Milia Removal: Why Do Tiny White Bumps Appear on Skin? | Kosmoderma

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Milia Removal: Causes, Treatments & Expert Solutions | Skin Clinic Guide

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Discover why tiny white bumps (milia) appear on your skin and how to remove them safely. Explore expert-approved milia treatments and prevention tips.

Noticed small, pearl-like white bumps on your cheeks, under your eyes, or around your nose that just won’t go away? You might be dealing with milia—tiny cysts that look like whiteheads but behave very differently. While they’re harmless, they can be frustrating, especially if they persist or spread. This blog explains exactly what causes milia, why they’re different from acne, and how dermatologists recommend removing and preventing them. Read on to uncover clear skin solutions you can trust.

What Are Milia?

Milia (singular: milium) are tiny white or yellowish bumps formed when keratin, a protein found in skin, becomes trapped beneath the surface. Unlike acne, they aren’t caused by bacteria or clogged pores, and they don’t respond to regular pimple treatments.

Types of Milia:

1. Primary Milia: Common in newborns but also adults.
2. Secondary Milia: Develop after skin trauma, burns, or resurfacing treatments.
3. Milia en Plaque: Rare, often associated with autoimmune skin conditions.
4. Multiple Eruptive Milia: Clusters on the face, arms, or torso—less common.

Why Do Milia Appear on the Skin?

There are several reasons milia can form, even if you follow a good skincare routine:

• Using heavy skincare products that trap dead skin
• Sun damage that thickens the skin, preventing keratin release
• Poor exfoliation habits or build-up of dead skin
• Skin trauma from burns, blisters, or cosmetic procedures
• Genetics or underlying skin conditions

They often show up on:

• Cheeks
• Eyelids
• Nose
• Forehead
• Chin

Milia vs. Whiteheads: What’s the Difference?

Feature	Milia	Whiteheads
Appearance	Hard, dome-shaped white bumps	Soft, pus-filled pimples
Cause	Trapped keratin	Clogged oil and dead skin in pores
Pain or Redness	None	May be red, inflamed, or painful
Extraction	Needs sterile needle or lancet	Often extracted via pressure
Treatments	Specialist procedure	OTC acne treatments work

How to Safely Remove Milia

In-Clinic Dermatologist Removal

The most effective and safest method is manual extraction by a trained dermatologist. Here’s how it works:

• Skin is cleansed and sterilized
• A fine sterile needle or blade opens the milia
• The keratin plug is carefully extracted
• No scarring or downtime when done properly

Optional Add-Ons

• Chemical peels to improve skin turnover
• Laser treatments (like CO2 or Erbium) for stubborn or clustered milia
• Radiofrequency for larger lesions, and many more

What to Avoid

• Picking at milia (can cause scarring or infection)
• Using harsh scrubs or peels without guidance
• Overusing retinoids in sensitive areas like under the eyes

Can You Treat Milia at Home?

While extraction should be left to professionals, some topical products can help reduce the likelihood of new milia:

• Retinoids (Retinol, Tretinoin): Speed up skin cell turnover
• AHAs (like glycolic acid): Gentle exfoliation
• Niacinamide: Supports skin renewal and barrier repair
• Avoid heavy occlusive creams, especially around the eye area

Prevention Tips: Keep Milia from Coming Back

• Exfoliate 2–3x weekly with a mild chemical exfoliant
• Use non-comedogenic skincare and makeup
• Apply sunscreen daily—UV damage contributes to milia formation
• Avoid overusing petroleum jelly or thick moisturizers
• Schedule professional clean-ups every few months

Conclusion: Milia May Be Tiny, But They Need the Right Care

Milia might look minor, but treating them properly requires the right strategy. While home care plays a role in prevention, safe and effective removal should always be done by a professional. With expert help, you can get rid of milia without scars and restore your skin’s smooth texture. 

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