Understanding Milia: Small White Bumps on Your Skin
Milia are tiny, white or yellowish bumps that appear on the skin, often causing cosmetic concern for many individuals. These small cysts develop when keratin, a natural skin [...]
Read MoreUnderstanding Milia: Small White Bumps on Your Skin
Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 22nd, 2026.
Key Takeaways
Milia are harmless, pearl-like cysts common in all ages
Caused by trapped keratin beneath skin surface
Can be prevented with proper skincare and exfoliation
Professional treatments are available for persistent cases
Milia are tiny, white or yellowish bumps that appear on the skin, often causing cosmetic concern for many individuals. These small cysts develop when keratin, a natural skin protein, becomes trapped beneath the surface. While generally harmless, they can be frustrating for those seeking smooth, clear skin. Identifying skin conditions early can help determine the best course of action.
Most commonly found on the face, particularly around the eyes, nose, and cheeks, milia can affect people of all ages. Newborns are especially prone to these tiny bumps, with up to fifty percent experiencing them during their first months of life. Unlike typical acne or skin blemishes, milia are not caused by bacteria or poor hygiene.
Understanding Milia Formation
Milia develop when dead skin cells fail to naturally exfoliate. Instead of shedding normally, these cells become trapped in small pockets beneath the skin, creating hard, pearl-like bumps. The process is different from typical acne, as ear infections can be diagnosed through similar diagnostic approaches that examine skin changes.
Types of Milia
Milia Type |
Characteristics |
Common Locations |
|---|---|---|
Primary Milia |
Spontaneous development |
Face, eye area |
Secondary Milia |
Result of skin damage |
Areas of previous injury |
Newborn Milia |
Temporary, self-resolving |
Nose, cheeks, forehead |
Prevention and Skincare Strategies
Preventing milia involves maintaining healthy skin cell turnover. Gentle exfoliation is key, using mild chemical exfoliants like glycolic or lactic acid. However, be cautious not to over-exfoliate, which can irritate the skin. Smooth healing practices apply to skincare as much as they do to other healing processes.
Choose lightweight, non-comedogenic moisturizers that won't clog pores. Sun protection is crucial, as prolonged sun exposure can thicken skin and impair natural exfoliation. Daily use of broad-spectrum sunscreen helps maintain healthy skin function and prevents milia formation.
Professional Treatment Options
While many milia resolve on their own, persistent cases may require professional intervention. Dermatologists can remove milia through several methods:
Needle extraction (de-roofing)
Cryotherapy
Chemical peels
Topical retinoid prescriptions
It's important to avoid attempting home removal, as this can lead to scarring or infection. Professionals can safely extract these cysts with minimal risk.
When to Seek Medical Advice
Most milia are harmless, but consult a healthcare provider if:
Milia persist for an extended period
They cause significant cosmetic concern
You notice unusual changes in appearance
Multiple milia develop suddenly
Frequently Asked Questions
No, milia are not contagious and cannot spread from person to person.
Milia are typically painless and do not cause discomfort.
While not directly proven, a healthy diet and proper skincare can support skin health.
Milia can affect all skin types, but those with oily or thick skin may be more prone.
Heavy, non-comedogenic makeup can contribute to milia formation if not properly removed.
The Bottom Line
Milia are common, harmless skin conditions that can be managed with proper skincare and professional treatment when necessary. Ready to meet your AI doctor? Get started with Doctronic today.