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Rosacea is an inflammatory skin condition that usually occurs on the face. The chronic condition has a high degree of severity and appears in those affected for the first time at aged 30-40, and in some cases even earlier. People with light skin types are frequently affected.
Couperose exhibits similar symptoms and is frequently referred to as an early stage of rosacea, the two terms are often used as synonyms.

What are the causes of couperose and rosacea?

The exact causes of couperose and rosacea are widely unknown. However, several factors appear to be responsible, such as genetic factors, a light skin type and chronic UV rays. The condition can become worse if oily or irritating preparations (ointments) are used as well as with long-term treatment with cortisone cream.

Forms of the condition and treatment

It is not yet possible to cure the skin condition. However, there are a wide variety of treatments that can effectively control it, depending on the severity. This is why it is important to know the different forms:

Erythematotelangiectatic rosacea

This condition is characterised by inflammation of the blood vessels. It manifests itself in diffused redness or visibly dilated vessels. It can be treated with lasers or pulsed light over several sessions. This is performed in our aesthetics department. While these treatment costs are usually covered by private health insurance, patients with statutory insurance generally have to cover the costs themselves.

Acne rosacea

This form primarily manifests itself as inflammation of the sebaceous glands. Pustules, spots and nodules develop. The condition is treated using creams or tablets.


This is a so-called bulbous nose. This occurs very rarely and almost exclusively in men. While the progression of the condition can be prevented with tablets, pronounced cases can only be treated with surgical excision.

Ocular rosacea

Do you experience dry, burning, red or teary eyes? Then you may be suffering from rosacea of the eyes. Therefore, every patient with rosacea should visit an ophthalmologist.

What else can you do?

Trigger factors:

Avoid triggering factors that can exacerbate the symptoms. These include alcohol consumption, going to saunas, spicy or hot food, nicotine, coffee or physical exertion.

Skin care and cosmetics:

Knowledge about the right skin care for couperose and rosacea is very complex. Many patients suffer from very sensitive skin that often burns or is irritated. It is very important not to use any irritating or oily products; there are also special care products that can reduce or prevent the progression of rosacea. This is why we recommend that every patient attend a care consultation with a medical aesthetician. They perform special cosmetic treatments on rosacea in addition to medical treatment. Regular treatment can effectively reduce swelling of the facial skin and inflammation. These treatments are frequently covered by private health insurance but not statutory health insurance.