Here’s a clear, friendly, and evidence-based guide on milia — those stubborn little white bumps that sometimes appear on the face, especially around the eyes and cheeks — and how to safely improve your skin’s appearance:
Those Stubborn Little White Bumps: Understanding Milia
What Are Milia?
- Milia are tiny, hard, white or yellowish bumps that appear on the skin.
- They form when keratin (a protein in the skin) gets trapped beneath the surface, creating small cysts.
- Common locations: around the eyes, cheeks, nose, and forehead.
Why They Happen
- Primary milia: Appear spontaneously, often in healthy skin.
- Secondary milia: Develop after skin trauma, burns, blisters, or prolonged use of heavy skincare products.
- Newborns: Milia are extremely common in babies, usually clearing up naturally within weeks.
Who Gets Milia?
- Anyone can develop milia, but they are more common in adults aged 30–50.
- People with thicker skin or frequent sun exposure may notice more bumps.
Safe Ways to Improve Skin Appearance
- Gentle Exfoliation
- Use mild chemical exfoliants (like glycolic acid or salicylic acid) to help clear dead skin cells.
- Avoid harsh scrubs that can irritate or damage skin.
- Proper Cleansing
- Clean your face twice daily with a gentle cleanser.
- Avoid over-washing, which can dry the skin and worsen milia.
- Topical Retinoids (Prescription or OTC)
- Retinoids help normalize skin cell turnover, preventing keratin from getting trapped.
- Can be used in small amounts, but start slowly to avoid irritation.
- Professional Extraction
- Dermatologists can safely remove milia with a sterile tool or micro-needle.
- Do not pick or squeeze milia at home — this can lead to scarring or infection.
- Sun Protection
- Daily SPF protects skin from sun damage, which can worsen milia and slow healing.
- Avoid Heavy or Occlusive Creams Around the Eyes
- Thick ointments or oil-heavy products can trap keratin, encouraging milia formation.
What Milia Are Not
- Milia are not acne or pimples
- They are benign and not contagious
When to See a Dermatologist
- Persistent milia that don’t improve with skincare
- Large clusters or unusual appearance
- If you want safe cosmetic removal without scarring
💡 Bottom Line:
Milia are harmless, but if you want smoother skin, focus on gentle exfoliation, sun protection, and professional care rather than trying to pop them yourself. With the right routine, your skin can look smoother and clearer over time.
I can also create a “Milia Care Cheat Sheet” showing what to do vs. what to avoid in a simple visual format — perfect for easy reference.
Do you want me to make that?
Please need to know, I have several on my forehead