White spots on the face: how removal depends on the cause

Tiny, firm, pearly bumps may be milia, while flat pale areas point more toward pigment change or skin that has healed after inflammation. Fine scale can occur with dryness or infection. A whitehead is a raised pore containing oil and skin cells, whereas a flat patch will not respond to squeezing. Location, texture, itch, redness and recent product use help a clinician separate these possibilities.

Wash gently, moisturise, and use daily sun protection. Avoid squeezing, needles, abrasive scrubs, lemon, bleaching products and strong acids near sensitive facial skin. Stop a newly introduced product if it burns or causes a rash. If bumps persist, a dermatologist can recommend an appropriate extraction or topical treatment; pigment changes may need a different plan and time to blend with surrounding skin.

Seek review when spots spread, recur, become painful or inflamed, or do not improve with gentle care. Arrange prompt assessment for bleeding, ulceration, a rapidly changing patch, marked swelling or symptoms near the eye. Bring a list of products and medicines, because cosmetics, topical steroids and other treatments can affect the appearance.

Ask what the spots are, whether removal is appropriate, which ingredients to avoid, whether a test is needed, and how to prevent irritation or darker marks after treatment.