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The skin reacts in a positive manner to the chemistry it recognizes, and conversely does not react, or reacts adversely, when presented with chemistry it does not recognize. Natural does not necessarily mean appropriate, effective or better. This is basic immunological science.

There are no miracle ingredients. Amino acids, proteins, enzymes, vitamins and antioxidants represent the full extent of the useful ingredient gamut, and are the only ingredients with which to create an environment in which skin can thrive.

No single ingredient, prescription medication, product or machine can alleviate all the signs of rosacea.

Cosmetics are the product of trends driven by marketing and the bottom dollar. Examples include the aloe vera and Retinol craze of the 1980s, and the Alpha Hydroxy Acid fad of the early 90s. Cosmetics, by legal definition, are not therapeutic.

Containing typically less than 3% active ingredients, their remaining volume consists primarily of buffers, fillers and emulsifiers. Their primary appeal lies in their texture, fragrance and packaging — they are the cohorts of make-up, not therapy.

In contrast, many dermatological ingredients are non-prescription, complex, precise and above all else therapeutic.

These proven topical agents, used in the right concentrations are crucial to effective, modern rosacea treatment.

Used alongside metronidazole, azelaic acid and other prescription topicals, they bridge the gap between partial results and more permanent improvement.

Some formulas are able to be individualized by one of the Clinic's chemists.

Author: Peter Wilson.

Reviewed: Sunday, December 2, 2012.

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