What causes red spots and rosacea?

Red spots, visible veins, and rosacea are common skin problems that develop on the cheeks, nose, or chin. Rosacea develops when the small superficial blood vessels in the skin dilate and become permanently visible, leading to persistent redness and reactive skin.

Many people try to hide or ignore redness, but without proper skincare, the skin can become further irritated and the redness worsens. An effective approach, therefore, focuses on calming the skin, strengthening the skin barrier, and reducing redness, not just on "camouflage" blemishes.

What exactly happens with red spots and couperose?

Red spots and couperose occur when:

  • The blood vessels in the skin dilate and the vessel walls weaken, making them visible.
  • The skin reacts more quickly to internal and external stimuli, such as temperature changes, sun, stress or nutrition.
  • The skin barrier is disturbed and blood circulation becomes more sensitive.

You often recognize couperose by:

  • Permanent redness on cheeks or nose
  • Visible, fine blood vessels
  • A sensitive or slightly irritated skin
  • Redness that increases with temperature changes

This skin condition is harmless, but can be cosmetically disturbing and may be associated with sensitive skin.

Causes of redness and couperose

There are several factors that can trigger or worsen redness and couperose:

  • Hereditary predisposition
  • Excessive sun exposure and UV damage
  • Temperature fluctuations (cold/heat)
  • Alcohol, spicy food or stress
  • Poor skin barrier or aggressive products
  • Thin, light skin types that are more sensitive to vasodilation

Although couperose does not always disappear completely without medical intervention (such as laser), the appearance of redness and sensitivity can be significantly reduced at home with targeted skin care.

Ingredients that soothe redness

The right ingredients are essential to reduce redness, soothe the skin and strengthen the skin barrier:

Niacinamide
Strengthens the skin barrier, helps visibly reduce redness and makes the skin less sensitive to external stimuli.

Mandelic Acid (AHA)
A gentle exfoliant that helps refine skin texture and reduce buildup without overloading or further irritating the skin — suitable for sensitive skin with redness when applied correctly.

Recovery Oil
A restorative oil that nourishes, softens, and supports the skin's barrier repair process. It helps reduce tightness and sensitivity and leaves skin feeling more comfortable without feeling heavy.

Bisabolol
A powerful soothing ingredient that helps reduce inflammation and visible redness and soothe the skin.

Sun protection (SPF50)
Daily protection against UV radiation is essential for redness and rosacea, as sun exposure can worsen vasodilation and increase redness.

These ingredients work together to visibly calm the skin, support the skin barrier and gradually reduce redness.

The power of a structured routine

Many people with rosacea or red spots change products too often or use products that are too harsh on their skin. This can further irritate the blood vessels and the skin barrier.

An effective routine would:

  • Gently cleanse without drying out the skin
  • Soothe visible redness
  • Strengthen the skin barrier
  • Protecting the skin from external stress
  • Refine skin texture without overloading

The Red Spots/Couperose – Skin Concern Set from Prescription Skincare has been developed to improve red spots, veins and couperose in a targeted, gentle way.

Red Spots/Couperose - Skin Concern Set

Frequently Asked Questions

What is the difference between red spots and couperose?

Red spots can be temporary and arise from irritation, sensitivity, or inflammation. Couperose, on the other hand, is permanent and is caused by weakened blood vessels. Both often occur together and require similar, soothing skincare.

Can couperose go away on its own?

Couperose usually doesn't disappear completely on its own. Medical treatments like laser can reduce the visible veins, but with the right skincare, redness can be significantly reduced and the skin can become calmer and less reactive.

Which ingredients should I avoid if I have couperose?

Avoid harsh exfoliants, alcohol, perfumes, essential oils, and high concentrations of active ingredients. These can worsen vasodilation and increase redness.

Why is SPF so important for rosacea?

UV radiation weakens blood vessel walls and can worsen redness and rosacea. Daily sun protection with at least SPF 30 (preferably SPF 50) is essential to prevent further damage and worsening.

What causes couperose?

Couperose often develops due to a combination of genetic predisposition and external factors such as sun exposure, temperature fluctuations, stress, alcohol, spicy foods, and a compromised skin barrier. Thin or fair skin types are particularly susceptible.