We get a lot of reader requests related to beauty problems you want solved, and chief amongst them is the plague of flushed, blotchy, red skin: why it happens, and what you can do to fix it. To really get to the bottom of the issue, we brought in a top skincare expert Mona Gohara, M.D., associate clinical professor of dermatology at the Yale School of Medicine. If you've experienced the frustration of red skin and are looking for answers, keep scrolling.
The first step in fixing, well, pretty much any problem—but especially skin ones—is identifying the source. And when it comes to red skin, Gohara says that though patients say that their skin skin is really "sensitive," that usually translates into one of two things: some variant of rosacea or some variant of eczema.
To break each of those down further, rosacea has three different components to it. The first is “flushing,” which is what people perceive to be blotchiness. Explains Gohara, flushing is trigger-based—whether from changes of emotion (stress, anxiety, anger), temperature (a hot car, room, or external environment), exercise red wine, chocolate, or spicy food—all of which will cause the blood vessels in the skin to dilate. “That will create that pink rosy hue, and when the trigger is eliminated a few days later, the hue goes down. But obviously, it’s cosmetically stressing in between,” she says (more on how to fix that, later!).
The second component of rosacea is persistently pink or red cheeks, and that is the result of broken capillaries in the skin, explains Gohara. And the third component of rosacea is acne-like bumps, especially around the nose and mouth, and textural changes to the skin like enlarged pores. “Often times when a patient comes in and says, 'My skin is totally red, I have no idea why,' or, 'My skin is blotchy and I have no idea why,' it actually is their first symptoms of rosacea,” says Gohara.
If, however, your redness is eczema-based, Gohara says it’s going to appear less like flushing, and more like the blotchy, itchy pink skin of a rash. "With eczema, it's not something where you put a product on your face and get a rash tomorrow. It’s delayed onset. You can try some blush on at the mall and two weeks later, get the rash. It can happen from your shampoo, or your nail polish, and touching your eyes. It can also be from something you've used every day of your life but one day develop an allergy too. So we do patch testing on your back to identify what in your life is causing the problems,” Gohara explains.
The important thing to remember is that there's always a reason that somebody’s skin is red. “Because if your skin is red, that means your skin is inflamed," says Gohara. "Nine times out of 10, it's eczema or rosacea. I separated each into those different components, because each one is treated differently.” Now keep scrolling to learn how to tackle your particular redness problem with different options.
For trigger-based flushing, Gohara recommends looking at your lifestyle and the triggers that are viable to cut back on. “You're not going to stop working out, for example, but if your flushing is food-based (i.e. from chocolate, or spicy food) or alcohol-based (red wine), you can try to find a different type of cocktail or food that doesn’t cause the flushing.”
If you get red and flushed after working out, she recommends a water mist with selenium in it, like La Roche Posay’s Thermal Spring Water, which calms inflammation. “After a hard workout, just mist this water on and the minerals in it will calm and reduces redness.
If you have persistent red or pink cheeks, Gohara says the best solution is a laser. “A laser can just kill the broken capillaries off, and your cheeks can go back to their normal color significantly," she says.
In the short-term, you can also try a new product called Mirvaso that was recently approved by the FDA. “It’s basically it's like Visene for your face,” says Gohara. “It constricts the blood vessels so you are less red, but it only does it for like nine hours, then it wears off and they'll be back. So Mirvaso is a short-term fix, and a laser is a longer-term fix.”
In this case, your best bet is to explore topical treatments and oral antibiotics with a dermatologist.
Gohara says it’s important to be very careful with your skincare regimen if you have eczema- or rosacea-induced redness, which means using a mild cleanser like Cerave or Dove, and using moisturizers that have ceramides or glycerin in them. After showering or cleansing, she says to pat your face dry and immediately lubricate, which helps lock in the moisture.”
Gohara stresses that the biggest issue is to be really aware of ingredients; avoid products with fragrances in them, and look for hypoallergenic products. “The less ingredients the better," she says.
Whatever the specific source of red, inflamed skin, however, there are some general lifestyle and skincare do's and don'ts that anyone with red skin, regardless of the source, should take into account.
Take really hot showers, which will make your skin more inflamed.
Exfoliate harshly, which will exacerbate redness.
Keep your car too hot, or your environment too dry.
Fall into the “organic is better” trap. You want to be wary of chemicals, but natural isn’t always better, says Gohara. “Just because a product has lavender in it, and that’s beautiful and nice and calms your soul, that doesn’t mean it will calm your skin. Lavender is a fragrance, which you want to stay away from. The same goes for vitamin E. There are no studies that go along with it helping to fade scars, and it really riles people’s skin. It’s one of the biggest culprits for irritation.”
Consider antioxidants and peptides versus retinols in your anti-aging routine. The former aren’t as irritating as the latter.
Keep scrolling for more product do's recommended by Gohara.
Do...suck on an ice cube. “Our temperature regulators for our face are at the back of our throat. So sucking on an ice cube can actually decrease the core temperature of your body and can really bring down the redness a lot.”