Milia

What are Milia?

Milia are small, white or yellowish bumps that appear on the skin when keratin becomes trapped beneath the surface. They are common, harmless, and usually painless, often appearing on the face, especially around the eyes and cheeks.

Causes

• Trapped keratin – the protein normally found in skin and hair gets trapped under the surface.
• Newborn skin – common in babies (neonatal milia).
• Skin trauma or burns – damaged skin can develop milia.
• Use of heavy or occlusive skincare products – can block pores.
• Sun damage – thickened skin may trap keratin.
• Genetic predisposition – some people are more prone.

Symptoms / Appearance

• Tiny, white or yellowish bumps (1–2 mm).
• Usually firm, dome-shaped, and painless.
• Common on eyelids, cheeks, nose, and forehead.
• Sometimes appear in clusters, especially in newborns.
• No redness or inflammation (unless irritated).

Treatments

Medical & Professional Treatments

• Extraction by a dermatologist – sterile removal using a needle or blade.
• Topical retinoids – help exfoliate the skin and prevent new milia.
• Laser or chemical peels – for persistent or multiple milia.
• Cryotherapy – rarely used for stubborn cases.

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At-Home & Skincare Support

• Gentle exfoliation – prevents keratin buildup.
• Avoid heavy or occlusive creams that block pores.
• Sun protection – protects skin integrity.
• Do not pick or squeeze – can lead to infection or scarring.

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Prevention

• Use non-comedogenic, lightweight skincare products.
• Keep skin clean and exfoliated.
• Protect skin from sun damage.
• Avoid trauma or aggressive scrubbing, especially around eyes.
• Treat underlying skin conditions (like blistering or burns) promptly.

FAQs

Q1. Are milia dangerous?
No, they are harmless and purely cosmetic.

Q2. Can milia go away on their own?
Yes, especially in newborns, but in adults they may persist without treatment.

Q3. Can I pop milia at home?
No – DIY extraction can cause infection or scarring.

Q4. Do milia recur?
Sometimes, especially if skin is prone to keratin buildup or heavy creams are used.

Q5. Are milia the same as whiteheads?
No – milia are keratin-filled cysts under the skin, while whiteheads are clogged pores with sebum and bacteria.