An illuminated mirror includes a central reflective mirror portion and a surrounding transmissive portion supported to a housing. Spacing between an outer diameter of the transmissive portion and the housing allows airflow to exit from the housing. A chamber behind the mirror surface may comprise a dish reflector surface. In one form, the dish reflector comprises a white enamel surface. Lamps, which may comprise LEDs, are mounted to the reflector surface. The LED lamps may be placed in a pattern on the reflector surface. Circuitry may be provided to illuminate either all or selected ones of the LEDs. Lamps of selected colors may be provided. Preselected combinations of lamp illumination vary the level and composite color of illumination. In order to enhance the comfort of a user, a fan may be positioned in the housing behind the reflector. A cooling device may cool airflow from the fan.