Milia on the temples: what to know

Temple milia usually feel firm and smooth, with a white or skin-coloured surface. Hair products, rich sunscreens, makeup and repeated contact from glasses, helmets or head coverings may contribute to blocked surface shedding, though a clinician may find another explanation.

The temple is close to the eye and has limited room for careless extraction. A red, sore or rapidly enlarging bump may be an inflamed follicle, cyst or infection rather than uncomplicated milia.

Cleanse gently, keep hair products off the temple when possible and wash items that press against the area. Choose non-irritating skincare and avoid rubbing the bump. Do not squeeze it: pressure can cause inflammation and leave a darker or persistent mark.

For a persistent lesion, a dermatologist can select sterile removal or discuss a prescribed topical retinoid. Keep any retinoid away from the eyelid and follow the clinician's instructions, especially if your skin is sensitive or you use other active products.

Arrange an examination if temple bumps keep returning, form a line under eyewear, become numerous or do not resemble your usual milia. Seek prompt care if redness spreads, the eyelid swells, vision changes, pain escalates or the area drains, because proximity to the eye changes the level of concern.

Could my haircare or eyewear be irritating this area? Is the lesion close enough to the eye to change the treatment choice? Would observation be sensible? If a retinoid or extraction is used, how should I protect the eyelid and what reaction requires review?