What should you know about primary milia?

Primary milia are tiny, firm keratin-filled cysts that commonly appear as white or cream bumps on the face. They are usually smooth and do not behave like acne, even when they resemble Whiteheads.

Milia form when keratin, a protein in the outer skin, becomes trapped beneath the surface. They often occur around the eyelids, cheeks, nose or forehead and may occur singly or in clusters. Skin Bumps that are red, tender, inflamed or changing may have another explanation. A clinician can distinguish primary milia from other cysts, acne and lesions that need different care.

Avoid squeezing, piercing or scraping a bump at home; this can injure delicate skin and introduce infection. Use a gentle cleanser and non-irritating moisturiser, and protect exposed skin from sun. If the bumps persist or bother you, a dermatologist may discuss observation, carefully selected Topical Retinoids, or removal with Curettage And Cautery. Treatment choice depends on location, skin sensitivity and whether the diagnosis is clear.

Book an assessment if a bump bleeds, becomes painful, grows, changes colour, develops discharge or repeatedly returns. Seek quicker advice for swelling around the eye, vision symptoms, or several new lesions appearing with irritation. A diagnosis is especially useful before using an active cream near the eyelids or on sensitive skin.

Ask whether the bumps are definitely milia, whether observation is reasonable, which products to avoid near the eyes, and what removal method fits your skin. Discuss irritation, pigmentation changes and aftercare before choosing treatment.