Facial Redness is a concern for a great deal of patients today. The first part of treating facial redness is discerning its cause. The causes of facial redness can vary from rosacea, to seborrheic dermatitis, hot flashes, to lupus or allergic reactions. High blood pressure, irritants and chronic skin conditions can all lead to increased redness in the skin. All skin types can develop facial redness but the most common types are types I to III. Proper diagnosis of the cause of your facial redness is the first step to initiating a treatment plan for your skin.
The most common cause of facial redness is rosacea. Rosacea tends to be genetic and commonly appears by 30 years of age. A common sign of rosacea is facial flushing or blushing which can be exacerbated by the heat, spicy food, alcohol, stress, and the sun. Currently 14 million individuals suffer from rosacea in the United States. Rosacea begins as redness on the cheeks, nose, and forehead and can come intermittently at first and then get progressively more red and last longer with time. The blood vessels in your face begin to dilate and as the blood rushes to your face, your face appears redder in appearance. The more severe rosacea goes on to extend into acute and chronic acne breakouts.
Treating Facial Redness
In addition to the redness and flushing in rosacea, many patients develop papulopustular lesions which are similar to acne. The treatment for facial redness which is caused by Rosacea varies from topical creams to oral antibiotics, to IPL, and the V-Beam Pulsed Dye laser. In terms of topical treatments, antibiotics like Cleocin T lotion, metronidazole cream, and Solantra can help control the acne component. Oral antibiotics such as Doxyclycine may be needed for pustular acne breakouts. Extreme cases of rosacea may require Accutane treatment. Other topical options that constrict blood vessels and calm inflammation such as Rhofade and Mirvaso have also grown in popularity, and decrease facial redness.
Dr. Michele Green advises these patients to use a gentle cleanser and moisturizer as well as topical Vitamin C serum to help control the redness and avoid exfoliating products. Proper avoidance of the sun and use of sunscreens is also extremely important with a recommended SPF of 45 or higher for the face. Ultimately, to treat the broken vessels, talengiectasias (dilated small vessels), and overall facial redness, the V-Beam is the gold standard. A series of 4-6 monthly treatments with the V-Beam laser will reduce this redness and rejuvenate your skin.
25-34 year old male treated with Vbeam laser
Eczema and Dry Skin
Eczema or dry skin is another reason for facial redness. It is very important to care gently for your skin with mild products which are not abrasive or irritating to your skin cells. Many common skin products can dry out your skin and even cause a burning sensation. Extreme temperatures, such as extreme heat or extreme cold can make your redness worse both with eczema and in rosacea. The best treatment for eczema consists of proper moisturizers, topical cortisone creams, milk or oatmeal baths, and oral pills. The use of hypoallergenic products and mild ingredients is essential to treat your eczema under control. Some patients require allergy patch tests to determine the allergans or products that patients are exposed to and are exacerbating your condition, making your face red.
Another condition which causes facial redness is overexfoliation. Many of my patients believe that constantly cleaning and exfoliating their skin with peel pads or retinoids will make their skin clearer, especially when they have acne. However, the result of overuse of such products is increased redness and irritation and inflammation. The result to the skin cells is that the skin barrier gets disturbed and makes it more likely to get infected and more red.
The best treatment for this is to use only gentle exfoliatants without harsh crystals like Dr. Green’s Mint Masque to clean the skin and minimize their use. Also moisturizers with hyaluronic acid like Dr. Green’s Hydra Repair will effectively soothe and repair the skin in all skin types and replenish the lost moisture that is needed to improve your complexion.
Treatment options for facial redness include laser treatments such as the V-Beam laser, which can help reduce redness over time. To find out more if this is the right treatment for you, contact us online, or call 212-535-3088 today.