How to get rid of milia

Milia are firm, pearly white or yellow bumps formed when keratin becomes trapped beneath the surface of the skin. They often occur on the face, especially around the eyes and cheeks, and are usually not inflamed. They can resemble [Whiteheads](/symptoms/whiteheads/) or other [Skin Bumps](/symptoms/skin-bumps/), so an examination matters when the appearance is uncertain.

Wash gently, avoid harsh scrubs, and choose non-comedogenic moisturisers and sunscreen. Do not pierce, scrape, or squeeze a bump because this can cause infection, scarring, or dark marks. If milia persist or bother you, a dermatologist may use sterile extraction or [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/). A clinician may also consider [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) for selected cases, but these are not suitable for everyone and require specific instructions.

Book a review if bumps are painful, red, spreading, repeatedly returning, bleeding, or changing colour. Seek care sooner for swelling around the eye, discharge, fever, or vision changes. A diagnosis is especially useful when a new bump does not look like your usual milia.

Are these bumps milia or another condition? Should they be left alone or removed? Which method suits their depth and location? What aftercare reduces irritation and pigment change? Is a retinoid appropriate for my skin and health history?