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Why do I have blotches on my face?

“I’ve got two patches of dry, red skin on my left cheek and on my chin. What do you think they are, and should I be worried?”

While the redness on your skin might be nothing serious at all, the only way to get a proper diagnosis is to visit your doctor (GP). They will be able to examine you properly and let you know if a medical condition is causing the symptoms you describe.

Causes of red patches on the face

Common causes include:

Rosacea

An inflammatory condition that results in red flushing of the cheeks, forehead and nose. In order to reduce flare-ups of rosacea it’s important to find and avoid triggers, which can include alcohol, caffeine, spicy food, temperature changes, hormonal changes and stress.

Psoriasis

An inflammatory skin condition which usually appears as red scaly patches that, when scratched, reveal fine silvery scales. This may feel uncomfortable and itch, but can be controlled and eased with the use of fragrance-free moisturisers. Psoriasis usually affects elbows, knees, lower back and scalp. It’s thought to be triggered by skin injury, throat infections and stress.

Eczema

Eczema is characterised by red, dry, itchy patches of skin which can occur across the body. Eczema can be treated by lotions and creams that help to keep the skin moisturised.

Dermatitis

Dermatitis comes in various forms including contact and atopic dermatitis. Contact dermatitis is an allergic reaction to something such as a piece of jewellery or clothing. Atopic dermatitis is a type of dry skin condition which can cause red patches on the face and body. Treatments are similar to those for eczema.

More support with skin complaints

It’s best to see your GP when an outbreak is at its worst, as it’s easier for them to see what's happening and make a diagnosis.

Lou Northcote is a British model, activist, and social media influencer known for her advocacy in promoting self-acceptance and challenging beauty standards.

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