Question 1

What is the difference between rosacea and couperose?

Accepted Answer

Couperose refers to the permanently dilated, visible veins, usually on the cheeks and around the nose. Rosacea is a chronic, inflammation-prone skin condition that besides redness and veins also involves flushing, sensitive skin and sometimes bumps and pustules. Couperose can occur on its own or be part of rosacea.

Question 2

Can rosacea be cured?

Accepted Answer

No, rosacea is chronic and cannot be cured. It can, however, be brought well under control: with the right treatments, a suitable home routine, sun protection and avoiding your personal triggers, the skin becomes calmer, more even and less reactive.

Question 3

How does rosacea develop?

Accepted Answer

Through an interplay of hereditary predisposition, an oversensitive vascular system, a dysregulated immune system and a weakened skin barrier. The Demodex mite, the skin microbiome and UV radiation also play a role. Triggers such as heat, alcohol and stress don’t cause rosacea, but they do provoke redness and flushing.

Question 4

Is rosacea the same as acne?

Accepted Answer

No. With rosacea bumps and pustules can occur, but without blackheads. Acne is caused by blocked pores and does come with blackheads. The approach therefore differs; some acne treatments are actually too irritating for rosacea-prone skin.

Question 5

Which triggers make rosacea worse?

Accepted Answer

Common triggers are heat, sun, temperature changes, alcohol (especially red wine), spicy food, hot drinks, stress, intensive exercise, irritating skincare products and hormonal fluctuations. Which ones apply to you differs per person; we map them out during the intake.

Question 6

Can rosacea also affect the eyes?

Accepted Answer

Yes, in some people with rosacea the eyes or eyelids are also irritated, burning or dry. With eye complaints we always advise also consulting your GP or ophthalmologist.

Question 7

How do you treat rosacea and couperose?

Accepted Answer

In the right order. We start with an intake and OBSERV skin analysis, then calm the skin with hydrating treatments, azelaic acid and soothing care, and only then treat in a targeted way with the Clarity II laser and microneedling, supplemented where needed with skin boosters containing salmon DNA.

Question 8

Why calm the skin first and only then use the laser?

Accepted Answer

Rosacea-prone skin is easily irritated. Strong, hydrated skin is less reactive and better prepared for the laser. That way we don’t force the skin and the result is better and more lasting.

Question 9

What does the Clarity II laser do for couperose?

Accepted Answer

The Lutronic Clarity II directs laser energy at the blood in the dilated veins, both superficial and deeper. The vein is sealed and cleared away by the body. The result: less visible redness and a more even complexion. RC Huidkliniek is the only clinic in Almere with this laser.

Question 10

Does microneedling help with rosacea?

Accepted Answer

Yes, provided the skin has been calmed first. Microneedling stimulates natural repair and strengthens the skin. With rosacea we often combine it with the laser for stronger, more even and more resilient skin.

Question 11

What are skin boosters with salmon DNA?

Accepted Answer

Skin boosters with polynucleotides from salmon DNA repair and calm sensitive skin from within. They improve hydration and resilience and support calmer, stronger skin.

Question 12

Does the treatment hurt?

Accepted Answer

The laser treatment feels like a short, warm prick; the cooling of the Clarity II makes this very tolerable. Hydrating treatments and peels with azelaic acid are mild. For microneedling we use a numbing cream if needed.

Question 13

How many treatments do I need?

Accepted Answer

That depends on your skin and the severity of the symptoms. A treatment plan usually lasts 3 to 6 months. Couperose usually needs 2 to 4 laser treatments 4 to 6 weeks apart, preceded by a phase of calming and strengthening.

Question 14

Is an intake required?

Accepted Answer

Yes. Every treatment plan starts with a free intake and OBSERV skin analysis, so the plan matches your skin, triggers and wishes.

Question 15

When will I see results?

Accepted Answer

After the calming phase the skin often already feels calmer within a few weeks. The effect of the laser on visible veins usually becomes visible within a few weeks of each treatment, and builds up over the treatment plan.

Question 16

Will the redness come back?

Accepted Answer

Rosacea is chronic, so new redness or veins can develop over time. With a good home routine, sun protection, avoiding triggers and a maintenance treatment if needed, you keep the result for a long time.

Question 17

Which skincare do I use at home?

Accepted Answer

Gentle, calming and barrier-repairing products, such as Colorescience All Calm, Ultraceuticals B2 Hydrating Serum and Obagi Moisture Restore. You receive personal product advice, tailored to your skin.

Question 18

Is sun protection really that important?

Accepted Answer

Yes. UV radiation damages the veins and the connective tissue around them, making them dilate more easily and stay visible. A well-tolerated SPF therefore belongs in your routine every day.

Question 19

Does nutrition help with rosacea?

Accepted Answer

Nutrition and lifestyle influence redness and inflammation. You receive personal nutrition advice focused on an anti-inflammatory lifestyle; where appropriate we also recommend omega-3. It also helps to limit alcohol, smoking and your personal food triggers.

Question 20

Can I wear make-up?

Accepted Answer

Yes, preferably choose gentle, mineral make-up. On the day of a laser treatment or microneedling, leave the skin alone; after that you can usually wear it again.

Question 21

What does a rosacea treatment cost?

Accepted Answer

A single treatment costs €105 to €225, depending on the treatment and the zone. A personal rosacea and couperose treatment plan starts from €1,050. The intake with skin analysis is free of charge.

Question 22

Is rosacea treatment reimbursed?

Accepted Answer

Rosacea is a medical skin condition. With the right supplementary insurance, treatment by a skin therapist is often (partly) reimbursed. During the intake we are happy to find out with you what your policy covers.

Question 23

Why a treatment plan and not a single treatment?

Accepted Answer

With a chronic condition like rosacea, a single treatment has too little effect. A treatment plan builds up in the right order, with measurement moments, which makes it more effective and better value per treatment.

Question 24

Do I need a referral?

Accepted Answer

No, you can come to us without a referral. Some insurers do require a GP referral for reimbursement; check this in your policy.

From redness to calm, even skin

In short

Do you recognise these signs?

How do rosacea and couperose develop?

Triggers

What your rosacea treatment plan looks like

Five techniques, one plan

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Less couperose, a calmer appearance

A holistic approach

Deliberately as a treatment plan

All about rosacea

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Towards calmer skin

What would you like to work on?

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Intake with skin analysis