What should you know about infant milia treatment?

Milia look like firm white or pearly bumps, often on a newborn’s nose, cheeks, chin or around the eyes. They are not typically inflamed like many pimples and are not caused by poor hygiene. Compare the appearance with [Whiteheads](/symptoms/whiteheads/) or the broader explanation of [Milia](/conditions/milia/), because several infant rashes can look alike.

Wash gently with lukewarm water and a mild cleanser, then pat dry. Leave the bumps alone: do not squeeze, scratch, lance or apply adult acne products. A clinician may occasionally consider a prescription such as a topical retinoid for a specific diagnosis, but this should never be started on an infant without medical direction. Procedures such as [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) belong to professional assessment, not home treatment.

Contact a clinician if the bumps become red, swollen, tender, crusted or draining, or if they appear with fever or a baby who is feeding poorly. Seek advice when the rash is spreading quickly, affects the eyelid or eye, or does not resemble smooth pearly milia. An examination can separate milia from other [Skin Bumps](/symptoms/skin-bumps/).

Ask whether the bumps are milia, whether any product should be stopped, and what changes would justify follow-up. If the lesions are near the eye, ask how to clean the area without rubbing it.