Persistent Redness and Bumps on Your Skin - Dermatology

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The face may appear flushed?


I previously had issues with acne, which weren't very severe, but they bothered me a lot.
I am now 21 years old, and two years ago, I visited a dermatologist.
At that time, the doctor advised me to wash my face four times a day, and my condition improved significantly.
However, I still have persistent redness on the lower cheeks under my eyes, and I also have small bumps that are not typical acne.
I'm hesitant to use too much makeup...
I'm not sure what to do.

gurst, 20~29 year old female. Ask Date: 2001/06/28

Dr. Zheng Lizhen reply Dermatology


It is recommended that you consult a nearby dermatologist for an accurate diagnosis and treatment.

Reply Date: 2001/06/28

More Info


Persistent redness and bumps on the skin can be concerning, especially when they affect your self-esteem and daily life. Based on your description, it seems like you have been dealing with a combination of acne and possibly a sensitivity or reaction in the skin around your cheeks. Here are some insights and recommendations that may help you understand and manage your skin condition better.


Possible Causes of Persistent Redness and Bumps
1. Acne and Acne-Related Conditions: While you mentioned that your acne was not severe, it’s important to note that even mild acne can lead to post-inflammatory erythema (redness) and can sometimes cause small bumps that are not typical acne lesions. These could be closed comedones (whiteheads) or even papules.

2. Seborrheic Dermatitis: This is a common skin condition that can cause redness, flaking, and bumps, particularly in areas with a lot of oil glands, such as the face. It can be exacerbated by stress, weather changes, or certain skin care products.

3. Contact Dermatitis: If you have recently changed your skin care routine or introduced new products, you might be experiencing a reaction to one of those products. This can manifest as redness, irritation, and small bumps.

4. Rosacea: This is a chronic inflammatory skin condition that often presents with redness, visible blood vessels, and sometimes small, red bumps. It typically affects the central part of the face and can be triggered by various factors, including heat, spicy foods, and certain skin care products.

5. Allergic Reactions: If you have sensitive skin, you may be reacting to ingredients in your skin care or makeup products. This can lead to redness and irritation.


Recommendations for Management
1. Gentle Skin Care Routine: Since your skin is sensitive, it’s crucial to adopt a gentle skin care routine. Use a mild, fragrance-free cleanser and avoid harsh scrubs or exfoliants that can irritate the skin further.

2. Moisturization: Keeping your skin well-hydrated is essential. Look for non-comedogenic moisturizers that are suitable for sensitive skin. Ingredients like hyaluronic acid, glycerin, and ceramides can help maintain moisture without clogging pores.

3. Avoid Irritants: Steer clear of products that contain alcohol, fragrances, or other potential irritants. Patch testing new products on a small area of skin before applying them to your face can help you identify any adverse reactions.

4. Sun Protection: Protecting your skin from the sun is vital, especially if you have redness. Use a broad-spectrum sunscreen with at least SPF 30 daily, even on cloudy days.

5. Consult a Dermatologist: Since you have a history of skin issues and the current condition is persistent, it would be wise to consult a dermatologist. They can provide a thorough examination and may suggest treatments such as topical medications (like azelaic acid or metronidazole for rosacea) or oral medications if necessary.

6. Lifestyle Modifications: Consider keeping a diary of your skin’s reactions to different products, foods, and environmental factors. This can help identify triggers that exacerbate your condition.

7. Diet and Hydration: Maintaining a balanced diet rich in antioxidants and staying hydrated can support overall skin health. Foods high in omega-3 fatty acids, such as fish and flaxseeds, may also help reduce inflammation.


Conclusion
Persistent redness and bumps on your skin can stem from various causes, including acne, dermatitis, or even rosacea. A gentle skin care routine, avoidance of irritants, and consultation with a dermatologist are key steps in managing your condition. Remember, skin health is often a reflection of overall well-being, so taking care of your skin holistically can lead to better outcomes.

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