How to Remove Milia on the Face

Milia are small keratin cysts beneath the surface, often seen as smooth white or pearly bumps. They do not have the same open pore as many acne lesions, so pressing harder usually does not empty them. Similar-looking [Skin Bumps](/symptoms/skin-bumps/) may need different care.

Trying to pierce a lesion at home can cause bleeding, infection, prolonged redness, or a mark. The thin skin around the eyes needs particular care.

A dermatologist may cleanse the area and release a selected cyst with a sterile technique. Several lesions can be assessed in the same visit, while sensitive locations may call for a more cautious plan. [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/) is one procedure a clinician may discuss; it is not a do-it-yourself method.

For recurring or widespread milia, ask whether [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) are suitable. They can irritate skin and are not appropriate for everyone, especially around the eyes or during certain life stages.

Book an assessment for a bump that is growing, painful, inflamed, bleeding, crusting, or unlike your other lesions. A clinician can tell milia apart from [Whiteheads](/symptoms/whiteheads/) before choosing a removal method. Urgent advice is warranted for marked swelling around the eye or signs of infection.

Ask how the diagnosis was made, whether the lesion needs removal, how the surrounding skin will be protected, and what aftercare reduces irritation. Discuss whether observation is reasonable if the bump is harmless but not troublesome.