What Does Alcoholic Face Look Like? 6 Ways to Spot It

An image of a man struggling with the effects of alcohol abuse, including alcoholic face

Updated May 11, 2025

An image of Karena Mathis, author for gratitude lodge
Authored By:

Karena Mathis

Edited By

Amy Leifeste

An image of Karena Mathis, author for gratitude lodge
Authored By:

Karena Mathis

Edited By

Amy Leifeste

Sean O'Neill
Medically Reviewed By

Sean O'Neill
MS, LMFT 112879

An image of a man struggling with the effects of alcohol abuse, including alcoholic face

Alcoholic face is a non-clinical term for someone with a red face. Our facial appearance often provides insights into our overall health, serving as a kind of reflection of our well-being. With the right knowledge, it can offer clues about a person’s self-care and lifestyle choices. This brief guide to alcoholism face shows you how to determine whether someone may be drinking too much alcohol and how to connect them with professional help.

Alcohol can cause facial bloating and puffiness by dehydrating the body and dilating blood vessels, leading to increased fluid retention. This bloating can be particularly evident in the mornings after heavy drinking.

6 Ways to Spot an Alcoholic Face

If you’re wondering how to spot an alcoholic face, it can be challenging, as facial appearance is not a foolproof indicator of alcoholism. That said, there are some physical signs that may suggest chronic alcohol consumption. Keep in mind that the signs of alcohol face may vary from person to person, and their presence does not necessarily mean that someone is an alcoholic.

What does an alcoholic face look like, then?

  1. Facial redness: One of the most common signs is facial redness, often referred to as alcohol flush reaction. This can result from dilated blood vessels near the skin’s surface and is more common in some Asian populations. However, not everyone with facial redness is an alcoholic.
  2. Broken blood vessels: Chronic alcohol use can lead to the development of spider veins or broken blood vessels, especially around the nose and cheeks. These can appear as small, red, or purple lines on the skin. Some refer to this as alcoholic nose.
  3. Puffy face: Excessive alcohol consumption can cause fluid retention, leading to a puffy or alcohol bloated face. Alcohol face bloat can result from dehydration and inflammation. A swollen alcoholic face is one of the hallmark indicators of someone grappling with alcohol use disorder.
  4. Paleness or jaundice: Long-term alcohol abuse can damage the liver, leading to conditions like jaundice, which causes yellowing of the skin and eyes. A classic alcoholic appearance involves a pale or sallow complexion.
  5. Premature aging: Alcohol can accelerate the aging process and lead to the premature development of wrinkles, fine lines, and sagging skin in a drinker’s face.
  6. Neglected grooming: People struggling with alcoholism may neglect personal hygiene and grooming routines. This can manifest as disheveled hair, unkempt facial hair, or an overall appearance of neglect.

Approach physical signs like face swelling alcoholism with sensitivity and avoid making assumptions. Alcoholism is a complex condition that is influenced by various factors, including genetics, environment, and psychological factors. If you suspect that someone may be struggling with alcoholism and alcoholism face, address the issue with care and encourage them to seek professional help or support from a therapist or support group.

Effects of Alcohol on the Face

Alcoholic face changes may be short-term or long-term, and they can contribute to the appearance often associated with heavy drinking and the face of an alcoholic. Here are some of the effects of alcohol on the face:

Facial redness

Alcohol can cause facial redness, commonly referred to as alcohol flush reaction. This occurs when alcohol dilates blood vessels near the skin’s surface, leading to a flushed or reddened appearance. This reaction is more prevalent in some Asian populations.

An image of a woman with facial redness representing alcoholic face

Dehydration

Alcohol is a diuretic, meaning that it increases urine production, leading to dehydration. Dehydrated skin can appear dry, dull, and less plump, potentially contributing to premature aging.

An image of a woman with dehydration representing alcoholic face

Puffy face

Excessive alcohol consumption can lead to fluid retention, causing facial puffiness. This can result from inflammation and changes in electrolyte balance.

An image of a woman with puffy face representing alcoholic face

Broken blood vessels

Chronic alcohol use can trigger the development of spider veins or broken blood vessels, especially around the nose and cheeks. These can appear as small, red, or purple lines on the skin.

An image of a person with broken blood vessels representing alcoholic face

Premature aging

Alcohol accelerates the aging process by depleting essential nutrients and antioxidants from the body. Over time, this can lead to the premature development of wrinkles, fine lines, and sagging skin.

An image of a person with premature aging representing alcoholic face

Skin conditions

Alcohol can inflame existing skin conditions like rosacea, eczema, or psoriasis. It can trigger flare-ups and make these conditions more challenging to manage.

An image of a person with skin conditions representing alcoholic face

Jaundice

Chronic alcohol abuse can damage the liver, leading to conditions like jaundice. Jaundice causes yellowing of the skin and eyes due to a buildup of bilirubin in the bloodstream.

An image of a person with jaundice representing alcoholic face

These effects can vary from person to person, and not everyone who consumes alcohol will experience them to the same degree. Additionally, genetics, overall health, and lifestyle factors can influence how alcohol impacts appearance including and alcoholic swollen face. If you or a loved one is grappling with alcohol abuse, seeking help from a healthcare professional or support group is essential for both physical and mental well-being.

How Does Long-Term Alcoholism Affect The Face?

Alcohol affects the appearance of the face in several ways, although it’s not always as obvious as people may think to spot it. However, for individuals who struggle with alcoholism (chronic alcohol abuse), the effects can be more prominent. 

In extreme cases, alcoholism can lead to jaundice as a result of liver damage. Jaundice causes the user to develop a yellowed tint to the skin and whites of the eyes. In chronic alcoholics, the face may also appear constantly puffy from inflammation and more acne-prone due to immune suppression.

Recognizing Alcoholism Outside of the Face

Alcoholism takes a heavy toll on more than just the face, affecting the entire body both internally and externally. 

While the following symptoms can be caused by a number of factors besides just alcoholism, they can be telltale signs when combined together. Signs of alcoholism throughout the body include:

  1. Weight Changes: Alcohol is high in empty calories, leading to weight gain, particularly around the abdomen. This can contribute to the development of a “beer belly.” In severe cases of alcoholism, some individuals may experience weight loss due to poor nutrition or organ damage.
  2. Liver Damage: Prolonged alcohol abuse can lead to liver diseases like fatty liver, hepatitis, and cirrhosis. These conditions cause symptoms such as jaundice, where the skin turns yellow, and overall deterioration in physical health.
  3. Hair and Nails: Malnutrition caused by alcoholism often leads to brittle, thinning hair and weakened, discolored nails. The body’s lack of essential nutrients like vitamins and minerals disrupts normal growth and maintenance.
  4. Hands and Feet: Alcohol can cause swelling in the extremities due to fluid retention and inflammation. Nerve damage (peripheral neuropathy) is also common, resulting in tingling, numbness, or weakness in the hands and feet.
  5. Teeth and Gums: Chronic alcohol consumption may cause dental problems, including tooth decay, gum disease, and bad breath. Alcohol is acidic and can erode enamel, leading to discolored, damaged teeth.

These physical signs reflect the deep toll alcoholism takes on the body.

Alcoholic Face FAQs

What does a drinkers face look like?

A drinker’s face often refers to facial redness or broken blood vessels caused by chronic alcohol consumption. It may be a common physical sign, but it is not a definitive indicator of alcoholism, as other factors may also contribute to these symptoms.

Is there a way to tell if someone is an alcoholic by looking at them?

While physical signs like a red face can be suggestive, it is not possible to definitively tell if someone is an alcoholic just by looking at them. Alcoholism is a complex condition that involves behavioral and psychological aspects, making it vital to consider a person’s overall behavior and life patterns before jumping to conclusions from looking for alcoholic signs on face.

If I suspect my loved one is an alcoholic, how can I help them?

If you suspect that a loved one is struggling with alcoholism, the best approach is to have a compassionate and non-judgmental conversation with them. Express your concern, offer support, and encourage them to seek professional help or join a support group like AA (Alcoholics Anonymous). Respect their autonomy and readiness to seek help.

people at gratitude lodge representing what does alcohol face look like

Get Treatment for Alcohol Addiction at Gratitude Lodge

Whether you have developed skin issues as a result of alcohol abuse, alcoholic facial bloating, or you require immediate assistance with alcohol detox and ongoing treatment, we can help you at Gratitude Lodge in Southern California.

Our pet-friendly treatment facilities located in Long Beach and Newport Beach, California, offer supervised medical detox programs for those who are dependent on alcohol. Over the course of a week or so, you can withdraw from alcohol safely and comfortably, with access to medications alongside clinical and emotional care.

During ongoing inpatient treatment, you will benefit from treatments that include:

Call 844-576-0144 today to get insurance-covered treatment for alcohol addiction.

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Many patients don’t realize the toxicity of prolonged alcohol abuse and how it affects the body. Alcohol detox at the luxurious rehab addiction centers at Gratitude Lodge leeches your body of these toxins in preparation for successful treatment for drugs and alcohol abuse.
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Jenni Bussi

Jenni Busse MS, LPCC

Jenni Busse MS, LPSS is the Clinical Director at Gratitude Lodge. Jenni oversees the clinical program and the clinical team at Gratitude Lodge as a whole. Jenni has worked in treatment for almost 14 years. Her background as a licensed therapist and her passion for helping others intersected with addiction recovery when she started working primarily in detox residential treatment.
Joe Gilmore

Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.

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