Commonly mistaken for acne, milia are tiny, cyst-like bumps that lay just below the epidermis. They form from an accumulation of dead skin and sebum. Over time, this mixture gathers keratin fibers and hardens. Keratin is the component that structures hair and the outer layer of the skin. Milia has a clear distinction from acne (specifically white heads) in that it forms differently, not arising from a gland, and are impossible to squeeze out. They appear around the middle region of the face, very commonly on eyelids. Infants frequently have present milia which usually subsides in a few weeks. Adults generally do not dissolve milia, therefore needing excision to completely get rid of it. As an esthetician, I will extract very superficial milia with a lancet. However, if the milia is around the eye region or very deep, one may consult with their dermatologist or ophthalmologist (eye region related.) When removed, a milium looks like a small, pearly white ball. Factors associated with milia include oilier skin types and lack of cellular turnover. I advise my clients to step up exfoliation using at home retinols and glycolics. Of course, if a milium is on the eyelid or around it, DO NOT use these products on it. Also, I warn NOT to try and lance milia at home due to the potential of scaring and infection.
If you have trouble distinguishing whether or not you have milia, make an appointment with your esthetician or dermatologist for a general skin consult.
If you have trouble distinguishing whether or not you have milia, make an appointment with your esthetician or dermatologist for a general skin consult.