How to help prevent milia around the eyes

Milia are small, firm, pearly white cysts formed when keratin becomes trapped beneath the skin surface. They commonly appear around the eyelids and cheeks and are different from whiteheads, which begin in a pore. Primary milia can arise without an obvious cause; secondary milia may follow skin injury, inflammation, or use of thick products. They are usually harmless, but the eye area is easy to injure.

Wash with a gentle cleanser and lukewarm water, then pat dry rather than rubbing. Choose non-comedogenic, appropriately light moisturiser and remove eye makeup carefully. Avoid picking, pinching, home needles, abrasive scrubs, and strong acids close to the eyelids. Use sun protection that does not sting, and wear sunglasses outdoors. If milia persist or recur, a dermatologist may discuss a topical retinoid or removal with curettage and cautery; treatment near the eye should be performed by a trained professional, not at home.

Arrange an assessment if a bump is painful, inflamed, rapidly changing, bleeding, affecting vision, or accompanied by eyelid swelling. Seek review when multiple new bumps follow a rash, burn, or procedure. A clinician can confirm whether the spots are milia or another type of skin bump and select an eye-safe approach.

Ask whether your bumps are milia, which products may be contributing, and whether a topical retinoid is appropriate for the eyelid area. If removal is suggested, ask who will perform it, how the eye will be protected, and what aftercare is required.