What should you know about milia treatment at home?

Milia are firm, keratin-filled cysts that sit beneath the skin surface. Washing gently can remove surface products, but it does not open the cyst. Scrubbing, squeezing or trying to lift the bump with a needle can break the skin and lead to inflammation, infection, dark marks or scarring. A white bump may also be another type of [skin bump](/symptoms/skin-bumps/) or a [whitehead](/symptoms/whiteheads/), so avoid treating an uncertain lesion aggressively.

Clean the area with lukewarm water and a mild cleanser, pat dry, and use non-irritating products. Keep hands and tools away from the bump. Avoid harsh scrubs, strong acids, home peels and unprescribed creams near the eyes. If a clinician confirms milia, ask whether a topical retinoid is suitable; do not start one on your own near delicate skin. Professional removal may be considered when a bump persists or bothers you. See [Milia](/conditions/milia/), [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/), or [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/).

Arrange a routine review when the bump persists, returns, occurs in clusters, or is difficult to distinguish from another lesion. Seek prompt care for increasing pain, spreading redness, pus, fever, bleeding, rapid change, eyelid swelling, or vision changes. Get advice after any home attempt that leaves an open wound.

Ask whether the lesion is milia, which products to avoid, whether a prescription is appropriate for its location, and whether professional removal would reduce the chance of skin injury.