A common cause of a red, hot, burning face in women is menopause. Most women with hot flashes also experience facial flushing. This is called a vasomotor flush. It is seen as redness starting in the chest and neck area, and then rising to cover the face.
The treatment of hot flashes and facial flushing in menopause is the same. The most effective treatment is estrogen. In women who cannot take estrogen may be able to take progesterone. Progesterone taken once daily has been shown to reduce facial flushing by 87%. Certain blood pressure medications such as clonidine, lofexidine, and methyldopa have been shown to reduce flushing by regulating the same chemicals in the brain that transmit heat-regulating information. Herbal preparations containing soy have been shown to reduce the frequency of flushing. However, studies have not shown any benefit from the herbs dong quai, ginseng, black cohash, or St. John's Wort.