When Are Topical Retinoids Recommended for Milia?

Topical retinoids may be recommended for persistent milia after a clinician confirms the diagnosis and considers your skin sensitivity. They can encourage more orderly shedding of surface skin cells, which may help some small keratin-filled bumps clear over time.

Milia are small, firm, often white or skin-coloured cysts that can appear around the eyes, cheeks, or other areas. A retinoid is applied to the skin rather than taken by mouth. It is not suitable for every location, especially close to the eyelids, and it may irritate delicate skin.

A clinician may choose observation or in-office removal instead, depending on the bump’s position, number, and appearance. Do not squeeze milia, because this can injure the surrounding skin and leave a mark.

Use only the product and strength selected for you, applying a thin layer to clean, completely dry skin as directed. Begin as often as advised; reducing frequency may be needed if stinging, peeling, or redness develops. Keep the product away from the eyes and broken skin.

Use gentle cleansing and moisturising, and protect the area from daylight with sunscreen. Avoid adding scrubs or several irritating active products at the same time unless your clinician has planned that combination.

Arrange a review if a bump changes quickly, bleeds, becomes painful, develops persistent redness, or does not look like typical milia. Seek prompt help for marked swelling, blistering, or a severe reaction after application. A new spot near the eye deserves assessment before treatment.

Is this definitely milia, and is a retinoid appropriate for its location?

How should I introduce the product if my skin is sensitive?

Would removal or another option be more suitable for this bump?