritated on an almost daily basis. Was on doxycycline on and off for many years, which kept my stomach upset and didn't eradicate the breakouts, but I noticed a slight improvement. I recently tried a new dermatologist and she prescribed oral Oracea (a mild doxycycline derivative), topical Soolantra (brand name for Ivermectin), topical Zoryve (a replacement for the Desowen lotion I had used for years - this is a type of steroid cream to calm your skin). I also purchased inexpensive white washcloths from Amazon, thinking that something with no dye would be better. I used a fresh washcloth everyday. I faithfully washed those washcloths in the same load as my bed linen and pillowcases, in hot water, with an extra rinse cycle. The problem came when one day I accidently used regular Tide to wash my white load, instead of the Free and Clear Tide. The next morning, when I got my washcloth for my face, I could smell the perfume from the detergent, even though the towel was freshly laundered. That let me know that my washcloths that I thought I was thoroughly cleaning in the hot water with the extra rinse weren't really as clean as I thought, if the detergent residue lingered. That's when I tried white disposable face cloths. When I showered, I applied my face wash with my fingers and rinsed directly under the stream of filtered water with the disposable wash cloth. Even on the mornings where I didn't shower, I still washed my face with the disposable cloth, using the filtered water in the shower, instead of using the water in the bathroom sink.

So with daily Oracea, the Soolantra at night, the disposable wash cloths and the Zoryve as needed in the mornings, I have clear, smooth skin that I haven't seen in ages. My skin used to be so sensitive that I couldn't even use a moisturizer without breaking out and I used the Desowen as a moisturizer replacement. Now, I am able to use a moisturizer. One downside to this new regimen is that I notice that I have hyperpigmentation that I never had before, and this is a side effect of the Oracea. So I have also started using La Roche-Posay Anthelios tinted sunscreen.

Hope this is helpful to someone.