Understanding Milia
Milia are small, benign keratin-filled cysts that develop just beneath the surface of the skin. They typically appear as small white or yellowish bumps, most commonly around the eyes, cheeks, forehead and nose. Although often mistaken for whiteheads, milia are not acne and cannot be squeezed or extracted in the same way.
Milia can occur at any age and are generally harmless. While some may resolve on their own, particularly in newborns, acquired milia in older children and adults often persist without treatment.
How our Dermal Clinician's Support You
Your dermal clinician works alongside you to assess your skin and determine the most appropriate management approach.
Throughout your consultation, your dermal clinician may:
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Conduct a comprehensive skin assessment
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Differentiate milia from other common skin lesions
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Assess whether treatment is clinically appropriate
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Safely remove suitable milia using evidence-based techniques where appropriate
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Recommend professional skincare to support overall skin health
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Provide education on reducing future milia formation where possible
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Collaborate with DermAssist and Consultant Dermatologist Dr Phil Tong when lesions require further medical assessment or diagnosis
Common Causes
Milia may develop spontaneously or occur following damage or changes to the skin.
Common contributing factors include:
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Natural keratin build-up beneath the skin
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Sun-damaged skin
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Skin trauma or injury
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Burns or blistering skin conditions
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Certain medications, including prolonged topical corticosteroid use
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Ageing skin
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Previous cosmetic procedures or skin resurfacing
Are milia the same as whiteheads?
No. Although they may appear similar, milia are small keratin-filled cysts beneath the skin, whereas whiteheads are a form of acne caused by blocked pores.
Do milia go away on their own?
In newborns, milia commonly resolve without treatment. In older children and adults, they often persist and may require professional removal if they become bothersome or are cosmetically concerning.
Can I remove milia myself?
Attempting to squeeze or pick at milia is not recommended, as this may damage the surrounding skin or increase the risk of infection or scarring. Professional assessment and removal is the safest option.
What treatments may be recommended?
Following a skin assessment, your dermal clinician may recommend:
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Professional milia extraction (where clinically appropriate)
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Diathermy for suitable lesions
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Professional skincare
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Topical retinoids (where appropriate)
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Personalised home care advice
Treatment recommendations are always tailored to your skin and the type of lesion present.
