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Milia (Milium) - pimples around eye on skin.

Milia: Causes, Treatment, and How to Prevent

  • Post category:skincare

Milia, those tiny, mysterious white bumps that seem to appear out of nowhere on your skin, can be a source of frustration and curiosity. Whether you’re a new parent wondering about those little white dots on your baby’s nose or an adult struggling with milia around your eyes, understanding what milia is, what causes it, and how to deal with it can be immensely helpful. In this comprehensive guide, we’ll explore the world of milia, from its causes and types to treatment options and prevention strategies.

Chapter 1: What Are Milia?

Milia, often referred to as “milk spots,” are small, superficial cysts that typically appear as tiny white or yellowish bumps on the skin’s surface. They are quite common and can occur in people of all ages, from infants to adults. To understand milia better, let’s delve into their characteristics:

1.1 Types of Milia

Milia can be categorized into different types based on their causes and locations:

  • Primary Milia: These are the most common type and usually occur for no apparent reason. They often appear on the face, especially around the eyes, nose, and cheeks.
  • Secondary Milia: These develop as a result of skin damage, such as burns, blisters, or rashes. Secondary milia can also occur after certain cosmetic procedures like dermabrasion or laser resurfacing.
  • Neonatal Milia: Often referred to as “baby milia,” these tiny bumps are quite common in newborns and tend to appear on the nose and other facial areas. They usually disappear on their own within a few weeks.

1.2 What Causes Milia?

Understanding the causes of milia can help us better prevent and treat them:

  • Trapped Dead Skin Cells: Milia occur when dead skin cells become trapped near the surface of the skin. Unlike regular pimples or blackheads, milia does not have an opening to release the trapped material.
  • Clogged Sweat Glands: In some cases, milia can form when sweat glands become clogged, preventing the sweat from reaching the skin’s surface.
  • Use of Heavy Skincare Products: The use of heavy or oil-based skincare products can contribute to milia formation, especially if the products are not adequately removed from the skin.

Chapter 2: Recognizing Milia

Milia are usually easy to identify due to their distinct appearance. Here’s how to recognize them:

  • Appearance: Milia typically look like small, raised, white or yellowish bumps on the skin. They can range in size from a pinhead to a small grain of sand.
  • Texture: They are firm to the touch and do not contain pus or fluid. Unlike acne, pimples, you should not attempt to squeeze or pop milia as this can lead to irritation and potential infection.
  • Location: Milia are often found on the face, particularly around the eyes, nose, and cheeks. However, they can also occur on other parts of the body.

Chapter 3: Treatment Options for Milia

While milia often resolve on their own, there are treatment options available for those who want to expedite the process or are bothered by their appearance:

3.1 Dermatological Procedures:

  • Extraction: A dermatologist can use a sterile needle or scalpel to carefully remove the milia. This procedure is generally safe when performed by a professional.
  • Cryotherapy: Liquid nitrogen can be applied to freeze and remove milia. This is a quick and effective method, but it may cause temporary redness and blistering.
  • Laser Therapy: Certain types of lasers can be used to break down milia, causing them to disintegrate over time.

3.2 Over-the-Counter (OTC) Treatments:

  • Topical Retinoids: Some OTC creams containing retinoids (vitamin A derivatives) may help accelerate the shedding of dead skin cells, which can reduce the appearance of milia over time.
  • Chemical Peels: Mild chemical peels can help exfoliate the skin and improve its texture, potentially aiding in milia removal.

Chapter 4: Preventing Milia

Prevention is often the best approach when it comes to milia. Here are some tips to help you prevent their formation:

4.1 Proper Skincare Routine:

4.2 Avoid Heavy Cosmetics:

  • Oil-Free Makeup: Choose makeup products labeled as “oil-free” or “non-comedogenic” to reduce the risk of clogged pores and milia formation.
  • Remove Makeup Thoroughly: Always remove makeup before going to bed to prevent it from clogging your pores overnight.

4.3 Avoid DIY Extraction:

  • Hands Off: Resist the urge to pick at or attempt to squeeze milia yourself, as this can lead to skin damage, infection, or scarring.

4.4 Regular Exfoliation:

  • Exfoliation: Use gentle exfoliation methods, such as exfoliating cleansers or mild chemical exfoliants, to help prevent the buildup of dead skin cells.

Chapter 5: When to Seek Professional Help

While milia are generally harmless, there are situations where it’s best to consult a dermatologist:

  • If you’re unsure whether the bump is actually milia or another skin condition.
  • If milia persist for an extended period or become bothersome.
  • If you experience redness, swelling, or signs of infection around milia.


Milia may be a common and generally harmless skin condition, but they can still be a source of frustration and self-consciousness. Understanding their causes, recognizing their appearance, and knowing your treatment options can help you deal with milia more effectively. Remember that prevention is key, and maintaining a healthy skincare routine can go a long way in keeping your skin clear and milia-free. If you ever have doubts or concerns about milia on your skin, don’t hesitate to seek advice from a dermatologist who can provide personalized guidance and treatment options.

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