text: why do i always have little red spots on my chest, despite my good hygiene? how can i get rid of them? they're always there.. and they're only tiny little things, but definitely noticeable. i rarely ever get face spots, nor do i get spots in any other places on my body. has anyone else had something similar, or can anyone recommend any daily products to keep them at bay? i think it's either acne or rosacea. you need to see a dermatologist because the treatment is totally different depending what it actually is.