Milia before and after: what to know

Before care, a milium is often a smooth, firm white or skin-coloured bump that does not behave like a soft spot of pus. Several can occur together, especially around the eyes and cheeks. A photograph can help you compare changes, but appearance alone cannot confirm the diagnosis; other causes of [Skin Bumps](/symptoms/skin-bumps/) and [Whiteheads](/symptoms/whiteheads/) can look similar.

After professional removal, the tiny bump is flatter or no longer visible. Temporary redness, a small crust, or sensitivity can occur where the skin was opened. Healing varies with the site and method, and a new milium can form elsewhere.

Before an appointment, keep the area clean and avoid squeezing, needles, scrubs, or strong acids. Bring a list of products used near the spot and mention recent irritation or procedures. A clinician may discuss [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) for selected cases; these are not suitable for everyone and should be used only with tailored advice.

After removal, follow the wound-care instructions, wash gently, avoid picking the crust, and protect healing skin from sun exposure. Do not apply makeup or active products until the treated surface has closed as advised. [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) is one clinic-based option, but the appropriate approach depends on the diagnosis and location.

Arrange a dermatology assessment if the bump changes quickly, bleeds, becomes painful, repeatedly crusts, or is not healing after treatment. Seek prompt care for spreading redness, increasing warmth, pus, fever, or worsening swelling. Around the eye, seek urgent help for vision changes, severe pain, or swelling that affects eye opening.

Ask: Does this look like milia or another type of bump? Which removal method fits this site? What should I use while the surface heals, and which signs would mean I need review?