Have you ever noticed tiny white bumps on your skin—especially around your nose, cheeks, or under your eyes—that just won’t seem to go away? These small, firm blemishes can be both frustrating and confusing, particularly when they don’t respond to typical acne treatments. While they may look like pimples or clogged pores, they’re often something entirely different. Understanding what they really are is the first step toward treating them effectively and preventing irritation or scarring.

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What Are These Bumps?

These little white bumps are most commonly known as milia. Milia are tiny, keratin-filled cysts that form just beneath the surface of the skin. They typically appear as small, dome-shaped, white or yellowish spots that feel firm to the touch. Unlike pimples, they don’t have an opening or pore, which is why trying to squeeze or pop them doesn’t work—and can actually make things worse.

Milia form when dead skin cells and keratin (a natural protein in the skin) become trapped under the surface instead of being shed normally. They’re not caused by bacteria or excess oil, which is why traditional acne creams and spot treatments usually have little effect.

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Should You Be Worried?

1. They’re Harmless (But Persistent)

The good news is that milia are completely benign and pose no health risks. They’re considered more of a cosmetic concern than a medical one. However, they can be quite stubborn—sometimes sticking around for weeks or even months if left untreated. For some people, they may even reappear in the same areas after clearing up.

2. They Can Be Annoyingly Resistant

Because milia aren’t caused by oil or bacteria, standard acne treatments rarely work. Harsh cleansers, scrubs, or drying creams can even make the skin more irritated. If the skin barrier becomes damaged, it may make milia worse or cause new ones to form.

3. When They Might Signal Something Else

While usually harmless, a sudden outbreak of milia, especially in adults, may sometimes be linked to skin trauma, burns, certain medications, or underlying skin conditions like eczema. If you notice new bumps appearing unexpectedly or in unusual locations—such as the eyelids, chest, or genital area—it’s a good idea to check in with a dermatologist for a proper evaluation.

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How to Get Rid of Milia

1. Professional Extraction

The safest and most effective treatment for milia is professional extraction by a dermatologist or licensed aesthetician. During the procedure, the skin is cleaned and a sterile needle or blade is used to gently release the trapped keratin. This process is quick and relatively painless, and it helps minimize the risk of scarring or infection.

2. Prescription Retinoids

Topical retinoids, derived from vitamin A, encourage faster cell turnover and help clear away trapped skin cells. These products—available by prescription or in lower-strength over-the-counter formulas—can be especially effective for people prone to recurring milia. Consistent use also helps improve overall skin texture and reduce fine lines, offering an added bonus.

3. Over-the-Counter Exfoliants

Gentle chemical exfoliants containing AHAs (like glycolic acid) or BHAs (like salicylic acid) can help prevent and treat milia by keeping pores clear and encouraging the natural shedding of dead skin cells. Using these a few times a week can make a noticeable difference over time, especially when combined with good daily skincare habits.

4. Gentle At-Home Care

While home remedies won’t remove milia overnight, they can support skin health and prevent new bumps from forming. Try:

• Applying a warm compress to soften the skin and open pores

• Washing with a mild, non-foaming cleanser

• Avoiding harsh scrubs or rough exfoliants that can cause microtears

Most importantly, don’t pick or squeeze milia. Doing so can lead to scarring, redness, or infection, which often takes longer to heal than the milia themselves.

5. Avoid Heavy Skincare Products

Thick creams, oily sunscreens, or makeup that clogs pores can contribute to milia formation. To reduce the risk, switch to non-comedogenic and lightweight products. If you have dry skin, look for hydrating serums with hyaluronic acid instead of heavy occlusive creams.

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The Bottom Line

Although those small white bumps may seem bothersome, milia are usually harmless, manageable, and temporary. With the right care—whether that’s gentle exfoliation, prescription retinoids, or professional extraction—you can help your skin return to a smoother, clearer appearance.

Consistency and patience are key. Results may take several weeks, but with proper skincare and avoidance of pore-clogging products, milia can be minimized or prevented altogether.

If you’re unsure whether your bumps are truly milia or another condition, don’t hesitate to consult a dermatologist. A professional can provide an accurate diagnosis and personalized treatment plan, ensuring your skin stays healthy, balanced, and radiant.