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" Question Ever since I can remember I&amp;#039;ve had rosy cheeks. They are red all the time and are covered in thread veins and red marks. They burn and flush easily, whenever I&amp;#039;m hot.  I wear make-up to give me confidence and to tone down the redness, but when my cheeks get hot the make-up cakes and looks unsightly.  I have tried laser treatment, which has helped a bit with the thread veins, but the burning sensation continues.  Is there anything that can be done, I&amp;#039;m at my wits end and this has destroyed my confidence.  I have heard there is an operation that cuts off the nerve endings which supply the blood flow to the face. Is this true?   Answer It&amp;#039;s possible you have a condition called acne rosacea. It&amp;#039;s often just called rosacea as it is not strictly a form of acne at all.  It&amp;#039;s a chronic skin disorder where the nose and cheeks are abnormally red. It affects about one in 500 people and is most common in women.  It usually begins with temporary flushing and is much worse when you drink a hot drink or alcohol, when you eat spicy foods or are in hot environments.  As you can see, many of these features apply to you, and it might very well be worth seeing a dermatologist to ask their opinion.  If you do have rosacea, the best treatment would be a lengthy course of an antibiotic called tetracycline. It usually suppresses the symptoms but it doesn&amp;#039;t cure the problem completely. The good news is that rosacea tends to recur after 5-10 years, but then usually disappears all by itself.  If you do not have rosacea, then obviously losing some weight will help, as you will be less flushed anyway as a result of having to lose less heat.  Flushing may be improved by medications such as beta-blockers, which you can obtain from your doctor, and sometimes psychotherapy can help you overcome any anxieties that lead to emotional causes of blushing. Laser treatment can certainly be useful with thread veins, but their underlying cause may be the rosacea. An operation would be quite a drastic move.  The surgeon operates through your armpit and locates the nerves adjacent to the vertebrae in your neck that are responsible for the opening up of the facial blood vessels.  They can be cut, which significantly improves the situation while at the same time preventing any sweating on that side of the face.  Think very carefully before embarking on such drastic therapy, and see a dermatologist first. Yours sincerely The NetDoctor Medical Team   Other Qs &amp;amp; As Any treatment for aging skin? A patch of skin that lost its pigment Cold sores Dark patches on my top and cheeks Faint red veins on my face How can I get rid of the blotches on my face? I am blushing more than usual I can&amp;#039;t grow a moustache I have a constant burning sensation on my lips &amp;amp;#8211; what should I do? Information about Jessner&amp;#039;s lymphocytic infiltrate I&amp;#039;ve got a dent in my chin after squeezing my spots I&amp;#039;ve got freckles on my lips Laser treatment for face tattoos Lichen planus of the mouth Minor infection in the face My mouth sores are so painful My shaving doesn&amp;#039;t have any effect New treatment for Jessner&amp;#039;s? Our baby is tongue tied Papilloma on my tongue Punch in the face has given me a clot Red face Slapped cheek disease Smoker&amp;#039;s skin Swollen lips The inside of my mouth is peeling What is slapped cheek syndrome? White layer on my tongue White spots on the back of my tonsils Why do I have this skin problem?   Last updated 12.03.2014 "^^<http://www.w3.org/2001/XMLSchema#string>
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