What should you know about milia on brown skin?

Milia are firm, superficial cysts containing keratin. On brown skin they may look white, cream, or close to the surrounding skin colour, and irritation around them can leave a darker or lighter area after healing. A bump's colour alone cannot confirm the diagnosis. Compare its texture and behaviour with other [Skin Bumps](/symptoms/skin-bumps/), and arrange an examination when it is new or atypical.

Cleanse without scrubbing, moisturise if the skin feels dry, and avoid picking. Before any procedure, tell the clinician about a history of dark marks, raised scars, eczema, or reactions to skin products. They can choose a technique and aftercare plan suited to the site and your skin. Do not self-treat with strong exfoliants or [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/). Professional options may include removal by an appropriately trained clinician; [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) requires careful assessment.

Seek medical advice if a bump grows quickly, becomes painful, itchy, red, warm, crusted, or starts bleeding or draining. Have any spot with a changing colour or outline examined, especially if it does not resemble your usual [Whiteheads](/symptoms/whiteheads/). Urgent care is appropriate for rapidly spreading redness, marked swelling, or feeling unwell.

Ask whether the lesion is definitely milia, how your skin may heal after removal, and what aftercare reduces irritation and colour change. Discuss whether observation is reasonable and what warning signs should bring you back.