I Blush Very Easily On My Face and Chest, What Are Some Options For Me?

Question

I blush really easy (which is extremely embarassing it turns my whole face and chest red) and also have night redness on the bridge of my nose and cheeks (no bumps or anything like rosacea). I found that Naicin mixed with b12 vitamins reduces both of these issues but make me gain weight. Why would they reduce it? and is there something else that would have the same results without the weight gain?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Chien C. Kat, MD · Answer

Blushing can be one of the early features of rosacea ( thigh not everyone who bushes has rosacea!). The triggers for rosacea blushing (other than emotional) can include changes in temperature, spicy food and alcohol. There a progression in that presentation, generally with an increase in the persistence and permanence of facial redness, with the emergence of thread veins in some. Breakouts, thickening of the skin on the nose and eye symptoms can affect a proportion of patients.Sun protection is likely to be important in your case. And I think you will get good result with treatment with a Pulsed Dye Laser like the VBeam which will reduce the general redness and the vascular reactivity of the areas. I'd suggest getting a full assessment and taking it from there.

Robert S. Bader, MD, FAAD · Answer

There are many treatments available for redness of the face and chest including: Lasers and Intense Pulsed Light (photo-rejuvenation). I have had great success with the Spectrapulse IPL. Topical treatments, while available, are of minimal help.

	Flushing, or redness that comes and goes away completely, is more difficult to treat. There are some oral medications (pills) that may work, but is rarely used.

	Avoidance of triggers is the simplest treatment. Common triggers include:

	
		consuming alcoholic beverages
	
		consuming hot liquids or foods
	
		consuming spicy foods
	
		changes in external temperature (heat-cold)

Harold A. Lancer, MD · Answer

Consider Fractionated Vascular Laser treatment at 3-6 week intervals for 3-5 sessions. The problem should resolve.

Mitchell Schwartz, MD - Account Suspended · Answer

Easy blushing on the face and chest is indeed a form of rosacea. You don't have to have bumps to "qualify" for this diagnosis. Depending upon the severity of your symptoms, there are many treatment options available for you. I recommend being evaluated by a board certified dermatologist. In the meanwhile, strict sun avoidance methods such as using hats and broad spectrum sunblocks are the most important things you can do.

I Blush Very Easily On My Face and Chest, What Are Some Options For Me?

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