Why Do I Get Red Dots on My Face When I Cry?

Tiny red dots on the face after crying can be unsettling. This article explores their scientific reasons, when they might warrant further attention, and practical suggestions for minimizing their visibility.

The Science Behind the Red Dots

The small red dots that appear on the face after crying are known as petechiae. These pinpoint spots are tiny hemorrhages, occurring when minute blood vessels, called capillaries, rupture just beneath the skin’s surface. Crying, especially if prolonged or forceful, involves significant muscle contractions in the face and chest. This effort, combined with breath-holding, can lead to a temporary increase in pressure within capillaries, particularly those around the eyes and nose.

Fragile capillaries can break under this sudden surge in pressure. When they burst, small amounts of blood leak into the surrounding tissues, appearing as red dots. Emotional responses can also trigger vasodilation, a widening of blood vessels, which may make them more susceptible to rupture. Individual variations in skin sensitivity and capillary strength influence how readily these dots form.

When Red Dots Might Signal a Concern

While petechiae caused by crying are generally temporary and harmless, specific instances warrant medical consultation. If the red dots are unusually large, spread across a wide area, or persist for more than a few days, seek professional medical advice. Similarly, if these spots appear without any apparent pressure or trauma, such as crying, coughing, or vomiting, it warrants attention.

If red dots are accompanied by other symptoms, these could include unexplained fever, easy bruising, bleeding from gums or nose, or unusual fatigue. Such symptoms, though rare in the context of crying-induced petechiae, could indicate underlying conditions such as platelet disorders, clotting issues, or certain infections. A healthcare provider can determine the exact cause and recommend appropriate action.

How to Minimize Their Appearance

To reduce the appearance of red dots after crying, several gentle approaches can be helpful. Avoiding excessive facial straining or holding breath during emotional moments can lessen the internal pressure on capillaries. After crying, applying a cool, damp cloth or compress to the face can help constrict blood vessels and reduce any associated puffiness or redness.

Maintaining good hydration supports overall skin health, though its direct impact on preventing these specific dots is limited. It is also advisable to avoid vigorously rubbing or wiping the face, as this can further irritate the skin and exacerbate pressure on fragile capillaries. Ultimately, the red dots typically resolve on their own as the body naturally reabsorbs the leaked blood.