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What Causes Red Spots Under Eyes And How To Treat It

Dr. Amy Yuan
| March 24, 2023
Fact-checked by:
Marisa Garshick MD
, Board Certified Dermatologist

You wake up in the morning, head to the mirror, and that’s when you see them: Red spots under your eyes. It’s not acne—you’d recognize it if it was. It’s not a sudden burst of freckles, either.

So, what are those red dots? Where did they come from? And what will it take to make them go away?

These are all natural questions to have when you see red spots under your eyes. In this guide, we’ll be looking at some potential answers to these questions and more.

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What Are Those Red Spots, Anyway?

To pinpoint exactly what may be happening under your eyes, an expert would need to see you and ask follow-up questions.

With that said, there are a few possibilities. To help you narrow it down, let’s explore some more likely causes of red spots under eyes.

Petechiae

If the red dots under your eyes are tiny, painless, and flush with the skin, chances are you’re looking at petechiae. These bunches of pinprick-sized spots are caused by broken blood vessels (capillaries) in your mucous membranes or under the skin, and they can be red, brown, or purple. While petechiae are common under the eyes, they can also show up on or around the [1]:

  • Arms
  • Legs
  • Stomach
  • Mouth
  • Buttocks

Petechiae show up for various reasons. Sometimes, they’re totally benign; in other cases, they may be a visible sign of something more concerning [1].

If your only symptom is the sudden appearance of these red spots, chances are you have nothing to worry about. However, if the dots stick around for a few days—or if you experience other symptoms—you may want to check in with a medical professional.

Eyelid Dermatitis

If the red dots start connecting to form a dry, scaly skin rash, you might be dealing with a case of eyelid dermatitis. Officially called periocular dermatitis, this skin condition may cause swelling, itching, burning, or stinging around the eyes [2].

Dermatitis occurs when your sensitive skin comes in contact with an irritant or allergen. It’s rarely a sign of anything more serious, and it should go away on its own in a few days [2].

Styes

What if you only have one or two red spots, and they’re on the edge of your eyelid? In that case, it could be a stye. Styes—also known as hordeola—are pimple-sized lumps that grow right around the eyelashes. They’re usually itchy, tender, and fairly painful [3].

Here are some other telltale signs that you might be looking at a stye:3

  • The dots have a small, white center
  • You feel like there’s something in your eye
  • You’re more sensitive to light

Styes are usually caused by bacterial infections and typically go away without intervention [4]. In rare cases, a specialist may prescribe you an eye cream or ointment.

Chalazia

Often confused for styes, chalazia are another type of swollen red dot that can form under the eye. But unlike a stye, a chalazion is rarely painful [3].

Chalazia are usually caused by clogged oil glands in the eyelid.3 Unless they become large enough to press on your eye, they’re little more than annoying bumps that should disappear in a month or less [5].

Rosacea

Another possible culprit is rosacea. If the red spots around your eyes appear to have an underlying, itchy red skin rash, they could be a symptom of ocular rosacea [6].

Rosacea can also make you more susceptible to styes and chalazia [3], so if you frequently find these larger bumps, you may want to look into managing rosacea with PROVEN’s 3-step skincare set made specifically for you.

Shingles

If your red dots are painful, rash-like spots that break open and crust over, they could be shingles [7]. Caused by the same virus as chickenpox, shingles can appear under one of your eyes, but it can just as easily show up on other parts of your body [7].

Shingles can cause acute pain, headaches, fevers, and fatigue, so you should see your doctor if you suspect you’ve caught a case [7].

Potential Causes of Red Spots Under the Eyes

Most of the time, these red spots are completely harmless or a sign of a mild health problem. Some possible causes of red dots under the eyes may include:

  • Physical strain – Anything from holding your breath to playing a wind instrument can cause the small blood vessels around your eyes to break [1]. Coughing, crying, and vomiting can also trigger petechiae [8].
  • Injury – Skin damage from an accident, friction, or even the sun can cause those pinpoint-sized dots to appear under your eyes [1].
  • Medication side effects – Some medications, such as antibiotics, blood thinners, and antidepressants, can cause petechiae [1]. Any drug that dilates the blood vessels can also trigger rosacea [9].

However, red dots can occasionally be a symptom of a more significant medical issue, especially if the spots feel raised, scaly, or painful. Only a medical professional can say for sure, but some of the potential causes could be:

  • Infection – Red spots can be telltale symptoms of a bacterial infection (styes) or a viral infection (shingles) [7].
  • Blood disorders – In rare cases, painless red dots like petechiae can point to a blood disorder like leukemia [1]. In these situations, the spots will usually be accompanied by other symptoms [1].
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How to Treat and Prevent Red Spots

Ultimately, only a medical professional can identify the issue and provide advice to help treat the underlying cause of your red spots. We’ve touched on a few of the suggestions that a dermatologist might make, but don’t take this information as medical advice.

With that said, there are several ways to prevent the emergence or spread of red spots under your eyes. Below, we’ll cover some of these as well.

Wait for the Spots to Fade

In many cases, all you have to do is sit tight, and the red spots will go away in a few days. Styes, chalazia, petechiae, and periocular dermatitis usually fall under the “wait and see” category (unless they’re accompanied by other symptoms) [1][2][3].

While you wait, you may find it helpful to apply a cold compress, especially if you think it’s petechiae [1]. For a stye or chalazion, a warm compress will often do the trick [3].

Nourish and Moisturize the Skin

Sometimes, red spots come with itching and dryness. A specially-formulated night cream may not make your under-eye dots go away, but it can soothe any itchy sensations you may feel. A night cream can also help repair your under-eye skin while you sleep.

As with all skincare remedies, if your problem seems to be worsening, stop using any products and see a dermatologist.

Protect Your Skin from the Sun

As mentioned, conditions like petechiae can occur when the sun damages the skin. Protecting your skin from the sun is always smart, but it’s especially beneficial if you notice red spots under your eyes.

To shield your face from harmful UV rays, you can:

Use Skincare Products with Vitamin C

Vitamin C has long been used in skincare products for its anti-aging and antioxidant properties. It’s also useful for taming redness, which is why vitamin C supplements are sometimes recommended to people with petechiae.1 Using a personalized skincare set packed with vitamin C for dark spots or red spots can also help.

Clean the Affected Area Regularly

Because some red spots are caused by infections or improper hygiene, a skincare routine that involves a gentle facial cleanser can work as a preventative measure. A nice facial wash—along with the careful massaging that comes with it—can also help if you have a chalazion [5]. With that said, never pop or push at the bumps under your eyes.

In general, keeping your skin clean and dry can reduce the risk of unwanted health conditions, including red dots. That’s why it’s best to avoid makeup and heavy skincare products if you notice spots under your eyes.

Take Prescribed Medications

If your doctor or dermatologist believes your red dots may have an underlying cause, they may recommend certain medications to address the root of the issue. Depending on their diagnosis, your specialist may prescribe you:

  • Corticosteroids [1]
  • Antibiotics [1]
  • Medicated creams or gels
  • Acne drugs (for rosacea) [9]
  • Steroids (for chalazia) [5]
  • Antiviral medications (for shingles) [12]

Only use medications as recommended by a medical professional.

Keep Your Skin in Tip-Top Shape With PROVEN

Whether they’re purely cosmetic or part of an underlying issue, red dots around eyes are no fun. And they certainly don’t complement your outfit of the day. As such, clearing those red dots from your face (and keeping them away) is likely your priority.

While skincare can’t solve all your red spot-related problems, it can certainly help—especially as a preventative measure. Take care of your skin, and it’s likely to return the favor.

With our quick Skin Genome Quiz, you can discover the perfect blend of ingredients to complement your skin type, reinvigorate your face, and even reduce the chance of those red spots coming back.

And, of course, if you notice red spots that won’t go away or seem to worsen, consult a board-certified dermatologist.

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