However, when waiting is not an option, especially for those with very persistent or cosmetically bothersome milia, treatment should be considered with the help of your dermatologist. In due time all milia will resolve spontaneously, so it’s perfectly reasonable to leave them alone. So what needs to be done? In most cases, nothing. Unlike acne, milia are cysts, do not form from a pore and typically do not get inflamed or develop redness or swelling. Dead skin cells-composed predominantly of keratin, a protein also found in hair and nails-build up underneath, causing a bump to form. Milia form as a consequence of the skin’s localized inability to naturally exfoliate. In all cases, however, milia are benign and treatment is not necessary since they can eventually go away on their own. Milia can even form on the arms or hands, especially in older patients with severe sun-damaged (think leathery) skin or those with certain acquired or genetic skin conditions associated with blistering. Adults can develop milia on the face as well, including very delicate areas like the eyelids. They are most commonly seen in infants as tiny, firm, whitish bumps on the cheeks or around the nose and eyes. These cysts can be solitary (milium) or appear in clusters (milia). Milia is the medical term for small, keratin-filled cysts that can be seen in all age groups. A lot can be done to treat and prevent milia, but first, one needs to understand what they are and why they occur. Many patients try to squeeze them out but ultimately fail (and instead make matters worse from the trauma of picking).ĭon’t let these small yet stubborn cysts frustrate you. If you’ve ever developed a milium cyst, you quickly realize these small, pesky bumps are infinitely more difficult to remove than whiteheads or other acne bumps. June 28, 2020.Not all white bumps under your eyes-and sometimes on your eyelids-are acne. What you need to know about contact lens hygiene and compliance.How to use cosmetics safely around your eyes.In: Pfenninger and Fowler's Procedures for Primary Care.
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