Couperose is a chronic disease accompanied by the expansion of small vessels on the face, impaired nutrition and skin structure.

It may seem that red cheeks are not a disease, but dilated vessels are a sign of a violation of the elasticity of the vascular wall, and couperose is a fairly serious disease.

Couperose affects:

  • cheeks (most frequent localization)
  • wings and nose
  • the chin
  • brow and forehead

When can couperose be suspected?

With couperose, the vessels on the face expand and become visible. At the same time, microcirculation in the surface layers of the skin is disturbed, as a result, it lacks nutrients, becomes faded, sensitive and irritable.


Couperose before and after 2 treatments

Photo: Couperose before and after 2 treatments


Usually couperose develops gradually and many years can pass from the initial manifestations of the disease to the 3rd stage. However, in some cases, especially in young patients, the disease can develop faster.

Three stages (stages) of cuperose:

  1. The first stage – redness in the form of moderately persistent erythrosis (long-lasting redness). Red veins on the face arise against the background of visiting sites, physical activity or other stress, lasts for some time, after a few hours it spontaneously passes.
  2. The second stage – the redness of the cheeks is already constant, small constantly expanding capillaries are visible on the skin. Against the background of temperature, physical and other stresses, redness intensifies, redness does not completely pass.
  3. The third stage – dermatosis develops, chronic inflammatory skin damage. Against the background of a constant violation of micro-circulation and lack of nutrients, the face acquires a lifeless, dull colour, redness becomes burgundy, sometimes even bluish.

Why does couperose occur?

The emergence of couperose and its progression is a multifactorial process. However, the main role here is played by genetics. In the majority of our patients with couperose, the history reveals the presence of this disease in close relatives within two generations. Also, couperose is associated with serious diseases, such as lupus erythematosus and scleroderma.

Additional factors contribute to the progression of the disease:

  1. Temperature stresses and hydrocarbon damage (excessive enthusiasm for tanning, sunbathing, bathing provokes the expansion of facial capillaries).
  2. Chemical damage (infatuation with chemical peels or improper selection of cosmetics with acidic pH can provoke skin depletion and manifestation of couperose).
  3. Hormonal disorders (including natural hormonal bends, pregnancy, childbirth, menopause, etc.).
  4. Systematic smoking and alcohol abuse.

Cuperose treatment

Before, treatment of couperose was practically not carried out, since there were no methods for safe and reliable correction of the vessels on the face. However, at present, getting rid of the disease is not difficult at all.



Photo: Couperose before and after a course of treatment in Vitaclinika

A complex technique has been developed for the treatment of couperose in Vitaclinika. Under the supervision of a dermatologist, a diagnosis is made, additional tests or studies are carried out if necessary, and drug therapy and laser or IPL treatment are prescribed under the supervision of a laser therapy physician.


Book a visit to a dermatologist for the treatment of couperose in Tallinn:

A key role in the removal (or rather, in the reduction) of dilated capillaries is played by modern techniques. In Vitakclinika, the removal of capillaries is carried out on the devices of the world famous company Lumenis, the “gold standard” of IPL therapy. As an additional technique, a vascular Nd: Yag laser is used for some zones.

Depending on the vascular pattern, stage of the disease, age and gender of the patient, the laser therapist selects the parameters and determines the technique.


Book a visit to a laser therapist to remove couperose (after confirming the diagnosis):



The capillary removal procedure is carried out in Vitaclinika (Tallinn) in a comfortable equipped medical room. The procedure is performed by a laser therapy doctor. The procedure does not require anesthesia; it is performed using cooling equipment or cooling gel packets to prevent skin microtraumas and increase patient comfort.

Video: Couperose before and after 2 treatments


During the procedure, the patient feels a tingling sensation (from mild to palpable ulcers, depending on the stage of couperose).

After the procedure for removing blood vessels on the face, the treated zones turn pink intensively, this reaction takes place within a few hours, less often lasts longer.

Within a few weeks, the treated vessels decrease in size or completely disappear, the skin colour normalise, the reaction to irritants becomes more calm.



Photo: Couperose before and after 2 treatments


After 3-5 weeks, a follow-up visit is carried out and the procedure will be repeated with the new parameters, in accordance with the reaction of the vessels to the first procedure. In total, getting rid of an unpleasant capillary network on the face requires from 2 to 3 (rarely more than 3) procedures.

What are the limitations after the rosacea removal procedure?

After the procedure for removing cuperose, in most cases a standard restrictive regime is applied: for 2 weeks, exclude saunas, baths, a solarium, sports and tanning. For a month using sunscreen SPF50 + is prescribed.


Question: When to start treating couperose?

Answer: Prevention of couperose is cheaper than its treatment in the third stage. Doctors at the Vitaclinika advise starting work with couperose as soon as vessels on the face appeared.

Question: Couperose removed, is it forever?

Answer: In Vitaclinika you can remove the expanded capillaries on the face, improve complexion, increase the comfort of life, but the genetic predisposition remains. In some people, over time (sometimes after 4-5 years), the cozoid mesh can grow again. In this case, you will need to go through several procedures again.

Question: Will the removal of large capillaries lead to malnutrition of the skin?

Answer: No, it will not. The technique used in Vitaclinika allows you to remove only large capillaries, while capillaries of “normal” size are not affected. Moreover, as a result of the procedures, metabolism is stimulated, growth of normal vascular collaterals is stimulated, which leads to normalization of skin nutrition and improvement of its colour.

Question: After the procedure, can I go out?

Answer: Yes, usually the skin condition after treatment does not require makeup. However, if you wish, you can use it immediately after the procedure.


Book a visit to a dermatologist in Tallinn:


Book a visit to a laser therapist (after confirming the diagnosis):


Caring for couperose-prone skin

Couperose skin requires special care. In this case, it is highly recommended that you consult with a Vitaclinika, a cosmetic doctor, who will select specific cosmetic or cosmeceutical preparations for the safe care of couperose skin.

Patients with couperose need constant UV protection, so it is recommended to use sunscreens on a regular basis.

Book a visit to Vitaclinika medical cosmetics (for care procedures and cosmetic consultations):

Oksana Gerassimenko

nurse-leading cosmetic

Broneeri aeg