Got all these white bumps around my eyes. They don’t quite look like pimples so not sure if I should pop them. What can I do?

Noticing small white bumps around your eyes can be concerning, especially when they don’t resemble typical pimples. These tiny, pearl-like bumps are often mistaken for acne, but they are actually a different skin condition known as milia. Milia are common, benign, and usually harmless, but they can be persistent and cosmetically bothersome.

Understanding what these bumps are and how to treat them safely is crucial. Many people are tempted to pop them, thinking they are pimples, but this can lead to more harm than good. In this article, we will explore what milia are, their causes, and the best ways to treat and prevent them.

Milia are small, white cysts that form when keratin, a protein found in skin, hair, and nails, becomes trapped beneath the outer layer of the skin. They are typically 1 to 2 millimeters in diameter and can appear in clusters, often around the eyes and on the cheeks. Unlike pimples, milia are not caused by bacteria or clogged pores, and they do not have an opening on the skin’s surface.

Milia are classified into two types: primary and secondary. Primary milia occur spontaneously and are common in newborns, while secondary milia can develop after skin trauma, such as burns or blistering injuries. Despite their appearance, milia are not a sign of infection or poor hygiene.

Several factors can contribute to the development of milia around the eyes. One common cause is the use of heavy or occlusive skincare products that can trap keratin under the skin. Sun damage is another factor, as it can thicken the outer layer of the skin, making it harder for dead skin cells to shed naturally.

Other causes include genetic predisposition, aging, and certain skin conditions that affect the skin’s ability to exfoliate properly. In some cases, milia can also form after procedures like laser treatments or dermabrasion, where the skin’s surface is disrupted.

Popping milia is not recommended because, unlike pimples, they do not have an opening to the surface of the skin. Attempting to pop them can lead to skin damage, scarring, and potential infection. The skin around the eyes is particularly delicate, so improper handling can result in more harm than good.

Additionally, squeezing or picking at milia can cause inflammation and redness, making them more noticeable and harder to treat. It’s best to leave milia removal to professionals who have the right tools and techniques.

While professional treatment is often the most effective way to remove milia, there are some home remedies that may help. Regular exfoliation with a gentle scrub can help prevent the buildup of dead skin cells that contribute to milia formation. Look for products containing alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), which can aid in skin cell turnover.

Applying a warm compress to the affected area can also soften the skin and facilitate natural exfoliation. However, it’s important to be patient, as these methods may take time to show results.

There are several over-the-counter treatments that can help manage milia. Retinoid creams, which contain vitamin A derivatives, can promote cell turnover and prevent the formation of new milia. Products containing salicylic acid or glycolic acid can also be effective in exfoliating the skin and reducing milia.

It’s important to use these treatments as directed and to be cautious around the sensitive eye area. If irritation occurs, discontinue use and consult a dermatologist.

If home remedies and over-the-counter treatments do not improve your milia, or if you have a large number of them, it may be time to consult a dermatologist. A dermatologist can assess your skin and recommend the best course of action, which may include professional extraction or prescription treatments.

Additionally, if you notice any changes in the appearance of the milia or if they become painful, it’s important to seek medical advice to rule out other skin conditions.

Dermatologists have several methods for removing milia safely and effectively. One common technique is de-roofing, where a sterile needle is used to create a small opening in the skin, allowing the milia to be extracted. This procedure is quick and typically painless.

Other professional treatments include chemical peels, laser therapy, and microdermabrasion, which can improve skin texture and reduce the appearance of milia. Your dermatologist will recommend the most appropriate treatment based on your skin type and the severity of the milia.

Preventing milia involves maintaining a skincare routine that promotes healthy skin turnover. Use gentle cleansers and avoid heavy, oil-based products that can clog pores. Regular exfoliation with mild acids can help keep the skin smooth and free of dead cells.

Protecting your skin from sun damage is also crucial. Use a broad-spectrum sunscreen with at least SPF 30 daily, and wear sunglasses to shield the delicate skin around your eyes. Staying hydrated and maintaining a balanced diet can also support overall skin health.

Social media is full of viral hacks claiming to treat milia, but many of these methods lack scientific backing and can be ineffective or even harmful. For example, using toothpaste or lemon juice on milia can irritate the skin and worsen the condition.

It’s important to approach viral skincare hacks with skepticism and to rely on evidence-based treatments. Consulting a dermatologist is always the best course of action for safe and effective milia management.

There are several myths surrounding milia, such as the belief that they are caused by poor hygiene or that they are contagious. In reality, milia are not related to cleanliness, and they cannot be spread from person to person.

Another common misconception is that milia will disappear on their own. While some may resolve naturally over time, others can persist without treatment. Understanding the true nature of milia can help you manage them more effectively.

For those prone to milia, long-term skincare involves regular exfoliation and the use of non-comedogenic products that won’t clog pores. Incorporating retinoids into your routine can help prevent new milia from forming by promoting skin cell turnover.

It’s also important to monitor your skin for any changes and to maintain regular check-ups with a dermatologist. By taking a proactive approach to skincare, you can minimize the occurrence of milia and maintain healthy, clear skin.