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What is couperose?


Healthy skin.

Couperose is an alteration of capillaries where they continuously dilate. Due to this dilation, they become more visible than usual and they end up reddening the area where they are located. The capillaries look like little red tree-shaped threads. Experts call this couperose or telangiectasias. It is a genetic and hereditary disorder although there are several factors which favour the vasodilation of facial capillaries.

Couperose usually appears on the face, but it can also appear on other parts of the body such as the neck and chest.


Symptoms of couperose

  • Redness: It is more frequent on the face. At first, the redness may come and go, but it may become permanent with time.
  • Dryness and sensitivity of the skin.



Factors that usually favour vasodilation:

  • Alcohol.
  • Stress: the vessels dilate as the heart rhythm increases.
  • Sudden change in mood. Intense emotions also cause redness of the face.
  • Hot or spicy food and drinks. They raise body temperature and dilate vessels.
  • Sudden changes of the temperature.
  • Steam and other treatments that use heat, as well as sun exposure.
  • Hormonal disorders and pregnancy.
  • Other factors such as hypertension, diabetes, and other conditions.

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Who can be affected by couperose?

In general, couperose affects people who have light and delicate skin. It affects women more than men. In people who are genetically predisposed to suffer it, it usually appears between the ages of 20 and 50. Although it is a dermoaesthetic inconvenience initially, it can turn into rosacea after some time, generally between the ages of 30 and 40. This forces to add measures as soon as couperose is detected.

Factors which aggravate the condition such as hot or extremely cold environments should be avoided. The use of radiators, heaters, etc. should be monitored. Extremely spicy food and prolonged sun exposure should be avoided as well. Sunblock creams are recommended. Moisturisers will ease the dryness sensation of the skin. Products which stimulate blood circulation are also recommended. Products which contain acids, fragrances, and essential oils should be avoided. Mineral make-up is preferable.

But once the capillaries become more visible and this occurs more frequently, it is time to evaluate a possible treatment. Dr. Serrano Clinic will be happy to have you. We should highlight, however, that your genetic component may cause relapses.


Treatment for couperose

  • Laser: It is the best option for couperose and for the dilated vessels on the face. The laser coagulates the dilated vessels and, although patients usually tolerate it, it can cause small inflammation that will disappear a few days after the session. Among the more often used lasers to treat couperose, we find pulse lasers and intense pulse light systems which are based on the generation of a strong high intensity polychromatic light. These treatments might need several sessions. The devices used are Diolite 532 and vascular laser N-Yang 532, and 1064 Light C.
  • Creams: Some cosmetic products can soothe the skin and strengthen the capillary walls. The ones which have vitamin K are highly recommended.
  • Herbs: Chamomile, lavender, lemon balm, aloe, and some other herbs soothe the skin and reduce swelling. They can be applied through compresses, creams. oils, drinks, etc.
  • Electrosurgery: It consists on the drying of the affected vessels using an electric scalpel and a needle. This method is no longer in use as it can cause burns and scars on the skin, and the resulting dermoaesthetic damage.
  • Sclerotherapy: It consists on injecting a substance inside the vessel, which generates the fibrosis of the vein tissue. It is also out of use because it might cause necrosis of the adjacent skin.

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Diagnosis and treatment of couperose in Valencia

Dr. Gabriel Serrano Sanmiguel

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