Milia cysts around the eyes: what to know

Milia form when keratin is held beneath the surface, producing smooth white, cream, or skin-coloured spots. They may occur on the eyelid or beneath the eye and can be mistaken for [Whiteheads](/symptoms/whiteheads/). A cluster that is itchy, inflamed, or rapidly changing deserves a closer look rather than an assumption that it is milia. Read more about [Milia](/conditions/milia/) and the broader group of [Skin Bumps](/symptoms/skin-bumps/).

Use a gentle cleanser, pat dry, and avoid scrubbing, picking, or applying household remedies. Keep products out of the eye itself. If the spots are bothersome or persistent, a dermatologist can examine them and discuss sterile extraction or another suitable approach. [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) is performed by a trained professional. A [Topical Retinoid](/treatments/medical-dermatology/topical-retinoids/) may not be suitable for eyelid skin, pregnancy, or irritated skin, so ask before use.

Contact a clinician promptly for pain, warmth, spreading redness, pus, significant eyelid swelling, or discharge. Get urgent help for severe eye pain, light sensitivity, double vision, or any sudden change in sight. A non-tender spot still merits assessment if it bleeds, crusts, grows, or keeps recurring.

Ask whether the spots are milia and whether their position is suitable for office removal. Discuss eye protection, expected skin care afterward, and which cosmetics or active ingredients should be paused.