When you see someone with advanced facial involvement it is normal to become scared that this may happen to you. When you read anything online or meet someone with this problem, remember that Scleroderma is very diverse and affects each person differently. You may have been told that this is typical for your disease. These are medical statistics. But the reality is I have seen many more people with mild to moderate facial skin involvement than I have seen cases of severe manifestation.
Many people get little red dots on their face and hands.
These are called Telangiectasias . They do not ooze, itch and are not a rash of any sort. They are simply red dots that disappear when pressed. Some people complain of tightening in the temples which can cause excruciating headaches. Some have scalp tightening.