I have updated my treatment contraindications after much experience with Rosacea. Zone Face Lift is a vigorous and stimulating sculptural massage and may not be suitable for those with rosacea, but if the rosacea is mild then adaptions can be made to ZFL such as using amethyst rollers instead of Gua Sha and avoiding the stimulating massage on affected areas, usually cheeks. Facial reflexology or a classic facial may be more suitable.