Vascular lesions

Couperose (Rosacea): How do you recognize it?

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

-intensive and transient redness (flushes) on the nose and cheekbones.

-Permanent redness (erythrosis) and small dilated vessels (rosacea).

-A flare-up of red (papillae) and white (pustules) pimples (rosacea acne).

-a significant thickening, even a distortion of the nose (more rare)

The disease is not linear. It is quite possible that you will get a rash from time to time without the disease developing further or that you will see stage 3 appear immediately.

What causes rosacea?

The causes of rosacea are still poorly known. It can be caused by hyperreactivity of the blood vessels, a disturbance of the immune system or an abnormal reaction of the skin after exposure to the sun.


An ND: Yag laser or IPL (intense pulsed light) is chosen for the treatment of a large number of vascular lesions, such as wine stains, telangiectasias and angiomas. We choose one or the other depending on the size of the lesion and skin type. Long-pulse Nd:YAG lasers offer the perfect solution for the treatment of vascular lesions. At Skinline Clinic we use the Lutronic Picoplus ND:Yag laser and Lutronic Clarity II. The Etherea MX IPL for pulsed light. Our sessions continue with Healite, our LED/laser lamp to improve 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 by the red pigment of the hemoglobin and is thus converted into heat which will coagulate the walls of the dilated vessels. The person will feel a fairly 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 disorder.

Here is a video showing one of the treatment options: