Vascular lesions

Couperose (Rosacea): How to recognise it?

Rosacea is a skin disease that causes redness in the face and décolleté. It mainly affects women with fair skin who tend to blush easily. Rosacea has four stages:

  • intense and transient redness (flushes) on the nose and cheekbones.
  • Permanent redness (erythrosis) and small dilated vessels (rosacea).
  • a flare-up of red (papules) and white (pustules) pimples (rosacea acne)
  • a considerable thickening, even a deformation of the nose (more rare)

The course of the disease is not linear. It is quite possible that you will get a rash every now and then without the disease progressing or that you will see stage 3 appear right away.

What causes rosacea (couperose)?
The causes of rosacea are still poorly understood. It can be caused by hyperreactivity of the blood vessels, a disturbance of the immune system or an abnormal reaction of the skin after sun exposure.

Treatment

An ND: Yag laser or IPL (intense pulsed light) is chosen to treat a wide range of vascular lesions, such as birthmarks, telangiectasias and angiomas. We choose one or the other depending on the extent of the lesion and the skin type. Long-pulse Nd:YAG lasers offer the perfect solution for treating vascular lesions. At Skincenters, we use the Lutronic Picoplus ND:Yag laser and Lutronic Clarity II. The Etherea MX IPL for pulsed light. Our sessions are continued with Healite, our LED/laser lamp to enhance the treatment, if the person so desires. The light from the laser or flash lamp penetrates a few millimetres through the skin and is attracted to the red pigment of the haemoglobin and thus transformed into heat that will coagulate the walls of the dilated vessels. The person will feel a rather intense heat and a diffuse redness will appear, the lesions will then disappear in the days following the treatment. Depending on the intensity of the redness, 1 to 3 consecutive treatments will be necessary with an interval of 15 days to a month. Thereafter, 1 annual maintenance session is recommended, in the presence of a chronic condition.

Here is a video showing one of the treatment options:

 

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