What are the causes of facial redness and the appearance of papules?

Nov 28, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, facial redness and rashes may be caused by emotional fluctuations, environmental irritation, rosacea, contact dermatitis, seborrheic dermatitis, or other reasons. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, choose mild, non-irritating skincare products and avoid frequent exfoliation.

Facial redness and papules are generally caused by emotional fluctuations, environmental irritation, rosacea, contact dermatitis, seborrheic dermatitis, or other factors. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Detailed analysis is as follows:

1. Emotional Fluctuations

During states of tension or excitement, the sympathetic nervous system becomes activated, leading to facial vasodilation, congestion, increased sebaceous gland secretion, and clogged pores, which may result in redness and papules. Calming emotions through deep breathing, listening to music, and applying a cool compress to the face can help constrict blood vessels and prevent severe emotional swings.

2. Environmental Irritation

Sudden changes in temperature, exposure to ultraviolet (UV) radiation, or wind can damage the skin barrier on the face, causing blood vessel dilation and inflammatory responses that lead to redness and papules. When outdoors, apply sunscreen and wear a mask to protect against wind. Maintain stable temperature and humidity indoors, and avoid frequently moving between environments with large temperature differences.

3. Rosacea

Influenced by genetic and hormonal factors, abnormal facial blood vessel constriction and dilation occur, and infection with Demodex mites may worsen inflammation, manifesting as persistent redness and inflammatory papules. Treatment under medical guidance may include metronidazole gel, doxycycline tablets, or azelaic acid cream. Avoid spicy foods, alcohol, and prolonged exposure to high-temperature environments.

4. Contact Dermatitis

Using allergenic skincare products or cosmetics can irritate facial skin and trigger inflammation, resulting in redness, papules, and itching. Immediately discontinue suspected products and cleanse the face with water. Under medical supervision, topical hydrocortisone butyrate cream, oral loratadine tablets, or calamine lotion may be used for relief.

5. Seborrheic Dermatitis

Excessive sebum production combined with Malassezia fungal infection leads to facial redness, light red papules, and greasy scales. Treatments prescribed by a doctor may include ketoconazole cream, vitamin B6 tablets, and selenium sulfide shampoo. Keep the face clean and avoid high-fat, high-sugar diets.

In daily life, choose mild, non-irritating skincare products and avoid frequent exfoliation. Maintain a light diet rich in fresh fruits and vegetables. Follow a regular sleep schedule and avoid staying up late, which can exacerbate sebum production. Take protective measures when going outdoors to minimize external irritation and promote overall skin health.

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