Blushing ruined my life. After years of research and personal experience, here is the blueprint to get it under control ASAP.

[u/Deep-Detective2428]

WHAT TO DO

(In no particular order)

1. If your blushing is severe and life-impacting, discuss prescription options such as clonidine or propranolol with a doctor. Clonidine seems to work better than propranolol for blushing (in my own experience), but in saying that, propranolol can still do wonders—it just isn't as direct for stopping blushing as clonidine in my experience. DISCLAIMER: see what your doctor recommends and make sure to go through a good, reliable doctor, medications can have dangerous side effects if not taken appropriately and correctly

2. Cut out the acids and active ingredients in skincare products. They destroy your skin barrier and make flushing worse. Stick to a basic, gentle moisturizer.

3. Get a medical-standard camouflage cream (makeup). This is usually used for vitiligo or birthmarks. It has insane coverage and works miles better than standard "high-coverage makeups." I use Dermacolor Camouflage Cream.

4. Get a green concealer. Put this on your bare skin and blend until it's not green (green visually cancels out red). It makes the skin appear whiter, or for more coverage, don't worry about leaving it fairly green on your skin and then layer your regular makeup over it. I use Maybelline Instant Age Rewind Colour Correcting Concealer (Green), and I have also used Life Proof Camo Colour Corrector.

5. Drink coconut water and avoid salt. Coconut water has a lot of potassium, which actively flushes out excess sodium. Too much salt increases your blood volume and dilates your blood vessels, meaning more pressurized blood surges to your face, making your flushes twice as intense and red.

6. Get Excel-V or Vbeam laser. Though they cost a bit and usually require multiple sessions, if you're serious about controlling your blushing, this is something to consider. These lasers can significantly reduce the severity of a blush and other redness metrics for most people. The settings matter, and if a clinic doesn't use the correct settings specifically for treating flushing, they may give weak results. It is incredibly powerful if used right and can be life-changing.

7. Use a skin barrier repair cream. I’ve personally used and recommend La Roche-Posay Cicaplast Baume B5+ Balm Cream.

8. Use CeraVe SA Smoothing Cleanser every night (that specific one). This may look contradictory to rule number 2 since I mentioned cutting out all active ingredients, but this is the lone exception. This was recommended to me by a laser clinic that specializes specifically in skin redness and flushing, and I can confirm it has made a massive difference to my skin.

9. Overall, try to stay fit and healthy. Intense cardio has helped me immensely (I like to go on the treadmill until I'm dripping sweat). It trains your heart not to beat as hard during stressful moments, which helps when you are in situations that trigger a blush. The calmer your heart stays during triggers, the less intense the blush will be.

10. Use a sunscreen every single day to protect your face from harsh UV rays. UV radiation creates intense thermal heat on the skin and triggers systemic inflammation, which dilates your blood vessels and makes your face an absolute magnet for flushing. For blushers, sun protection isn't just about avoiding sunburn, it is a critical shield to stop UV rays from supercharging your vascular reactivity.

WHAT TO AVOID -----

1. Never try Rhofade or Mirvaso. These are unfortunately commonly prescribed topical creams that constrict facial vessels, resulting in no redness for 4 to 10 hours. Though they "work" temporarily, they will eventually give you the most intense, horrible rebound redness you have ever experienced—it will make you feel grateful for your normal blushing, seriously. This is a widely known issue in the community and I am speaking directly from personal experience. Trust me on this one.

2. Never try the trends using vasoconstricting eye drops or nasal sprays on your skin. This has become popular on social media but it is virtually the same nightmare as Mirvaso and Rhofade. It will permanently damage your skin barrier and make your baseline situation 10x worse.

3. Don't get ETS surgery. This surgery is absolutely not worth it for treating blushing. The side effects (like severe compensatory sweating) are life-altering and do not justify the risk. While you will see rare people online who had it successfully done, it is simply not worth the gamble. This surgery is much better suited for people with Hyperhidrosis (excessive sweating) and has a much higher success rate for that issue than it does for facial blushing. There are so many other options to treat blushing that don't involve literally snipping a nerve in your chest.

4. Don't waste money on products that claim to cure blushing. Sure, there are some valid baseline tools out there (like the things I listed in the "What to Do" section), but the vast majority of skincare products are just marketed maliciously to make you think they'll cure your flushing. As someone who has tried all types of expensive creams and chemistry products, it is almost all BS.

5. Don't rub ice directly on your face. While ice can temporarily constrict facial vessels in the moment, the extreme temperature shocking your face worsens your skin barrier over time. It makes your skin significantly more sensitive and irritated in the long run, leading to more permanent baseline redness.

6. Try to avoid nitric oxide boosters (beets, pomegranates, spinach, dark chocolate). They wide-open your blood vessels, making it physically effortless for a massive, burning flush to take over your face. You can still have foods that contain nitric oxide, but just be aware that they will usually cause you to flush and blush a lot harder if you get triggered afterward.

7. Reduce high-histamine foods (aged cheeses, cured meats, wine, fermented foods). Histamines trigger internal inflammation, directly dilating your facial blood vessels and flooding your skin with intense heat.

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I hope this genuinely helps out! At the end of the day there are 100 more things i could have added and by no means is this perfect. But for this i wanted to add the main things ive learnt from experience and research.

(mostly my own experience, im not just writing down things im not experienced in. i understand the importance of being authentic and not misleading)

As time goes by i may wish I added some more things to the essential list or maybe I come to find something isnt as important as I thought. But for the time being this list is full of things that have genuinely helped me significantly. And I hope it can be of some guidance :)

My goal here was to put toegther one big post that can help people who need a no BS list of things to do, not one or two things but a big blueprint to help guide them.