Burst capillaries on the nose: causes, treatment methods

External manifestations

Before treating rosacea, you need to make sure that this is it. Its external signs boil down to the following manifestations:

  • a large number of vascular nodules, so-called stars, appear on the face;
  • a capillary network usually forms on the nose or cheeks;
  • burgundy-violet veins stand out as bright, very unpleasant spots against the background of a natural and healthy skin color;
  • The sizes of spider veins vary: initially they can be small formations no more than 0.5 mm in diameter, but without appropriate treatment measures they can reach 1 mm in the future.

To eliminate rosacea on the face, you first need to determine its cause. If you direct your efforts to eliminate it, recovery will go much faster than if you only engage in disguise.

Stages of development

Why your nose peels: possible causes and treatments


There are 4 stages of development of the disease: 1. Small red areas appear on the skin, mainly on the cheeks and wings of the nose. There is a slight tingling, burning or itching. Sometimes there are hot flashes. The skin becomes more sensitive and becomes very dry. Soon all symptoms disappear, but periodically recur. 2. At the second stage of development, slightly noticeable vascular networks begin to appear. The capillaries acquire a more saturated bright color and do not return to their usual state. 3. The vessels acquire a more saturated hue, the blood networks expand, and unite into noticeable red spots with a clear pattern. The fragility of capillaries increases, when the vessels burst - a bluish tint appears. 4. The last stage is rosacea. Red dilated vessels spread throughout the skin. Often stagnant inflammatory processes occur on the skin, which is caused by impaired blood circulation in the cells and insufficient microcirculation of lymph and blood in the tissues.

How to get rid of burst blood vessels without surgery

  • Ice
  • Special herbal creams
  • Gelatin
  • Askorutin
  • Specialist consultation

Treatment methods for female pattern baldness

Broken blood vessels on the face noticeably spoil the appearance, so it is important to get rid of this anomaly as quickly as possible. Of course, you can resort to ozone therapy and sclerotherapy, as well as use photocoagulation and laser sclerotherapy methods; however, it is possible to eliminate the so-called spider veins at home

There are several effective ways to get rid of burst blood vessels and return your facial skin to a well-groomed and healthy appearance.

First of all, an ice cube should be applied to the affected area, significantly reducing the source of pathology and inhibiting blood circulation. In addition, it is necessary to use cosmetic creams with chamomile, mint or menthol as prescribed, which cause rapid vasoconstriction and prevent the appearance of hematoma. Then you can disguise the burst vessel with decorative cosmetics, but this will not help solve the current problem.

How to remove blood vessels on the nose? The so-called rosacea is quite difficult to eliminate using traditional medicine, so if a characteristic pathology occurs, it is important to immediately contact a surgeon, who, in turn, will suggest the most optimal way to get rid of the visible vessel in the nasal area. In such cases, laser sclerotherapy, ozone therapy or electrocoagulation take place, ensuring safe cleansing of the problem area of ​​the face

It is important to understand that traditional treatment methods provide long-term and not always effective treatment, but the end result in most cases is worth it. But how to improve the condition of blood vessels in order to rid your face of such pathological processes? Daily facial massage using essential oils productively restores the natural elasticity of blood vessels, and returns the usual color and glow to the face

Preventive measures help prevent the appearance of not only spider veins, but also atherosclerosis, which can destroy a large number of vital blood vessels. Only a doctor knows exactly how to treat vascular atherosclerosis using alternative and official medicine, because superficial self-medication does not always ensure the desired effect.

6. There is one working recipe: dissolve gelatin powder in water, and then add crushed Ascorutin tablets to the resulting liquid and mix. Distribute the gel-like composition on your face, and after a quarter of an hour, wash off the mask. A burst vessel will become almost invisible, but it still won’t hurt to visit a beauty salon

It is also important to know how to strengthen the heart and blood vessels

Home Health Capillaries on the nose: reasons, how to get rid of them

Forms of capillary disorders

You can pay attention to the first manifestations of pathology when the vascular network is not yet visible too clearly. At first, localized redness may occur, itching and a feeling of tightness and burning. If you carefully examine the affected area through a magnifying glass, you can see small veins appearing.

At the next stage, the capillaries are already visible to others. Home remedies can no longer cope with this cosmetic defect. The third stage is characterized by the spread of a network of veins over most of the face. Most often, capillaries appear on the nose, chin, cheekbones and forehead.

Dermatologists distinguish several types of this disorder. Telangiectasia is manifested by the formation of a network of blood vessels on the cheeks, nose and near the nose. In summer, the capillaries are practically invisible, but in the autumn-winter period they become worse. The disease can be acquired or congenital.

One of the severe forms of rosacea is rosacea. At the initial stage, a person feels pronounced hot flashes, turns sharply red when stressed, drinking alcohol or temperature stimuli. The redness lasts for a long time. Then pink rashes, spider veins and ulcers appear on the nose and cheeks.

In children, hemangioma often occurs - a benign formation. The tumor, as a rule, resolves on its own, but if active growth is diagnosed, surgical removal is necessary. In this case, bright spots with vessels diverging to the sides appear on the face. Typically, such formations do not require treatment.

Port-wine stains are congenital. The main symptom of the pathology is red or purple spots of irregular shape, which are located in the temples, forehead, nose and eyelids. The pathology requires urgent intervention, because complications may arise over time. No spontaneous healing was recorded.

If capillaries in the nose grow and burst, it is better to immediately contact an experienced dermatologist to prevent complications from developing. The specialist will assess the extent of the damage and prescribe special procedures that will help get rid of the defects.

Causes of spider veins on the face

• frostbite or prolonged exposure to the sun; • liver diseases; • gastrointestinal diseases; • chronic constipation; • dysbacteriosis; • hypertension; • allergic reaction; • increased permeability of vascular walls caused by vitamin C deficiency; • blood clotting disorders; • use of steroids and hormonal drugs; • bad habits; • heavy physical activity; • eating too spicy or hot food; • excess coffee and hot chocolate in the diet; • stress. The main cause of the disease is weak blood vessels and genetic predisposition.

Causes of capillary fragility

The capillary network (telangiectasia) is formed when the vessels of the epidermis expand, their increased fragility, and blood circulation is impaired. Destruction of vascular walls occurs with a deficiency of vitamin C, P. The cause of the pathology can be atherosclerosis, diabetic angiopathy, hemorrhagic vasculitis, blood diseases, rheumatism.

Provoking factors include endocrine disorders, hepatitis, cholelithiasis, systemic lupus, vasculitis, scleroderma, dermatomyositis. Dilated capillaries in the nose area often appear against the background of hormonal changes in the body. The tone of blood vessels decreases during pregnancy, breastfeeding, and menopause.

Couperosis on the nose: choosing the optimal treatment method

It would seem that modern cosmetology has such an impressive arsenal of products for eliminating cosmetic defects and treating various skin diseases that it can definitely cope with such a problem as rosacea on the nose! However, in reality it turns out that each method of solving this problem has one or another drawback. So how to cope with rosacea and not develop new problems?

Couperosis on the nose. Pathogenesis

A few words about rosacea itself. What is #8212; cosmetic defect or skin disease? When answering this question, dermatologists and cosmetologists choose the second option: rosacea #8212; This is a disease of the vascular bed of the skin, which manifests itself locally, in small areas (on the nose, cheeks or chin).

The essence of the pathological process is as follows: the walls of small blood vessels lose their elasticity, and initially this only leads to local hyperemia (redness) of the skin. However, after some time, the vessels dilate permanently and form a kind of #171;vascular pattern#187; (veins, stars, network), visible even to the naked eye. It is this pattern that is the main cosmetic problem.

Couperosis on the nose: treatment

Let's abstract from our knowledge about cosmetology and try to answer the question, how can rosacea be cured? Since the vessels are dilated, they need to #171;narrow#187;. However, it is impossible to restore the elasticity of the pathologically altered vessel wall, which means that, unfortunately, we will not be able to remove the vascular pattern in this way.

Then the second option remains #8212; remove the dilated blood vessel itself. This is precisely the strategy that official medicine (and cosmetology) chooses today. All therapy methods are based on destruction, or #171;sealing#187; (sclerosation), blood vessels. The only difference is the way in which this effect is achieved. More on this later in the text.

Laser sclerotherapy. This method uses the power of a laser, which locally heats the skin and blood vessels, which leads to #171;sealing#187; the latter. The disadvantage of the method is its high cost; it is also worth mentioning the possibility of scars appearing at the site of exposure.

Ozone therapy. Sclerosis of the vessel is achieved by introducing a special ozone mixture into it. There is no threat of burns or scars, but the disadvantage of the technique is that very small vessels cannot be removed in this way. We cannot cure couperose on the nose with this method.

Electrocoagulation. The principle of operation is similar to laser sclerotherapy, the difference is that to destroy the vessel, a microscopic needle-electrode is inserted into it, through which an electric current is applied. The disadvantage of this method is that it is painful; there is a high probability of scar formation at the site of vascular coagulation. And as in the case of ozone therapy, vessels that are too small cannot be removed in this way.

Microsclerotherapy. Once again we have a method based on coagulation of a vessel using a special composition. The disadvantages of the method are the same as with ozone therapy.

So how to overcome rosacea on the nose? Laser treatment, despite its obvious disadvantages, today can be called the method of choice, but even it is not indicated for everyone, and before the procedure, the cosmetologist is obliged to conduct a detailed examination of the client in order to determine the possibility of using laser sclerotherapy.

As you can see, despite significant technological progress, rosacea on the nose still remains a difficult medical and cosmetic problem, the treatment of which is always associated with a certain degree of risk, and such a procedure costs a lot of money. Therefore, the prevention of rosacea does not lose its relevance: take vitamins that strengthen blood vessels (ascorbic acid and rutin), eliminate risk factors, use cosmetics that carefully care for the skin. These measures will help you avoid the appearance of vascular veins.

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Treatment of rosacea at home

Nutrition for rosacea

As we know, most of the rashes on our skin are associated with poor nutrition, so first we analyze our diet. We exclude alcohol, coffee, spicy, smoked, salty foods from food. Of course, you will have to forget about smoking as soon as you start treatment. We introduce foods rich in silicon, namely Jerusalem artichoke, peas, corn, buckwheat. They should definitely be in your diet. As well as foods enriched with vitamins C, P and K - green leafy vegetables, pumpkin, tomatoes, green peas, egg yolk, fish oil, animal liver, soybean oil, onions, garlic, fruits. It is also recommended to replace black tea with green tea, as it contains all the necessary vitamins to strengthen blood vessels.

Masks against rosacea at home

It is not necessary to spend a lot of money on purchasing cosmetics for rosacea. It is enough to arm yourself with several traditional medicine recipes and use them regularly. Making homemade masks is very simple, and you don’t have to spend a lot of money on ingredients, since most products can be found in any kitchen or purchased for mere pennies at the pharmacy.

Potato mask

You will need: potatoes, chamomile

Take one raw potato, peel it and grate it on a fine grater. Apply the mixture to your face, covering the mask with a layer of gauze if desired. This way the potatoes will give all their juice to your skin. Keep the mask on your face for about 10-15 minutes, after which we cleanse the skin with chamomile decoction.

Oatmeal mask

You will need: oatmeal, chamomile, oil (vegetable/olive)

To prepare an oatmeal mask, take 1 tablespoon each of oatmeal and chamomile, previously ground into flour. Add any vegetable or olive oil and mix the ingredients to a paste-like consistency. Apply to face for 15 minutes. Wash off the mask with cool water. This remedy can be used daily until the redness disappears completely.

Tonic for rosacea

You will need: chamomile, water, ascorutin

To prepare a tonic for rosacea on the face, we need to brew 20 grams of chamomile in 500 ml of warm water. After this, cool the infusion and dissolve 2 tablets of ascorutin in it. This tonic should be used to wipe problem areas both morning and evening.

Mask against rosacea with fresh berries

You will need: potato starch, apples, lingonberries, sea buckthorn, raspberries, strawberries

Take 1 teaspoon of potato starch, lingonberries, sea buckthorn, raspberries and strawberries. We also add grated apple to this fruit mixture. Mix all ingredients and apply to clean facial skin for 20 minutes. After the procedure, wash off all residues with warm water.

Couperosis cream

You will need: cream, ascorutin

Also, from the usual cream that we use every day, you can make a medicinal product that perfectly copes with rosacea on the face. To do this, add 1 tablet of ascorutin, previously ground into powder, to your favorite cream.

Oils for rosacea

You will need: rosemary oil, thyme oil, Japanese mint oil, grape seed oil

To prepare such a mask, take all the oils and mix in equal proportions. Apply the composition to problem areas for 15 minutes. After the procedure, residual oil can be removed using a damp cotton pad.

Couperosis on the face with the help of homemade masks you can reduce skin redness and spider veins

Contraindications for rosacea on the face

Treating rosacea at home can be a pleasant and effective experience. However, remember that there are some things you need to eliminate from your routine.

Contraindications:

Alcohol-containing tonics; Scrubs and peelings; Manual cleaning of pores; Clay masks are used with caution; Rubbing with ice; Bath and sauna; vacuum and manual massage.

Compliance with all the rules and home procedures will undoubtedly have a positive effect. The main thing is a positive attitude, proper nutrition and timely consultation with a doctor.

Alternative medicine

How else can you get rid of capillaries on your nose? It is not possible to remove dilated blood vessels using traditional methods, but you can relieve the acute inflammatory process, increase the tone of blood vessels and reduce their fragility. Juice therapy gives good results. The main component is freshly squeezed cabbage juice. To improve the taste, you can add plum or carrot juice.

Also strengthen the capillaries on the nose are lotions made from badyagi, infusions of chamomile, calendula and plantain, compresses from mashed parsley with milk, and potato masks. It is not recommended to use heating compounds. It is also undesirable to resort to such remedies as masks with bee products, vinegar and red pepper extract. Otherwise, you may get burned.

A couple of times a day, you can wipe your face with an ice cube made from tincture of calendula or chamomile, or green tea. Some people find masks made from raspberries, strawberries, sea buckthorn, starch and lingonberries help. All ingredients must first be ground in a blender and mixed until a homogeneous mass is formed. Warm compresses made from chamomile decoction and potato applications are useful.

Medicinal solution to the problem

The part of therapy, which includes the use of medications, must be divided into two parts:

  1. Drugs used urgently to stop bleeding.
  2. Drugs used to strengthen blood vessels against bleeding in the future.

The first category includes the most popular means such as:

  • Dicynone or sodium ethamsylate. This drug has a rapid hemostatic effect. The essence of its action is that it enhances the aggregation and adhesion of platelets, and they form the necessary blood clots so that the blood vessels are whole again, and the damaged area is closed with these blood clots.
  • Vikasol tablets, also known as provitamin K. They are necessary to enhance the effect of Dicynon, but their effect appears no earlier than 12 hours after administration, which must be taken into account when using them. The action of the drug is based on the fact that it enhances the synthesis of prothrombin, which is necessary for the formation of blood clots.
  • Calcium chloride, its action is aimed at increasing the tone of the vascular wall, reducing its permeability by strengthening it and normalizing the aggregation of cellular elements of the blood.
  • Aminocaproic acid - this hemostatic agent primarily affects the anticoagulant system of the blood, it fights against excessively rapid resorption of formed blood clots.

In addition, the treatment of bleeding includes etiological therapy, the goal of which is to get rid of the cause that caused the bleeding and weakened blood vessels.

In order to prevent future relapses of bleeding, courses of medications such as:

  • Ascorutin is a drug that includes rutin and ascorbic acid. It is effective in strengthening those vessels that have become dilated and preventing their fragility associated with thinning of the vascular wall. Use it for at least three weeks.
  • Calcium dobesilate - it is aimed at normalizing vascular permeability, reducing platelet aggregation, thinning the blood and has an antihemorrhagic effect. The course of its use is at least three weeks.

Without fail, regardless of whether narrowing or dilation of blood vessels has become a problem, complex multivitamin complexes in combination with microelements are used.

If weakened dilated vessels manifest themselves in the form of rosacea, it is necessary to resort to methods available to modern cosmetology, such as:

  • Electrocoagulation - it is aimed at destroying the dilated vessel using an electrical impulse, but its use is possible only on small affected areas.
  • Photo- or laser therapy - allow you to treat pronounced defects of a large affected area and are not justified in small areas of pathology.
  • Ozone therapy - it is based on the introduction of a mixture of oxygen and ozone to restore the deformed walls of blood vessels.

Preventing nosebleeds

Preventing frequent nosebleeds involves first identifying contributing factors (deviated septum, high blood pressure, or tumors). In addition, concomitant causes of bleeding may be dry air, vasoconstrictor drugs, trauma and pressure surges).

Preventive measures include all possible actions and means aimed at combating the causes of the pathological process. It is necessary to minimize the risk of developing nosebleeds in every possible way.

If you are suffering from frequent nosebleeds, then it is better to make certain observations before visiting a specialist and determine at what time of day the bleeding mainly occurs, whether there are clots in it, and what is the frequency of such bleeding. And most importantly, you need to check whether the blood stops on its own or whether your actions are necessary for this to happen.

Causes and treatment of rosacea on the nose

Couperosis (telangiectasia) is the expansion of small subcutaneous vessels on the face, resulting in the formation of a noticeable red mesh on the skin of the chin or wings of the nose. Although the condition is rarely harmful and painful, it greatly spoils a person’s appearance, forcing him to consult a doctor.

Cooperosis on the nose is a consequence of the inability of individual vessels to contract normally. The vessels expand too much, and at the same time they cannot narrow back.

Acquired rosacea

People with dry and thin skin are predisposed to telangiectasia, but there are other factors:

  1. The likelihood of rosacea occurring is higher if the disease was observed in parents.
  2. If a person spends too much time under the scorching sun or visits solariums, then excessive exposure to ultraviolet radiation can damage the vascular walls.
  3. Being in an environment that is too hot or cold. Even a single hypothermia can cause vasodilation. People forced to stay in the cold for a long time often suffer from rosacea. The disease also occurs in those who work at high temperatures. Representatives of professions such as metallurgist or bakery worker are at risk.
  4. Bad habits. A distinctive feature of the appearance of any “heavy drinker” is the red web of blood vessels on the skin of the face. But even moderate alcohol consumption increases the likelihood of developing rosacea. Cigarettes and facial microvessels are harmful.
  5. Rough impact on the skin during cosmetic procedures: serious damage is caused to blood vessels.
  6. Liver diseases (hepatitis, cirrhosis, etc.).
  7. Nutrition is an important factor. To prevent rosacea, you need to exclude unhealthy foods from your diet (fatty foods, confectionery, sugary drinks).
  8. Rosacea.
  9. Prolonged depression and negative emotional experiences are common causes of rosacea. Due to severe stress, the pressure in the blood vessels increases, having a detrimental effect on the skin.
  10. Hormonal disorders, pathology of the cardiovascular system and gastrointestinal tract. In such a situation, rosacea acts as a unique way for the body to announce serious problems.

Congenital telangiectasia

The development of rosacea can be caused by some diseases:

  • Ataxia-telangiectasia (Louis-Bar syndrome) is a rare neurodegenerative disease that is inherited.
  • Rendu-Osler-Weber disease (hemorrhagic angiomatosis).
  • Sturge-Weber disease is a severe pathology that occurs in 1 person in 50 thousand.

It is almost impossible to get rid of telangiectasia in the presence of such a pathology. It is only possible to eliminate the external manifestations of the disease from time to time.

Preventive actions

If broken capillaries on the nose appear regularly, then you need to exclude all products based on cloves, menthol, alcohol, aloe, eucalyptus and honey from your skin care products. Masks should be gently distributed over the surface of the skin, following the massage lines. After water procedures and washing, there is no need to wipe your face dry. Simply pat your skin dry with a clean towel.

It is worth refusing to use brushes and massagers, steam inhalations and manual skin cleansing. Several times a year you need to undergo a course of vitamin therapy, and the rest of the time do not overuse saunas and steam baths. It is better to exclude chocolate, citrus fruits, tomatoes, yoghurts, legumes, and cheese from your diet. It is recommended to do massages with collagen. It is useful to do race walking, Pilates, yoga or swimming.

Treatment and removal

Examination by a phlebologist

If there are multiple foci of vascular changes on the legs, then an examination by a phlebologist is necessary. The doctor will assess the condition of the venous blood flow and the condition of the walls of the venous vessels. For spider veins on the legs and face, examinations of the heart and liver and a visit to the gynecologist are necessary.

Laser photocoagulation

Taking into account the type and severity of spider veins, the following methods are used for their treatment and removal:

  1. Electrocoagulation. Through a thin electrode, dilated vessels are cauterized with high-frequency current. The method is not good enough from a cosmetic point of view, since nearby healthy tissues are also subject to electric shock. Subsequently, scars and areas of hyperpigmentation and depigmentation may appear.
  2. Sclerotherapy. The method is based on the introduction of a special drug – sclerosant – into the diseased vein. As a result, gluing of the walls of the vascular bed occurs. The injection site is bandaged with an elastic bandage, the blood flow stops and the vascular network completely disappears within 1–1.5 months. This method is optimal for venous disorders.
  3. Laser photocoagulation. This is an effective, painless and safe method that will forever get rid of spider veins on your face, in particular on your nose and cheeks. Modern “vascular” lasers are capable of accurately determining the depth and diameter of the treatment zone and selecting the optimal wavelength and radiation strength in each specific case. The method is based on the penetration of a laser beam through the skin. The expanded capillaries absorb the laser beam, become very hot and are sealed from the inside. Spider veins completely disappear. The method is especially effective for small vessels with a diameter of up to 2 mm. For newly appeared vascular points, one procedure will be sufficient. For older spider veins – from 2 to 10 procedures, depending on the stage of the disease and the area of ​​localization of the changed vessels. The method does not require rehabilitation after laser exposure. In the first days, you must refrain from using cosmetics and for at least two weeks after the procedures, carefully protect your skin from ultraviolet rays. The cost of laser spider vein removal in Moscow starts from 2,500 rubles. for one zone; in St. Petersburg from 2000 rubles; in other cities from 1000 rubles. for one zone.
  4. Ozone therapy. As a result of intravascular injection of an oxygen-ozone mixture containing a high concentration of ozone, a complex biochemical oxidative process occurs in the vascular cells and their subsequent destruction. Spider veins disappear without a trace. The method is practically safe and does not lead to scars and pigmentation.

Injections of an oxygen-ozone mixture

All these methods have proven themselves and are successfully used in the treatment and removal of vascular changes. A qualified doctor will help determine the necessary method. The effectiveness will depend on the duration of the disease and the professionalism of the attending physician.

How to remove burst blood vessels on the face

Vessel burst: reasons

As a rule, the cause of burst blood vessels on the face is hypo- and avitaminosis (lack of vitamins P, C, K); unhealthy diet (abuse of fatty foods, sweets); diseases of the cardiovascular, digestive, endocrine systems; taking hormonal medications, including contraceptives; smoking; chronic stress; pregnancy; obesity; heavy physical activity; poor skin care (overdrying); tanning without skin protection; sudden changes in temperature, especially in the presence of predisposing congenital factors.

Damage to blood vessels may also be due to heredity. The structural features of the skin and vascular walls are often transmitted through the female line and can bring a lot of troubles (varicose veins, spider veins, increased vascular permeability, unhealthy complexion - pallor or, conversely, redness)

What to do. if blood vessels on the face burst

Folk remedies, as well as “medicinal cosmetics” are ineffective in this case. They may help to slightly reduce visible defects, but they will not radically solve the problem. Modern cosmetology has special techniques that can return the skin to its previous appearance in the shortest possible time.

Laser treatment. Laser radiation glues the vascular walls and makes the vessel invisible, since blood no longer circulates in it. This method is highly accurate, does not involve healthy tissue, and does not leave cosmetic flaws.

Phototherapy. The principle is the same, but the active agent is pulsed light. The effectiveness of the method is high, but a certain number of procedures are required, and the result appears only after a few weeks.

Electrocoagulation. The same “gluing” of the vessel, only with the help of current. This method is gradually becoming a thing of the past, although the effect is good and the risks are relatively small. But if there is a laser, why take any risks?

Cryodestruction. Cauterization of the vessel with liquid nitrogen. The effect is good, but there are many cosmetic risks. In medicine, this method is often used, but in cosmetology it has recently been extremely rare.

Broken capillaries: causes

Most often, capillaries expand and burst in people with sensitive skin. The risk group includes patients with vegetative-vascular dystonia. Also, rosacea can be triggered by a hereditary predisposition, uncontrolled use of antibiotics, poor diet (especially with an addiction to spicy foods and constant overeating), and regular exposure to the skin (for example, wearing glasses with tight frames).

We invite you to read: Burst of a blood vessel on a finger: causes of fragility, diagnosis of capillaries, how to strengthen

Another common cause of rosacea is pregnancy. During the period of bearing a child, the volume of circulating blood in the body increases, and this puts increased pressure on the blood vessels. If the disease develops during pregnancy, then you can expect that rosacea will disappear after childbirth. For many women, the disorder appeared with each subsequent pregnancy.

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