Why Does My Skin Get Red and Blotchy During Sauna and Cold Plunge Sessions?
- Robyn Nazar
- May 3
- 3 min read

Have you noticed your skin turning red or developing blotchy patches during your hot-cold therapy sessions? This common reaction has fascinating science behind it! At Fyre Sauna, we're sharing everything you need to know about this natural response and how it relates to the benefits of alternating between heat and cold.
The Science Behind Red Skin During Hot and Cold Therapy
When you experience the contrast of sauna heat and cold plunge, your body undergoes significant physiological changes. The redness you experience—known medically as erythema—is your body's natural response to temperature extremes.
What Happens in the Sauna
During sauna sessions, your body temperature rises, triggering a process called vasodilation. This means your blood vessels expand to:
Increase blood flow to the skin
Release excess heat through the skin surface
Enhance sweat production to cool the body
According to research published in the Journal of Human Kinetics, skin temperature can increase by 5-10°F during a typical sauna session, causing visible reddening as blood rushes to the surface [1].
What Happens During Cold Exposure
When you transition to a cold plunge, the opposite reaction occurs—vasoconstriction:
Blood vessels rapidly contract
Blood flow redirects to protect vital organs
Skin temperature quickly drops
This sudden constriction followed by renewed dilation when you warm up creates the blotchy appearance many people notice.
Is Red, Blotchy Skin During Hot-Cold Therapy Normal?
The short answer: Yes! This response is completely normal and expected.
A study in the European Journal of Applied Physiology found that these color changes indicate your cardiovascular system is responding appropriately to temperature challenges [2]. The researchers noted that individuals who regularly practice contrast therapy (alternating hot and cold) develop more efficient circulatory responses over time.
Benefits Associated with These Skin Reactions
The very mechanisms causing your skin to redden during sauna sessions and cold plunges deliver substantial health benefits:
Improved circulation: The alternating vasodilation and vasoconstriction creates a "pumping" effect for blood vessels
Enhanced detoxification: Increased blood flow helps flush metabolic waste
Reduced inflammation: Cold exposure triggers anti-inflammatory responses
Boosted immune function: Temperature contrasts activate immune cells
According to research in the International Journal of Circumpolar Health, regular sauna bathers who also practice cold exposure show improved vascular function and adaptations that may reduce cardiovascular disease risk [3].
When Should You Be Concerned?
While redness is normal, there are some situations that warrant attention:
Extreme discomfort beyond mild tingling
Redness that doesn't subside within 30 minutes after your session
Development of hives or extreme itchiness
Dizziness or lightheadedness
If you experience these symptoms, it's best to consult with a healthcare provider before continuing your hot-cold regimen.
How to Minimize Excessive Redness
At Fyre Sauna, we recommend these practices to ensure the most comfortable experience:
Gradual acclimation: Start with shorter sessions and gentler temperature contrasts
Proper hydration: Drink plenty of water before, during, and after your sessions
Mindful transitions: Move from hot to cold gradually rather than shocking your system
Post-session care: Apply gentle, fragrance-free moisturizer after your session
Experience Expert-Guided Hot-Cold Therapy
At Fyre Sauna, our trained staff guides you through optimal hot-cold protocols tailored to your comfort level and goals.
Our facilities feature state-of-the-art saunas and cold plunges designed to maximize the therapeutic benefits while ensuring your comfort and safety. Whether you're new to contrast therapy or a seasoned enthusiast, our team will help you achieve the perfect balance.
Conclusion
The red, blotchy skin you experience during sauna and cold plunge sessions is a visible sign of powerful physiological processes at work. Rather than being concerned, consider it evidence that you're receiving the circulation-boosting, inflammation-fighting benefits these practices are known for.
Ready to experience the transformative effects of professional hot-cold therapy? Book your session at Fyre Sauna today and discover why we're the highest-rated sauna and cold plunge facility in the area!
References
Hussain J, Cohen M. "Clinical Effects of Regular Dry Sauna Bathing: A Systematic Review." Journal of Human Kinetics, 2018; 40(3): 1083-1096.
Mooventhan A, Nivethitha L. "Scientific Evidence-Based Effects of Hydrotherapy on Various Systems of the Body." North American Journal of Medical Sciences, 2014; 6(5): 199-209.
Laukkanen T, Kunutsor S, Zaccardi F, et al. "Acute effects of sauna bathing on cardiovascular function." International Journal of Circumpolar Health, 2018; 77(1): 1545043.
Bleakley CM, Davison GW. "What is the biochemical and physiological rationale for using cold-water immersion in sports recovery? A systematic review." British Journal of Sports Medicine, 2010; 44(3): 179-187.
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