How to Treat and Prevent Milia

Have you ever noticed tiny white or yellowish bumps on your face—especially around the eyes or cheeks—that just won’t go away no matter how much you cleanse or exfoliate? Those stubborn little cysts are called milia, and while they’re harmless, they can be frustrating. The good news? Milia are treatable and preventable with the right skincare approach. Check here what causes milia, how to treat them safely, and what steps you can take to prevent them from forming in the first place.

What Is Milia?

Milia (singular: milium) are small, keratin-filled cysts that form just under the skin. Unlike acne, they don’t have an opening and can’t be “popped.” They’re most common:

• Around the eyes
• On the cheeks
• On the forehead
• In newborns (also known as “milk spots”)

Milia form when dead skin cells get trapped instead of shedding naturally. They can affect all skin types and ages.

Common Causes of Milia

• Heavy or comedogenic skincare products
• Lack of exfoliation
• Sun damage (thickens skin and traps keratin)
• Skin trauma (e.g., burns or rashes)
• Genetics or naturally dry skin

How to Treat Milia Safely

1. Do Not Pop or Squeeze
   Trying to pop milia can damage your skin, cause scarring, or even infection. Unlike pimples, milia don’t have a pore to release their contents.
2. Exfoliate Gently and Regularly
   Use chemical exfoliants like: Alpha Hydroxy Acids (AHAs) – glycolic or lactic acid or Beta Hydroxy Acids (BHAs) – salicylic acid. These ingredients help remove dead skin cells and prevent build-up. Tip: start with 1–2 times per week and build up as tolerated.
3. Try Retinoids (Vitamin A Derivatives)
   Over-the-counter retinol or prescription retinoids promote skin cell turnover and help release trapped keratin. Tip: Use retinoids at night and always wear SPF in the morning to protect your skin.
4. Use Lightweight, Non-Comedogenic Products
   Look for moisturizers and sunscreens labeled “non-comedogenic” to avoid clogging pores and trapping skin cells.
5. Professional Extraction
   If you have stubborn or numerous milia, visit a licensed dermatologist or esthetician. They can use a sterile needle or blade to extract them safely.
6. Try Milia-Fighting Ingredients
   Products with niacinamide, azelaic acid, or urea may help soften the skin and reduce existing milia over time.

How to Prevent Milia

• Avoid thick, occlusive creams near the eyes
• Exfoliate 1–2 times a week to prevent buildup
• Use SPF daily to protect skin and prevent thickening
• Cleanse thoroughly, especially if wearing makeup or sunscreen
• Stay hydrated and maintain a balanced diet

FAQs

Q: Can milia go away on their own?
A: Yes, especially in babies. In adults, milia may persist for weeks or months without treatment.

Q: Are milia related to acne?
A: No, milia are not a form of acne and don’t form in the same way. They’re keratin-filled cysts, not caused by excess oil or bacteria.

Q: Can eye creams cause milia?
A: Yes, especially rich or oil-heavy formulas used too close to the lash line. Opt for lightweight, non-comedogenic options.

Q: Is milia removal painful?
A: Professional extractions are quick and relatively painless when performed correctly with sterile tools.

While milia can be stubborn, they’re completely manageable with the right skincare routine. Gentle exfoliation, smart product choices, and the occasional boost from retinoids can keep your skin smooth and milia-free.

If in doubt, consult a dermatologist—especially if milia persist or multiply. With patience and proper care, you can reveal clearer, healthier-looking skin.

Ready to reset your routine? Your milia-free glow starts now.