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Writer's pictureTanya Freirich

Living with Lupus: Understanding and Caring for Your Malar Rash

Living with lupus comes with unique challenges, and the distinctive butterfly rash (malar rash) can be one of the most visible and emotionally impactful symptoms.

This red, sometimes raised rash that spreads across the cheeks and bridge of the nose can feel overwhelming, but you are not alone in this journey.

It often helps with a correct diagnosis, but can be so emotionally difficult to see every day!


Understanding Your Malar Rash

The butterfly rash is more than just a physical symptom—it's a visible representation of your body's complex autoimmune response. While it can be uncomfortable and sometimes embarrassing, it's important to remember that this rash doesn't define your worth or beauty.



malar rash on darker skin; butterfly rash on face


















Compassionate Self-Care Strategies

Skin Protection and Comfort

  1. Sun Protection is Key

    • Use broad-spectrum sunscreen (SPF 50+), preferably mineral sunscreen

    • Wear wide-brimmed hats

    • Seek shade during peak sunlight hours

  2. Gentle Skincare Routine

    • Use hypoallergenic, fragrance-free moisturizers

    • Opt for mineral-based makeup

    • Choose a soft towel when washing and drying your face

  3. Avoid chemical peels, microdermabrasion and even facials

    • Discuss with a dermatologist before cosmetic skin care



Emotional Well-being

  • Practice self-compassion

  • Connect with support groups

  • Consider speaking with a therapist who understands chronic illness


Medical Management

Work closely with your rheumatologist to:

  • Identify and manage triggers

  • Explore treatment options

  • Monitor rash progression

  • Discuss potential medications to reduce inflammation


Makeup and Camouflage Techniques (Optional)

If the rash affects your confidence:

  • Use color-correcting green-tinted primers to help balance the redness

  • Select yellow-based green concealers - depending on your skin's natural tone

  • Apply mineral makeup with gentle application


Remember Your Strength

Your lupus journey, including the malar rash, is uniquely yours. Each day you manage your symptoms is a testament to your resilience. You are so much more than your condition—you are a warrior, full of strength, beauty, and incredible spirit.


Remind yourself of these Words of Encouragement

  • Be patient with your body

  • Celebrate small victories

  • Know that you are loved, rash and all

You are not alone. Your feelings are valid. Your strength is remarkable.


If you would like holistic support in your diet and lifestyle to reduce your inflammation and clear up your malar/butterfly rash - schedule a chat with me today!



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