11.March 2025

Couperose: Redness & visible veins – causes, care & solutions

Haut  - Hautgesundheit  - Hautkrankheit  - Hautpflege  - Lebensstil 

Redness, visible veins, and sensitive facial skin – many people struggle with these symptoms and are often unsure whether it's rosacea or another skin condition. Rosacea is a common skin condition caused by dilated capillaries on the face. Although it's often confused with rosacea, there are clear differences.

What is couperose?

Couperose is a vascular weakness of the skin characterized by persistent redness and dilated blood vessels (telangiectasias), particularly on the cheeks, nose, and chin. The skin appears sensitive, tends to be dry, and reacts strongly to external stimuli such as temperature fluctuations or certain foods.

Causes of couperose

The exact causes of couperose are varied and can be both genetic and environmental:

  • Genetic predisposition: A familial predisposition to weak connective tissue and sensitive blood vessels increases the risk.

  • Weak connective tissue: Low elasticity of the skin vessels leads to easier dilation of the capillaries.

  • Increased permeability of the blood vessels: The fine veins react more sensitively to external influences and dilate more quickly.

  • UV radiation: Sunlight can permanently dilate blood vessels and cause additional damage to the skin.

  • Extreme temperatures: Both extreme cold and heat irritate the blood vessels and promote redness.

  • Alcohol consumption: Alcohol dilates blood vessels and can intensify existing redness.

  • Spicy foods and hot drinks: These stimulate blood circulation and can worsen symptoms.

  • Hormonal influences: Hormonal fluctuations, e.g., during pregnancy or menopause, can promote couperose.

  • Stress: Emotional stress can lead to increased blood flow in the face and worsen symptoms.

How does couperose differ from rosacea?

Couperose is primarily a cosmetic condition characterized by dilated capillaries, whereas rosacea is a chronic inflammatory skin disease. While couperose primarily causes redness and dilated blood vessels, rosacea also causes inflammatory pustules, swelling, and progressive deterioration of the skin. If left untreated, however, couperose can progress to an early form of rosacea.

Treatment and care for couperose

Gentle care tailored to sensitive skin is essential to soothe the skin and prevent further vascular damage. Mild, non-irritating cleansers and soothing moisturizers help strengthen the skin.

Important care and treatment tips:

  • Sun protection: UV radiation can worsen symptoms. Daily sunscreen with a high SPF is essential.

  • Non-irritating skin care: Products containing niacinamide, vitamin C, or soothing ingredients like chamomile and aloe vera can help strengthen skin.

  • Avoid trigger factors: Alcohol, spicy food, hot drinks or extreme temperatures should be avoided.

  • Laser treatments: In cases of severe redness, dermatological laser treatments can help reduce visible veins.

Conclusion

Rosacea is a common but harmless skin condition characterized by dilated capillaries and redness. Consistent skin care and avoiding trigger factors can help alleviate symptoms. While rosacea is a progressive skin condition, rosacea usually remains stable with proper care. Those suffering from persistent redness should take early action to protect their skin and improve its appearance.

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