Milia: Causes, Safe Care & When to See a Dermatologist

Milia are small, firm cysts filled with keratin that often look like tiny white or yellow bumps. They are common around the cheeks, nose, and eye area and are especially common in newborns, although older children and adults can develop them too.

Why milia form

Milia develop when keratin becomes trapped beneath the surface of the skin. In adults, they may appear without an obvious cause or after skin injury, burns, blistering, or certain resurfacing procedures.

For a current medical overview, see the Cleveland Clinic guide to milia.

Do milia need treatment?

Many milia are harmless and do not need treatment. Newborn milia usually resolve on their own. In adults, persistent bumps can be evaluated by a dermatologist, particularly when they are near the eyes or when the diagnosis is uncertain.

What not to do at home

• Do not pierce, squeeze, or cut milia with a needle or extraction tool.
• Avoid harsh scrubs on the eye area.
• Do not apply strong acids close to the eyelids without professional guidance.
• Do not use essential oils or irritating DIY mixtures in an attempt to “dissolve” the bumps.

Trying to extract milia yourself can cause irritation, infection, or scarring.

Can exfoliation help?

Some adults may benefit from professionally recommended topical treatments that encourage normal skin-cell turnover, but the right option depends on location, skin sensitivity, and whether the bumps are actually milia. The eye area deserves particular caution.

When to see a dermatologist

Consider evaluation if bumps persist, multiply, become painful or inflamed, appear after an injury or procedure, or are difficult to identify. A dermatologist can confirm the diagnosis and discuss safe extraction or other treatment when appropriate.

Frequently asked questions

Are milia acne?

No. Milia are keratin-filled cysts and are not the same as acne pimples.

Can moisturizer cause milia?

Heavy or occlusive products may feel unsuitable for some people who are prone to bumps, but milia have multiple causes. A product alone should not be assumed to be the cause without considering the full picture.

Should I use a face mask to remove milia?

A cosmetic mask should not be promoted as a milia treatment. Persistent milia are better evaluated by a dermatologist than treated with aggressive at-home exfoliation.

This article is for general education and is not a diagnosis or treatment plan.