Rosacea, couperosis & facial redness

Rosacea is a skin disorder which manifests itself through the development of redness on an adult’s face. It is a chronic condition and has a vascular component (couperosis) and an acneiform component (acne rosacea).  The vascular component can be treated well with lasers. The acneiform component often requires topical or systemic agents.

Different forms of Rosacea:

  • Couperosis, the vascular form with diffuse redness and permanently dilated blood vessels (telangiectasia), especially on the cheeks, nose and chin.


  • Acneiform component:​ papular or papulo-pustular form with the presence of pimples, red papules (bumps).


  • Rhinophyma (also called 'potato nose), an irregular swelling of the nose, due to sebaceous gland hyperplasia (a visible enlargement of the sebaceous glands in the skin) and a process of fibrosis (increase of connective tissue in the skin).

Rosacea patients are known to have recurrent 'attacks' or 'flare-ups', in which the redness in the face worsens and pimples and bumps may be visible. The 'pimples' are sometimes confused with classic acne pimples, but they do not have the same origin.

In rosacea skin, the pores are often colonized by a small skin parasite, Demodex folliculorum (mite).

Rosacea is, because of the redness of nose and cheeks, often mistakenly seen as a sign of excessive alcohol consumption, which can have quite a serious psychosocial impact on the patient.

Couperosis tends to be more present in fair skin and sun exposure can aggravate the development of facial redness.

The best treatment consists of sun protection and medical treatments, combined with different 

vascular laser treatments.

Rhinophyma will be treated with surgical electrocoagulation and CO2 ablative laser.

Possible treatments

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