What Causes Redness in the Face?

Reviewed on 8/1/2022
Woman with red patches on face caused by rosacea
Common causes of redness in the face include seborrheic dermatitis, allergic reaction or skin irritation, rosacea, acne, eczema, psoriasis, shingles, reaction to a medication, spider veins, lupus, and rare types of cancer.

There are many possible causes of redness in the face, from conditions such as including sunburn, acne, hot flashes, and more. 

Common causes of redness in the face include: 

  • Seborrheic dermatitis
    • A common skin condition that causes a red rash, and can also cause the skin to look oily, or dry and scaly
    • The exact cause of seborrheic dermatitis is unknown but factors that play a role may include genetics, living in a cold and dry climate, stress, and a person’s overall health
  • Allergic reaction or skin irritation
    • Also called contact dermatitis
    • Common causes include poison ivy, fragrances, and latex
    • Symptoms can develop within minutes to hours of being exposed to an irritant
  • Rosacea
    • A common, chronic skin condition that often looks like adult acne 
    • The exact cause of rosacea is unknown but factors that play a role may include genetics, the immune system, H pylori bacterium, demodex mites, or a protein that normally protects the skin called cathelicidin
  • Acne
    • The most common skin disorder in the U.S. 
    • Clogged pores cause acne
  • Eczema 
    • Also called atopic dermatitis
    • Often used as an umbrella term to describe many rash-like skin conditions
    • A common, chronic skin condition that can cause dry, scaly patches and itchy, cracked skin
    • There are numerous causes of eczema, including a family history of the condition, food allergies, asthma, hay fever, a person’s immune system, where a person lives, and everyday exposures such as stress, pollution, and tobacco smoke
  • Psoriasis 
    • A common skin condition that causes the body to make new skin cells in days rather than weeks, which results in red, scaly, itchy patches on the skin
    • The exact cause of psoriasis in not fully understood, but genetics and a person’s immune system play a role
  • Shingles
  • Reaction to a medication
    • Some medications can cause sun sensitivity (photosensitivity) 
    • Antibiotics 
    • Antifungals 
    • Antihistamines 
    • Cholesterol lowering drugs 
    • Diuretics 
    • Nonsteroidal anti-inflammatory drugs (NSAIDs)
    • Oral contraceptives and estrogens
    • Phenothiazines 
    • Psoralens 
    • Retinoids 
    • Sulfonamides 
    • Sulfonylureas for type 2 diabetes 
    • Alpha-hydroxy acids in cosmetics
  • Spider veins
    • Can be caused by accumulated damage from sun exposure, genetics, hormonal changes, occupations or activities that require prolonged sitting or standing, pregnancy, and weight changes
  • Lupus
    • A chronic autoimmune condition that can cause redness and swelling on the skin or a butterfly-shaped rash on the face
    • An autoimmune condition is one in which the immune system mistakenly attacks the body
  • Rare types of cancer
    • Sézary syndrome is a type of T-cell cutaneous lymphoma (CTCL) that begins in a type of white blood cell called the T-lymphocyte (T-cell)
    • Signs of this cancer begin on the skin because most T-cells are found in the skin

What Are Symptoms of Redness in the Face?

Redness in the face can look different depending on the cause. Symptoms of face redness, and symptoms that can accompany face redness, may include: 

  • Flushed skin on the cheeks
  • A tendency to blush easily
  • Fine red vascular lines on the face
  • Red spots on the face
  • Facial redness
  • Small red pimples
  • Red rash
  • Painful blemishes on the face
  • Sensitivity to touch
  • Itchy patches 
  • Cracks on skin
  • Dry, scaly patches
  • An enlarged red nose with bulbous qualities
  • Eye problems, which may include red, swollen eyelids, conjunctivitis, and corneal inflammation

See a doctor if you have facial redness and:

  • Redness continues for extended periods of time
  • Burning and irritation around the eyes
  • A flare-up of a chronic condition

What Is the Treatment for Redness in the Face?

Some home remedies to help ease face redness include: 

  • Makeup
    • Foundation and concealer can help reduce the look of redness 
  • Soothing masks
    • Face masks with soothing ingredients such as chamomile, aloe, and cucumber can help reduce redness and inflammation
  • Change products
    • If redness on the face is a new occurrence, it might be due to a new product you are using on your skin
    • If you think this may be the cause, stop using all products and switch to gentle products to see if that helps

Other treatment for redness in the face depends on the cause.

  • Seborrheic dermatitis treatment 
    • Often involves long-term management 
    • Rest and exercise to help to stress, which can reduce the incidence of flare-ups
    • Wash daily with gentle cleanser
    • Use medicated shampoos and sulfur products to control the condition
    • Topical corticosteroids (for short-term use only) for itching and redness
    • Topical antifungals also for itching and redness
    • Calcineurin inhibitors, sulfur or sulfonamide combinations, or propylene glycol
    • For acute flares, corticosteroid creams, lotions, or solutions
    • For severe or unresponsive lesions, systemic fluconazole (Diflucan)
  • Allergic reaction or skin irritation treatment 
    • Avoid the allergens or irritants when possible 
    • Take allergy medication as prescribed 
    • Antihistamines can help with hives and itching
    • Corticosteroid creams or ointments can help relieve rash and itching
    • Keep an epinephrine auto-injector on you at all times if you have a severe allergy
  • Rosacea treatment 
    • There is no cure for rosacea 
    • Avoid known triggers that worsen symptoms
    • Use cosmetics that have sun protection factor (SPF) and wear sunscreen daily
    • Use mild, unscented face cleansers 
    • Avoid using products on the face that contain on alcohol, acid, or other ingredients that could irritate skin 
    • Treatments used to treat skin redness of rosacea include: 
      • Laser or other light-based treatment
      • Brimonidine gel and oxymetazoline hydrochloride cream
  • Acne treatment 
    • Daily skin care regimen using gentle products
    • Avoid abrasive cleansers and cosmetics
    • Avoid harsh scrubbing 
    • Don’t pick, squeeze, or pop pimples
    • Avoid the sun and tanning beds
    • Regularly wash all items that touch acne-prone skin, such as pillowcases and hats
    • Medications to get rid of acne include: 
      • Topical (on the skin) medications 
      • Benzoyl peroxide to decrease bacteria
      • Salicylic acid, to ease inflammation and unclog pores
      • Retinoids, such as adapalene gel, to unclog pores and reduce oily skin
      • Azelaic acid 
      • Benzoyl peroxide plus a retinoid or a topical antibiotic
      • Women may be prescribed a birth control pill or patch approved to treat acne
  • Other treatments for more severe cases of acne include: 
    • Laser or light therapy
    • Corticosteroid injections
  • Eczema treatment 
    • Home remedies include:
      • Lukewarm baths
      • Applying moisturizer regularly
      • Wearing breathable fabrics
      • Patting skin dry instead of rubbing
      • Avoiding triggers
  • Medications used to treat eczema includes
    • Topical steroid creams or ointments 
    • Oral antihistamines for itching
    • Tacrolimus ointment (Protopic) and pimecrolimus cream (Elidel)
    • Oral steroids for short periods to treat severe flares
    • Injectable “biologics” 
    • Immunosuppressive drugs for patients with severe eczema 
    • Ultraviolet light therapy (phototherapy)
  • Psoriasis treatment 
    • There is no cure for psoriasis, but treatments can help relieve symptoms 
    • Topical treatments, such as creams and ointments
    • Phototherapy (light therapy)
    • Oral and injected medication
      • Biologics and biosimilars
      • Disease-modifying antirheumatic drugs (DMARDs) 
      • Other oral systemics
    • To prevent flare-ups, avoid cold weather, moisturize skin regularly, reduce stress, and use a humidifier
    • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Shingles treatment 
    • There is a vaccine available to prevent shingles
    • Antiviral medication can save eyesight and prevent long-term nerve pain
    • Pain medications
    • Antibiotics, if the rash becomes infected
    • Wet compresses
    • Calamine lotion
    • Colloidal oatmeal baths 
  • Reaction to a medication treatment
    • Talk to your doctor before taking any new medication to see if you should stay out of the sun
    • Wear long-sleeved shirts, pants, sunglasses, and broad-brimmed hats to limit sun exposure
    • Use a broad sunscreen regularly and as directed
  • Spider veins treatment
    • Sclerotherapy, in which chemicals are injected into the affected vein causing it to collapse
    • Laser treatment
  • Lupus treatment 
    • Anti-inflammatories and steroids 
    • Antimalarials (to help protect skin from rashes and UV light)
    • Biologics 
    • Immunosuppressives 
    • Anticoagulants 
    • Sun protection 
  • Rare cancer (Sézary syndrome)
    • Photodynamic therapy 
    • Radiation therapy
    • Chemotherapy 
    • Other drug therapy
    • Immunotherapy
    • Targeted therapy
    • High-dose chemotherapy and radiation therapy with stem cell transplant

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Reviewed on 8/1/2022
References
REFERENCES:

Image source: iStock Images

https://www.colorescience.com/blogs/learn/facial-redness-causes-treatment-and-prevention

https://www.aad.org/public/everyday-care/skin-care-secrets/face/facial-redness

http://emedicine.medscape.com/article/1108312-overview

https://www.rosacea.org/

https://www.aad.org/public/diseases/acne

https://nationaleczema.org/eczema/

https://www.psoriasis.org/

https://www.cdc.gov/shingles/index.html

https://www.fda.gov/drugs/special-features/sun-and-your-medicine

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/varicose-veins-and-spider-veins#treatment-of-varicose-veins-and-spider-veins

https://www.lupus.org/

https://www.cancer.gov/types/lymphoma/patient/mycosis-fungoides-treatment-pdq