Tiny White Bumps: Demystifying Milia

Have you noticed small, white bumps on your face, especially around your eyelids and cheeks? These are likely milia, a common skin condition that can affect people of all ages and genders.

What are Milium?

Milia are tiny (1-2 mm) superficial cysts filled with keratin, the protein that makes up your skin. They appear as white or yellowish bumps and typically reside just under the skin's surface. While harmless, many people seek treatment for cosmetic reasons.

Who gets Milia?

Anyone can develop milia, but they are more common in:

Newborns

Babies often have milia on their face, scalp, and trunk. These usually disappear within a few weeks.

Adults

Adults often develop milia around their eyes, cheeks, and forehead.

People with certain skin conditions

Milia can also be associated with conditions like acne, rosacea, and blistering diseases.

An overhead, close-up shot of the milia on a three week old baby boy's nose.

Do Milia Go Away on Their Own?

The good news is that milia often clear up on their own within a few months. However, if you find them bothersome or wish to expedite their disappearance, there are options available.

Extraction

A dermatologist or other healthcare professional can use a sterile needle or blade to remove the keratin contents of the milia.

Curettage

This procedure involves scraping away the milia using a special instrument.

Cryotherapy

This method uses liquid nitrogen to freeze and destroy the milia.

Laser ablation

This treatment uses a laser to destroy milia.

Topical retinoids

These medications can help reduce the size and appearance of milia and prevent new ones from forming.

Chemical peels

This treatment involves applying a chemical solution to the skin to exfoliate the top layer and remove milia.

Dermabrasion

This procedure uses a rotating brush to remove the top layer of skin, including milia.

Choosing the Right Treatment

The best treatment for you will depend on the number, size, and location of your milia, as well as your personal preferences. Consult one of our dermatology providers to discuss the best course of action for your specific case.

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