Several lifestyle factors can make rosacea worse, although these are not the same for everyone because people have different reactions to the same ingredients or external elements. These catalysts can include hot liquids, spicy foods, exposure to extreme temperatures (including cooking over a hot stove), alcohol consumption, sunlight, stress, saunas, hot tubs, smoking, rubbing or massaging the skin, irritating cosmetics, and anything else that overstimulates the skin and blood vessels.