Rosacea, sometimes also known as couperose, is a common, harmless, acne-like, inflammatory disorder of the skin on the face. It affects about the same number of women as men and usually begins in the second half of life, although it frequently takes a slightly more severe form in men. It is assumed that around 2 – 4 million people suffer from rosacea in Germany.

The exact cause of rosacea is unknown. There is an individual predisposition to react to various stimuli, such as emotions, stress, heat, cold, UV radiation, alcohol and caffeine, with sudden, unphysiologically severe, flushing (reddening of the skin).

In this first stage of rosacea with “easy blushing/flushing” of the nose and cheek regions in particular, persistent facial redness with dilated blood vessels may develop (= telangiectasia). The pores of the face are enlarged.

From this initial stage, which may vary in length and often remains unnoticed at first by the person affected, the other two stages of rosacea usually develop in episodes. In any of the stages, rosacea can come to a standstill, become very intense, or skip individual stages.

In the second stage, red, inflamed bumps (papules) or pustules also appear, and sometimes flaking in the area of the reddened skin. In theory, the entire facial skin can be affected.

In the third stage, large, inflamed nodules, diffuse thickening of the skin, and enlargement and coarsening of the sebaceous glands develop. These changes in the sebaceous glands can be very pronounced on the nose, chin or ears and may result in rhinophyma (a bulbous nose), gnathophyma or otophyma. This special form of rosacea, which can either occur in isolation or together with the other symptoms, particularly affects men and does not respond very well to conventional therapies. The most effective therapeutic measures in this case are isotretinoin (taken orally) and the surgical removal of the excess tissue.

Rosacea does not normally heal spontaneously, but a temporary improvement in the appearance of the skin is possible. A prerequisite for this is the avoidance of the triggers, e.g. excessive consumption of alcohol (especially red wine), coffee, foods and drinks that are too hot or spicy, stress, and unprotected exposure to UV rays and the cold.

Depending on the stage of the illness, therapies with external and internal broad-spectrum antibiotics have been found to be very successful. Dilated blood vessels can also be improved by laser treatment. Sun protection preparations should be chosen with a base that, as far as possible, does not restore oil to the skin (cream, lotion or gel) and should offer a very high sun protection factor (SPF 30-50).

In milder forms of rosacea, keeping strictly to the preventative and external measures described, often results in a considerable improvement in the appearance of the skin, the redness becoming paler. These may also help to prevent the disorder advancing into further stages. If the measures do not suffice, additional treatment with internal antibiotics have been found to be very successful.

Braun-Falco, Plewig, Wolff, Burgdorf, Landthaler: Dermatologie und Venerologie, 5th edition, 2005, Springer Medizin Verlag Heidelberg
Fritsch: Dermatologie und Venerologie, Lehrbuch und Atlas, 1998, Springer-Verlag Berlin Heidelberg


Basic dermacosmetic care:

In many cases, people who suffer from rosacea have combination or oily skin. For this reason, bases low in oil, such as emulsions containing a high proportion of water and a low proportion of oil (O/W creams) should be given preference for basic care. Gels and lotions are also suitable. Use of a mild cleansing product and clarifying toner may help to regulate oil production. In addition, bases should be used that contain as few irritants as possible and are as free of fragrances and parabens as possible. 


DADO SENS care recommendation:

  • Basic care:  


  • Supplementary anti-aging care:  

Ectoin Anti-Aging Fluid

  • Sun protection/skin care:

Sun SPF 15 or Sun Gel SPF 25 / After Sun Gel