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Couperose is a dilated capillary network located mainly on the face. In cosmetology, such vessels are called couperosis, in dermatology - telangiectasia. On the face, couperose is found mainly on the nose, wings of the nose, cheeks and chin. Couperosis is mainly found in people with fair and sensitive skin. Visually, it looks like a network of small blood vessels in the skin. Symptoms include skin inflammation and redness, burning, itching and prickling sensation.


At a young age, the vessel wall is healthy, the vessels expand when there is a need for increased blood circulation and narrow when there is no need. Over the years, the elasticity of the connective tissue fibers decreases and the vascular walls weaken. As a result, due to the effect of blood pressure, the veins expand and increase in size and, unable to return to their previous state, begin to appear on the face. This condition is called couperosis.

Symptoms of couperosis:

  • Enlarged nodules are formed on the face, which are fed by many blood vessels
  • Characteristic vascular asterisks are formed
  • Pinkish veins are formed from the skin
  • At the initial stage of the disease, vascular asterisks occupy a small part of the face, but without treatment, they spread to most of the face

Types of couperose:

Couperosis is congenital and acquired. Congenital couperosis can result from a number of congenital blood disorders. Acquired couperosis can occur as a result of the following diseases:

  • Rosacea (rosacea)
  • Ultraviolet radiation
  • Venous insufficiency
  • In liver pathology (hepatitis, cirrhosis, hepatosis)
  • In diseases of the endocrine system
  • In excessive alcohol consumption
  • To smoke
  • Malnutrition
  • Hypertension disease
  • Stress, neurosis, depression


Treatment of couperose can be general and local. Local treatment includes ointments and creams containing metronidazole, azelaic acid, pimecrolimus, tacrolimus, ivermectin (Solantra), cold soaks, etc. belongs to. However, these treatments give very little results. In recent times, "PDL" and "ND fat" lasers are used as the most effective treatments for the treatment of cuperosis.