What should you know about exfoliating milia?

Milia are tiny keratin-filled cysts just beneath the surface, often appearing as firm white or skin-coloured bumps around the eyelids, cheeks, or other areas. They are different from whiteheads, which form in a pore and may be linked with acne. A scrub can remove loose surface cells but cannot reliably empty a closed cyst.

Pressure, needles, and strong acids near the eyes can cause wounds, infection, or lasting marks. Learn more about [Milia](/conditions/milia/) and [Whiteheads](/symptoms/whiteheads/).

Cleanse without rubbing, use a non-irritating moisturiser, and avoid picking or trying to pierce the bump. Do not place strong exfoliants close to the eyelid unless a clinician has specifically advised it. If milia persist or bother you, a dermatologist can confirm the diagnosis and discuss controlled removal such as [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/). A topical retinoid may be considered in selected cases, but it is not suitable for everyone.

Seek assessment if a bump is painful, red, bleeding, rapidly changing, or affecting vision, or if several new bumps appear after a rash or injury. Review is also sensible when a supposed milium does not look typical, because other white bumps can need different care.

Ask whether the bump is definitely milia, whether any exfoliant is safe for its location, and which removal option fits your skin. Mention pregnancy, sensitive eyelid skin, previous scarring, and products already in use.