Couperose – Effectively Combat Facial Capillaries

Couperose are fine capillaries which look bluish-red through the facial skin. Appropriate therapy at Rosenpark Clinic helps to significantly relieve the symptoms.

Couperose is among the most frequent skin diseases in adulthood – and also among the most unpleasant. The fine capillaries which look bluish-red through the skin generally appear in the face and are immediately visible. They are most prominent on the cheeks and around the nose.


Genetic predisposition is one of its most frequent causes. But also

  • excessive UV irradiation
  • high blood pressure
  • large amounts of alcohol, nicotine and coffee

may lead to couperose. 

Generally women and men aged 40 and over are affected. Cosmetic treatments to conceal the reddened face rarely provide the desired effect over the long term, however. Appropriate therapy helps to significantly relieve the symptoms of couperose. In our dermatology consultation, we analyze your skin and show you several ways to successfully treat the unattractive facial capillaries.

How is the treatment performed?

We eliminate unattractive capillaries with two effective methods which we always combine with external professional therapy:

  • Light: Using the energy from an IPL (intense pulsed light) flash lamp, enlarged capillaries are obliterated so that they disappear.
  • Laser: Larger vessels and any leftover smaller veins are destroyed in a targeted and permanent fashion using the Nd:YAG-Laser. The skin remains intact.

We generally recommend six treatments at two- to four-week intervals.

Rosenpark Clinic is a private clinic accredited according to section 30 of the Trade Regulation Code [Gewerbeordnung]. We can provide you with an invoice in accordance with the Statutory Scale of Fees for Physicians [GOÄ] which you can submit to your health insurance company. Prior to the treatment, please clarify whether your health insurance company will reimburse the costs in your case.

Is some sort of anesthesia required?

Treatment with the IPL flash lamp is mildly painful. Depending on the scope of the therapy, we can offer you local anesthesia using a cream.

For more information about your options for a comfortable, pain-free treatment see the anesthesia section.

When can I resume normal daily activities?

Essentially immediately. After the IPL flash lamp treatment, the skin may be reddened with a little swelling for several hours; after the laser treatment, it may be reddened for several days. The redness, which resembles a mild sunburn, can be concealed with cosmetics. During the period of the treatment you should avoid UV light and apply sun protection.

Are you interested in a no-obligation personal consultation for the treatment of couperose at Rosenpark Clinic? We would be happy to schedule an appointment for you.

Our facial rejuvenation experts

Dr. Gerhard Sattler
Dr. Sonja Sattler
Dr. Birgit Buxmeyer
Dr. Cecilia Duma
Dr. Helen Haas
Dr. Stefan Kalthoff
Dr. Daniel Müller
Dr. Oliver Weirich

Expert tip

Dr. Sonja Sattler: "If you are prone to couperose, you should avoid temperature fluctuations and unnecessary circulation – for example, due to a peel treatment."

Steps you can take on your own

  • Patients with couperose should use skin care products with sunscreen daily.
  • The skin experts of Rosenpark Clinic will provide you with comprehensive information and give you detailed recommendations for skin care individually adapted for you.
  • Do not expose treated areas of skin to significant heat (saunas, sunrooms or swimming pools) and avoid large temperature fluctuations.
  • The generally dry, damaged skin particularly needs to be taken care of. Do not under any circumstances undergo any peel treatments or apply any stimulating anti-wrinkle creams.
  • Keep consumption of beverages containing alcohol and caffeine to a minimum.

More Information