Milia: What They Are & How To Get Rid Of Them

Let’s start with the obvious: what causes milia?

“Milia are compacted keratin and sebaceous material trapped underneath the skin and often look like a small piece of rice. The reason they appear is a result of dead skin building up and getting trapped in the pores near the surface of the skin. When they aren’t expelled naturally, or cleansed away, they appear like small white spots or bumps, occurring at points where the skin cells have formed a roof over the pores, making it impossible for the content to drain to the surface. They can often pop up for no reason, so don’t be alarmed if they do – they aren’t indicative of any specific health concerns.”

Are certain skin types more affected than others?

“No, in fact, they can happen to just about anyone – regardless of age or skin type, it’s why they’re one of the most common skincare issues out there. That said, they’re more prevalent in those with sun-damaged skin, as well as new-born babies (hence their nickname: milk spots).”

Where are milia most likely to appear? 

“Typically, you’ll find milia appears on your cheeks and also around the nose, but they’re commonly found under the eyes, too. The reason for the latter is often courtesy of your skincare. When certain formulas don’t penetrate properly, milia can form, as the eye area doesn’t have oil glands, so things become really easily congested. It’s often why you’re better off using thinner formulations in this area, and nothing too occlusive or heavy that will just sit on the skin’s surface. Avoid using products that are too oily, as well – these can clog up sweat ducts on your skin and lead to an outbreak of milia.” 

Skincare products aside, are there any other ways to prevent milia forming?

“The short answer is no, but luckily there is plenty you can do to get rid of them when they do appear. Often mistaken for whiteheads, milia are keratin-filled cysts that can be either removed by an experienced skin professional, or by simply changing your current routine – which method you choose depends on how stubborn your milia are. One thing you must never do is confuse them with ordinary spots, as they cannot be squeezed; any attempt to do so will cause the area to inflame, and likely worsen their appearance. Typically, we recommend leaving milia well alone because nine times out of ten, they will disappear on their own.”