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May 2017
Beauty and makeup
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Couperose is a skin imperfection that is the result of vasodilatation in the sub-epidermic microcircle. Vasodilatation frequently originates over time and becomes a permanent condition of erythrosis, which causes the appearance of telangiectasia (permanent dilatation of blood vessels). It usually appears on the cheeks but sometimes it can occur on the nose and even cover a lot of the skin on the face. It is more common in females, especially those who have fragile blood vessels and who are psychologically unstable and emotional and especially during the menopause. If other follicle dysfunctions are also present along with couperose, it is quite common for rosacea acne to develop.

The causes

The fragility of blood vessels is the what causes couperose. Emotional, neurovegetative, endocrine and environmental factors all play a role in influencing the walls of blood vessels and structural changes to them. Getting excited and emotional causes the release of histamine-like substances and vasodilators which results in hyperemia in the face. A neurovegetative abnormality, such as the cheeks turning red after eating, caused by a visceral component, poor digestion, the consumption of alcohol and persistent constipation all cause inflammation, the release of histamine and, over time, these situations cause couperose to occur. Individuals who show signs of this common imperfection also suffer from liver disorders which are indirectly connected to abnormal circulation. The endocrine system heavily influences vasodilatation and an example of this are the red flushes that occur during a female’s period or during the menopause. Corticosteroid hormones are often scarce in people with couperose. Vitamin C is essential for forming and maintaining vascular endothelium cementing substances and it protects blood circulation, whilst vitamin P is defined as the permeability factor because of its action on capillaries, and a deficiency or excess of them can stimulate couperose. Environmental and climate factors also influence the microcircle and therefore abrupt changes in temperature, heat, solar radiation, excessive humidity and wind make couperose worse. This is also why erythrosis and couperose are common in people like farmers, sports players and people who work at sea because they spend a lot of time outside, or cooks because they work in very hot environments.


This is when the skin becomes red and is congested. It either occurs in a spread out way or in patches and it can be quite intense. Hyperthermia is caused by dilatation of the subdermic capillaries therefore, when there is an increase in blood flow, the skin turns red. Many factors influence this however, including emotional factors, such as blushing, which expresses shyness, modesty or embarrassment, and this is typical in scrupulous, over-sensitive and emotional people, and factors to do with digestion, liver and endocrine problems. Externally, humid heat, the sun, sun exposure and other environmental situations and contact with external agents stimulate the appearance of erythema. Facial erythema goes away without leaving any marks when it is only temporary.


If erythema persists it means that the subdermic capillaries have lost their elasticity. This particular situation may be caused by constant and frequent reoccurrence of erythema and consequential vasodilatation, which, over time, makes blood vessel fragile and porous.


This is when blood vessels on the skin’s surface dilate, and it can often be seen on the cheeks. If the blood vessels lose their tone, they become more porous, then, over time, they break, causing a ‘net’ of purpley-red blood vessels to appear through the epidermis.

Rosacea acne

Rosacea acne is a follicular reaction that complicates facial erythrosis. It is common amongst alcoholics of both sexes, women over 40 who have digestion, hormonal and nerve problems, women experiencing the menopause and people suffering from occupational diseases. This problem occurs on dry and fine skin together with couperose and telangiectasia and it causes inflamed spots with pus to form which are rough to touch and swollen around the edge. The pus comes out of the spots easily and then, over time, they look like nodules. When they form on the nose, especially in elderly men, they can lead on to rhinophyma, a complication of rosacea which causes swelling and reddening of the nasal pyramid, inside of which large cystic cavities form which release abundant amounts of fluid, similar to sebum, when squeezed.

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