What are the causes of facial blotches & redness problems in women after 40?

Updated November 21, 2016

Discolouration and pigmentation changes of facial skin occur as we age. Around the age of 40, hormonal changes from menopause can cause much of the redness and facial blotches that are common. Knowing the different types of redness and blotches will help you understand what the cause is.

Hot Flushes

Hot flushes, a red flushing of the skin, occur due to menopause. When a hot flush occurs, a woman may experience a warmth that spreads from the top of her head down to her chest. Her face may get a blotchy red appearance called flushing. She may begin to sweat and feel as if her heart is racing. Hot flushes usually only last an average of four minutes, according to Aetna Health. Women experience menopause, the cessation of their menstrual cycle, at the average age of 51, but according to Aetna Health, hot flushes can start two or three years before her last menstrual cycle occurs.

Dry and Flaky Skin

As you get older, your skin may become drier due to hormonal changes. Pre-menopause is the major cause of hormonal changes that affect women in their 40s, 50s, and 60s. Dry skin can appear red, flaky, and blotchy. To lessen the effects, use a mild soap and a good moisturiser.


Rosacea, a chronic skin condition, effects women in their 40s and older. A woman with rosacea may experience a deep redness on her nose and cheeks. Sometimes spicy food, hot beverages, sun exposure, hot weather, or alcohol triggers this reaction. Women with very active and persistent rosacea should be under the care of a dermatologist to lessen permanent damage to her skin.

Broken Capillaries

Broken capillaries, also known as telangiectasias, are dilated or broken blood vessels that occur on mature skin. Women may experience broken capillaries on their faces because their skin ages and loses its elasticity. Broken capillaries appear as red blotchy lines under the eye, on the sides of the nose, on the cheeks and on the chin. Treatments for removal may include; laser light therapy, ozone injections, toning cryomassage, or medicated creams to shrink the blood vessels.

Age Spots

Age spots, also known as liver spots, are flat and reddish brown like the colour of liver. They are caused by sun exposure and usually occur in older women on the face, hands, arms or chest. To reduce the production of more liver spots, stay out of the sun and consider having a skin-resurfacing regimen to lighten the ones you have.

Actinic Keratoses

Actinic keratoses, also known as AKs, are precancerous skin lesions that are reddish brown, blotchy and scaly. Women who have reddish brown lesions on their faces, should see a dermatologist to check for skin cancer. Years of exposure to the sun can lead to cancer. If AKs are caught early enough, a dermatologist can freeze them off, or prescribe medicated creams to reduce them before they do become cancerous.

Cherry Angiomas

Cherry Angiomas are harmless raised red bumps on the face. They are most common in middle-aged women.

Seborrheic Dermatitis

Seborrheic dermatitis is characterised by redness and greasy-looking blotchy scales. Areas around the nose, eyebrows, and eyelids are the most common areas on the face that are affected.

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