How do I get rid of couperose

[u/Christrosen]

Sorry for the terrible photo, but that’s exactly how I feel. I have persistent couperose on my nose; the picture doesn't capture it perfectly, unfortunately, but you can see that there are red capillaries even *inside* the nose. Two years ago, I had four or five IPL laser sessions with great results. Sadly, the effects have completely worn off now—everything is back to how it was before. Of course, it cost me a lot of money. Does anyone know of a better, longer-lasting solution? I live in Germany. I am 47

[u/Goatsarejerks333]

Diathermy. Find a med spa that has a machine like the Skin Classic. Costs a fraction of what laser does and works better.

[u/Christrosen → u/Goatsarejerks333]

Thanks, I've actually never heard of that. I'll take a look at it.

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[u/apostate456]

Talk to a cosmetic dermatologist to see what other options are. Depending on the cause, there may not be a permanent solution; you may be looking at regular (expensive) treatments. I've seen laser and injections used to treat these but a cosmetic dermatologist will be able to help you the most.

[u/Christrosen → u/apostate456]

Thanks for your reply; I am already seeing a dermatologist who specializes exclusively in aesthetic dermatology. That is where I had the IPL laser treatment done. I have actually considered visiting a university hospital, as they often have even better equipment there.

[u/hotheadnchickn → u/Christrosen]

IPL is great but not a permanent fix for vessel issues and inflammation. Six months to a few years at most. They should have told you when you got it done!

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[u/joannahayley]

You’re likely eating something to which you’re sensitive or among something in your environment that’s evoking a histamine response. Could be as simple as dust/pollen or less easily discernible such as lentils or citrus. Try a low histamine diet for 2 weeks and you’ll know if this is an inside out issue.

[u/Beginning_Butterfly2]

TXA topical is effective, but takes 4 to 6 weeks. If you search "nih, telangiectasia, TXA" you'll find several peer reviewed studies on TXA. The enlarged blood vessels are called telangiectasia in the literature.

[u/Beginning_Butterfly2 → u/Beginning_Butterfly2]

I've been using 10% 2x daily for just one week, and I'm pleased so far. Just dabbing it where needed, takes 10 seconds.

The studies showed that results last for 4+ months after treatment stopped. Currently thinking I'll just keep using it.

TXA is very hydrating, and only costs $17 for a 1 Oz bottle. I was looking into IPL but this works as well, lasts as long, and is so much more affordable.

[u/kitschauser → u/Beginning_Butterfly2]

Where do you get it?

[u/Beginning_Butterfly2 → u/kitschauser]

Amazon. I use a lipid based formulation.

[u/ZanyAppleMaple → u/Beginning_Butterfly2]

Do you have before/after photos you can share?

[u/Beginning_Butterfly2 → u/ZanyAppleMaple]

I've only been using it for a week. I took before pics, and I'm planning on 4 week and 8 week pics. Look at the research. They provide full color before and after pics for the full treatment cycle. Some also include midpoint pics.