What is the first treatment for milia?

Milia are tiny, firm, pearly bumps formed when keratin becomes trapped beneath the surface of the skin. They often occur around the eyes and cheeks and are different from acne because they do not begin as typical inflamed pores. Some clear without intervention, but a spot that remains can be assessed during a skin examination.

A clinician may discuss a topical retinoid when several milia are present or when reducing new blocked areas is part of the plan. For one stubborn cyst, careful in-clinic extraction is often more direct. Treatment depends on the location, number of bumps, skin sensitivity and whether the diagnosis is certain.

Use a mild cleanser and a non-irritating moisturiser, and avoid squeezing, pinching or scraping the bumps. Home extraction can cause infection, scarring or injury near the eye. If a retinoid is recommended, apply it exactly as directed and protect treated skin from irritating products. A dermatologist can explain whether topical retinoids or curettage and cautery fits your skin and the position of the milia.

Arrange an assessment if a bump grows, bleeds, becomes painful, changes colour, or does not look like your other milia. Seek prompt care for spreading redness, warmth, swelling or discharge after any attempted removal. Bumps close to the eyelid deserve professional care because the area is delicate.

Ask whether the bumps are definitely milia, whether a topical retinoid is suitable for your skin, and what removal method is safest near the eye. You can also ask how to care for the area afterwards and which signs would suggest irritation or infection.