What should you know about milia neonatal?

These firm white or yellowish spots commonly appear on a newborn's nose, cheeks, chin, or around the eyes. They form when keratin, a natural skin protein, becomes trapped close to the surface. Milia are not the same as acne and are not caused by poor hygiene. They usually do not itch, hurt, or contain pus, and a baby generally remains well.

Wash gently with lukewarm water and a mild, fragrance-free cleanser if one is needed, then pat dry. Avoid scrubs, oils, acne products, home extraction, and picking. Do not apply adult creams or topical retinoids to a newborn unless a qualified clinician specifically prescribes them. A clinician can confirm the diagnosis if the appearance is unclear. Explore [Milia](/conditions/milia/) and related [Skin Bumps](/symptoms/skin-bumps/) for context.

Arrange medical advice if the spots become red, swollen, warm, crusted, painful, or start draining, or if your baby has fever, poor feeding, unusual sleepiness, or seems unwell. Seek prompt assessment when a rash spreads quickly or affects the eyes. These changes may point to another skin problem rather than uncomplicated milia.

Ask whether the spots have the typical appearance of neonatal milia, whether any product should be stopped, and what changes would warrant a review. If the bumps persist or the diagnosis is uncertain, ask whether a paediatric or dermatology assessment is appropriate.