I have always had combination skin, and rarely had break-outs. When I turned 40 last year, my skin changed. All of the sudden, I had rosacea! After extensive research, I decided to try this cleanser. Literally after 2 uses, my rosacea seemed to disappear! I still get little flare-ups, but I just wash my face and it calms right down. This is my new cleanser for life!