What Are the Causes of Facial Blotches & Redness Problems in Women After 40?

Women often experience different skin symptoms when they pass 40 years old. Some of these are due to bodily changes while others are due to external factors. If a woman over 40 experiences facial blotches and redness, there is always a cause, and some are more serious than others. Any time facial skin changes occur, women need to talk to their doctor to determine the cause and discuss any necessary treatment.

Allergic Skin Conditions

Allergic skin conditions come in a variety of forms. Common symptoms include redness and itchiness, and some can cause bumps, swelling and scales. The most common types of allergic skin reactions that can cause redness and blotches on the face include hives, contact dermatitis and eczema, according to the American Academy of Allergy, Asthma and Immunology. In most cases, hives are caused by drug or food allergies. Contact dermatitis occurs when an area of the skin, such as the face, becomes damaged by a substance that comes in contact with it, such as plants, dyes, nickels or chemicals. Eczema can be caused by sweating or overheating, emotional stress or irritants, such as soaps.

If a woman experiences hives or angioedema, an antihistamine may help alleviate her symptoms. Contact dermatitis can be treated with topical corticosteroid creams and cold compresses. Topical calcineurin inhibitors and topical corticosteroids creams are most often used to treat the facial redness and blotchy rash caused by eczema. For all allergic skin reactions, it is crucial to determine the cause and then avoid it to prevent further reactions.

Hot Flashes

Woman's reflection in mirror

Dark Patches Were on My Areola During My Pregnancy

Learn More

In most cases, hot flashes are caused by hormonal changes that occur during menopause. It is estimated that in the United States, about 85 percent of women experience hot flashes as they enter menopause and for approximately two years after their menstrual cycle ends, according to BreastCancer.org. No specific treatments are available, but women can do lessen their symptoms by avoiding common triggers, such as:

  • alcohol
  • hot rooms or weather
  • caffeine
  • smoking
  • diet pills
  • hot showers,
  • spicy food

If women find their hot flashes to be particularly bothersome, certain medications may help, such as

  • antidepressants
  • medications that lower blood pressure
  • products similar to progesterone
  • mild sedatives
  • and
  • in less common cases
  • estrogen therapy


What causes this condition is not known, but risk factors include being between 30 and 50 years old, being a woman, blushing easily and being fair-skinned. Skin eruptions may be alleviated by topical and oral antibiotics. If rosacea is severe, the redness may be alleviated with laser surgery.