Milia: Causes, Symptoms, and Treatment Options

Milia
KLE Doctor

Medically Reviewed by Dr. Poojitha Ramesh, Dermatology

Written by KIE Editorial Contributors

3.5 min read | Last Updated: 15 August 2025 | Published On: 15 August 2023

Milia are small, white or yellowish bumps that commonly appear on the face, especially around the eyes, lips, and nose. Often mistaken for pimples or whiteheads, these harmless skin cysts form when keratin, a type of protein found in the skin, gets trapped beneath the surface.

Though generally harmless and painless, many people seek milia treatment for cosmetic reasons or due to discomfort, especially when they occur under the eyes or on sensitive areas like the lips.

What Is Milia?

Milia (singular: milium) are tiny white spots that form when dead skin cells get trapped in small pockets near the surface of the skin. Unlike acne, they are not caused by clogged pores due to oil or bacteria. These milia spots do not have redness or swelling like traditional breakouts.

Types of Milia

There are different types of milia based on age and cause:

  • Primary milia: Often seen in newborns but can affect adults; appears without any known cause.
  • Secondary milia: Develop due to skin damage, burns, or after skin care treatments.
  • Multiple eruptive milia: Appear suddenly in clusters on the face, arms or upper torso.
  • Milia en plaque: Associated with inflammatory skin conditions like lichen planus.

Common Locations of Milia

Milia most frequently appear in the following areas:

  • Milia on face: Especially on the cheeks, forehead, and nose.
  • Milia under the eye: One of the most sensitive areas, often due to a lack of exfoliation.
  • Milia on lips: May appear as small, pearl-like bumps near the lip line.

These bumps may seem stubborn, but several effective methods can help get rid of milia on the face and other areas.

What Causes Milia?

Milia form when keratin becomes trapped under the skin due to various reasons:

  • Overuse of heavy creams and cosmetics
  • Lack of exfoliation causes dead skin buildup.
  • Skin trauma such as burns, blisters or rashes
  • Sun damage
  • Long-term use of steroid creams
  • Genetic predisposition

Although milia are not caused by poor hygiene, improper skin care can worsen the condition.

Milia vs Pimples: What's the Difference?

Unlike pimples, milia are not inflamed, painful or filled with pus. Milia are hard, keratin-filled cysts with no opening, making them resistant to typical acne treatments or popping. Attempting to squeeze them may lead to skin damage or scarring.

Milia Treatment Options

While milia removal may not always be medically necessary, many individuals seek treatment for cosmetic purposes. Here are the most common milia on face treatment options:

1. Professional Milia Removal

Performed by dermatologists or skincare professionals, this includes:

  • Extraction: A sterile needle is used to gently open the surface and remove the cyst.
  • Cryotherapy: Liquid nitrogen is applied to freeze and remove the bump.
  • Laser therapy: Minimally invasive and precise, especially effective for stubborn milia.
  • Chemical peels: Help exfoliate dead skin and prevent new milia from forming.

Always avoid trying to remove milia at home using sharp objects, as this can result in infection or skin scarring.

2. Milia Treatment Cream

Several over-the-counter milia treatment creams are available, containing ingredients like:

  • Retinoids (Vitamin A derivatives) to encourage skin turnover
  • Salicylic acid to unclog pores and gently exfoliate
  • Alpha-hydroxy acids (AHAs) such as glycolic acid
  • Urea or lactic acid for gentle keratolytic action

Consistent use of these creams can help get rid of milia over time. However, consult a dermatologist before starting a new skincare regimen.

3. Home Remedies for Milia

Milder cases can often be treated at home using safe and natural remedies. Here are some effective home remedies for milia:

  • Gentle exfoliation using a soft scrub 1–2 times a week
  • Steam facials to open up the skin and help release trapped keratin
  • Honey masks for natural antibacterial and hydrating effects
  • Aloe vera gel for soothing and healing the skin
  • Castor oil for its skin-balancing properties
  • Avoid using heavy creams or oily cosmetics that clog the skin.

Home remedies work gradually and are most effective for superficial milia spots.

How to Prevent Milia

While it may not be possible to completely prevent milia, proper skin care habits can significantly reduce your chances:

  • Cleanse your face twice daily with a mild cleanser
  • Exfoliate regularly to remove dead skin cells.
  • Use non-comedogenic products
  • Apply lightweight moisturisers
  • Avoid excessive sun exposure and use broad-spectrum sunscreen.
  • Remove makeup before bed.
  • Don't overuse heavy eye creams, especially near the under-eye area.

When to See a Dermatologist

Consult a healthcare provider if:

  • The milia do not improve with home care
  • You develop large clusters of milia on the face or body.
  • There is skin irritation or signs of infection.
  • You're unsure whether the bumps are milia or another skin condition.

Professional milia treatment ensures safe removal and prevents recurrence.

Find Doctors who treat Milia

Get in Touch with a Doctor

Frequently Asked Questions

No, milia are harmless and non-cancerous. They are a cosmetic concern and usually resolve on their own or can be removed by a dermatologist.

It’s not recommended to remove milia at home. Picking or squeezing can lead to infection or scarring. Always consult a dermatologist for safe removal.

Yes, although most common on the face, milia can appear on the chest, genitals or arms, especially after injury, burns or long-term steroid use.

Facial scrubs may help prevent milia, but they won’t remove existing cysts. Over-exfoliating can also irritate the skin, so gentle use is advised.

Yes, dermatologists sometimes use laser treatments for deeper or persistent milia, especially when other methods are ineffective.

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