What is happening in my skin?

Flushing is a sudden increase in blood flow to the cheeks, neck or upper chest. Your skin can feel warm and turn red or purple; on darker skin, the change can look like slight darkening instead. Exercise increases blood flow to the skin, creating the flushed appearance that cosmetics companies try to reproduce, although the workout version comes with considerably more laundry.14

How long should the redness last?

Flushing can take a few minutes to a couple of hours to disappear, depending on the cause. That is a general range for flushing, not a fixed deadline for exercise redness. Occasional flushing usually settles without treatment. Redness that persists or happens frequently deserves a medical assessment rather than repeated attempts to wash it away.12

What should I do after a workout?

  1. 1Cool down. Remove an extra layer of clothing and drink water. Try a cool compress on your face or neck to help cool your body.
  2. 2Gently pat away sweat with a clean towel. Avoid contact with dirty towels or equipment.
  3. 3Shower after exercising to remove sweat, oils and bacteria. If you cannot shower, wash your face with a gentle cleanser and change into clean clothing.
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For future outdoor workouts, choose morning or evening rather than midday and use shaded routes, especially if exercise triggers rosacea. Wear a broad spectrum, water resistant sunscreen with SPF 30 or higher on exposed skin. Reapply every two hours or after swimming or sweating. On particularly hot, humid days, exercising indoors avoids a common rosacea trigger.34

Could it be rosacea?

Exercise is a common rosacea trigger, but redness after a workout alone does not identify the cause. A face that is red much of the time, visible small blood vessels and spots are clues worth discussing with a doctor. Rosacea can begin with frequent flushing and progress to constant redness. You do not need to abandon exercise; identifying your triggers can help you adjust your routine.35

With rosacea, blood vessels can also respond to alcohol, hot drinks and spicy foods. Keep track of whether these accompany your workout redness. Nervousness can cause blushing too; if anxiety is part of the pattern, slow, steady breathing can help. Some medicines cause flushing, so check the listed side effects and speak to your doctor if you suspect a connection.567

Can a workout towel make irritated skin worse?

Use a clean towel to gently pat sweat away, rather than treating the towel as polishing equipment. Avoid towels that are not clean because shared workout items can spread germs. The practical distinction is gentle sweat removal with a clean towel, not vigorous wiping or borrowing whatever is nearest.4

When should I see a doctor?

Arrange an appointment for persistent redness, frequent unexplained flushing, worsening episodes or flushing that affects your everyday life. Tell your clinician about accompanying symptoms such as diarrhea, vomiting, wheezing, hives or difficulty breathing. Eye symptoms alongside suspected rosacea also need assessment. Treatment depends on the cause; a dermatologist can identify rosacea triggers and prescribe treatment to control symptoms and help prevent progression.1235

Where this answer comes from

  1. 1Skin Flushing: What It Is, Causes & Treatmentmy.clevelandclinic.org
  2. 2Skin blushing/flushing: MedlinePlus Medical Encyclopediamedlineplus.gov
  3. 3Facebookhealth.clevelandclinic.org
  4. 4How your workout can affect your skinaad.org
  5. 5Blushingnhs.uk
  6. 6Facebookhealth.clevelandclinic.org
  7. 7Social Anxietyselfhelp.cntw.nhs.uk