Understanding Milialar: Tiny Bumps, Big Questions

Have you ever noticed small, white bumps on your face, especially around the eyes or cheeks? These could be milia, tiny cysts filled with keratin, a protein naturally found in your skin. While harmless, milialar can be a cosmetic concern for some. This article dives deep into milia, explaining their causes, types, treatment options, and how to prevent them.

What is Milialar?

Milialar are small, white or yellowish bumps that appear on the surface of the skin. They are usually painless and don’t cause itching, although friction from rubbing or harsh skincare products might irritate them. Milia commonly appear on the:

  • Face, particularly around the eyes and cheeks
  • Lips
  • Genitals

They are also prevalent in newborns, often disappearing on their own within a few weeks.

Types of Milialar

There are two main types of milia, categorized based on their cause:

  • Primary Milia: These are more common and typically develop on the faces of newborns and young children. They form when dead skin cells become trapped under the skin’s surface.
  • Secondary Milia: These arise due to external factors that damage the skin, such as:
    • Sun damage
    • Long-term steroid cream use
    • Blistering skin conditions
    • Harsh skincare products

How to Treat Milialar

While milia are harmless, some people prefer to remove them for cosmetic reasons. Here are some treatment options, but it’s crucial to consult a dermatologist before attempting any at-home methods:

  • Extraction: A dermatologist can use a sterile tool to extract the milium gently.
  • Dermabrasion: This minimally invasive procedure removes the top layer of skin, taking the milia with it.
  • Lasers: Specific laser treatments can target and vaporize milia.
  • Topical medications: Retinoids, which help with skin cell turnover, may be prescribed to prevent future milia development.

Important Note: Never attempt to pick or squeeze milia yourself. This can worsen the condition and lead to scarring.

Preventing Milialar

Here are some tips to help prevent milia formation:

  • Gentle Skincare: Wash your face twice daily with a gentle cleanser and lukewarm water. Avoid harsh scrubs and rubbing the skin.
  • Sun Protection: Daily use of sunscreen with SPF 30 or higher helps shield your skin from sun damage, a potential trigger for secondary milia.
  • Moisturize: Regularly applying a non-comedogenic moisturizer keeps your skin hydrated, promoting healthy skin cell turnover.
  • Exfoliate Regularly: Gentle exfoliation can help remove dead skin cells and prevent them from becoming trapped under the surface. However, over-exfoliation can be counterproductive.

Here’s a table summarizing the key points:

AspectPrimary MiliaSecondary Milia
CauseDead skin cells trapped under the skinSkin damage from sun, creams, blisters, etc.
Common inNewborns, young childrenAdults
TreatmentNot usually requiredExtraction, dermabrasion, lasers, topical medications

Frequently Asked Questions (FAQs) about Milialar

Q: Are milia contagious?

A: No, milia are not contagious and cannot be spread through touch.

Q: Can Milia come back after treatment?

A: Yes, milia can recur, especially if the underlying cause, like sun damage, is not addressed.

Q: What are some home remedies for milia?

A: There are no proven home remedies for removing milia. At-home attempts can worsen the condition. It’s best to consult a dermatologist for safe and effective treatment.


Milialar are common skin concerns, particularly for newborns and adults. While they pose no health risks, some people might seek treatment for cosmetic reasons. By understanding the types and causes of milia, and implementing preventative measures like gentle skincare and sun protection, you can minimize their appearance and keep your skin healthy. However, if milia becomes a persistent issue, it’s best to consult a dermatologist for personalized treatment recommendations.

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