Hello, my name is Ranen and I am an aesthetic nurse at Aesthetic Skin in Chicago.Persistent redness on the upper cheeks is very common, and there are effective ways to reduce it depending on what’s causing it. I can’t diagnose you, but here are the most common causes and the best treatment options for each so you know what direction to explore.Rosacea (very common) Especially if: Redness flares with heat, alcohol, exercise, stress, spicy foods. You see tiny visible vessels (telangiectasias). Skin feels sensitive or flushes easily, Broken capillaries / vascular changes. These show up as: Persistent red patches, Fine red vessels, Redness that doesn’t go away with skincare, post-inflammatory redness, Often from: Acne, Over-exfoliation, Retinoid irritation. Heat or exercise-induced flushing. Some people just flush more easily due to vascular reactivity. Barrier weakness. If your skin is dehydrated or the barrier is compromised, it can look chronically red or inflamed. Treatment Options (Most Effective → Least Invasive), Vascular Lasers (Best option for persistent redness). Gold-standard for red cheeks. Amazing for broken capillaries + flushing + background redness. Typically 1–3 sessions. IPL (Intense Pulsed Light), Great for diffuse redness, also helps with mild rosacea. Improves texture and pigment too. Best in a series of 3–5. Pico is less vascular-specific but can help some redness patterns. If your redness has been around for a long time, lasers/ light-based treatments are usually the only thing that fully clears it.