Q. Which is the best peel for rosacea?

Hi doctor,

I am a 29 year old male. My height is 5'5", and weight is 69 kg. I have been suffering from acne, redness and often small, red, pus-filled bumps on my face since I am 14. I visited a lot of dermatologists, but they never able to identify the reason. I have got prescriptions and that never really helped me. The conditions worsened a year ago, and I got them on my cheeks, forehead and nose. I thought that it was a normal acne until I finally visited an experienced dermatologist, who suggested that I had subtype 3 rosacea, sensitive and oily skin. He prescribed me some medicines first, and it gave me huge relief. I got rid of all the acne within 10 days. Three months passed and as the winter season came nearer, they again started appearing all over my face and then gone after some time. I visited dermatologist again who suggested me to take regular peels. I started taking sittings of peeling and after one or two peeling my face started improving and got clear in some time. Peeling worked like magic. It was superficial face peel, but do not know about the acid content and the type of acid he used to apply. He used to say that he was giving me mild peel. I stopped taking peeling as I had to leave my place and shift to the different location due to the job change. It was good for a couple of months until the temperature change. I started getting rosacea symptoms again though at this time rate of acne and bumps was low, still, it bothered a lot. Currently, I am on medication which my old dermatologist suggested. It is Papulex face wash for summer, non-drying cleanser for winter, Fisioativ cream for the night to moisturize the skin and Fix Derma UV protection, which I still apply daily thrice a day. The only thing I notice is that in my case rosacea comes back when there is a temperature change and also some stress. But, peeling is the only real magic for me. Please suggest the best possible peeling solution available. Can I use it at home probably once in 15 days?

Hi doctor,

Thank you for your reply. My previous doctor did not advise me to take oral medicines rather he suggested peeling treatment for continuous two years. But, I could take only 5 to 6 peels and then I had to shift to another place. Also, these peels are very costly and hence getting them every 15 days is a load on your pocket. The only thing I am looking for is the best quantity of peeling solution that can work for me. You have already seen my photos, and therefore I just want to know whether I should use Salicylic or Glycolic or Azelaic alone or their mixtures and also the percentage and pHlevel. I understand that they can cause problems, but if they do, I will stop applying them immediately.