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1 The skin condition known as rosacea can also cause hot face and ears. Other symptoms include broken veins and redness.  The condition can also be a sign of carcinoid syndrome. Hormone releasing tumors in the appendix, bronchial tubes, colon or small intestine cause this syndrome.
Hot flashes or flushes are the second most frequent symptom associated with menopause. When they occur with often- drenching perspiration during the night, they're called night sweats. Hot flashes are the body's way of cooling itself down. Abrupt changes in the body's thermostat in the brain can cause it to mistakenly sense that you're too warm. So blood vessels dilate and blood rushes to the surface of the skin to cool the body. That's why you get the red, flushed look on your face and neck.