Milia Under Eyes: How To Get Rid Of Them

Milia are skin growths on different parts of the body, especially around the eyes.

They are relatively harmless but may be a source of worry.  In this article, we will discuss what they are and the different ways one could get rid of milia under the eyes.

What Are Milia?

Milia are tiny dots or cysts on the skin. They are formed from the underlying structures that make up the skin layers. Keratin, a protein in our skin, nails, and hair is trapped under the skin with dead cells and forms these cysts. While they may look like pimples or acne, they are unrelated.


Milia are often grouped together but may be solitary. A single cyst is called a milium. A milium is also referred to as a milk spot or an oilseed.

Naturally occurring milia are commonest in infants and children but may be seen in adults. Milia in infants are so common that it is sometimes considered normal.


About half of all infants have milia at some point in the first few weeks of life. It is thought to be as a result of the immaturity of the structures in the skin layer responsible for producing sweat.

They are formed rapidly, last for a few weeks and resolve over time. These dots are often white or yellowish and are commonly seen around the eyes. They may occupy other parts of the body like in the mouth (called Epstein’s pearls) and palate, as well as the face.

What Causes Milia In Adults?

In adults, milia may form due to other factors. This type of milia is called secondary milia:

  • Persistent milia from childhood
  • Long term steroid cream use
  • Long term use of harmful skin products
  • Trauma to the skin, such as burns (like sunburn)
  • Tattooing
  • Genetic or acquired skin blistering diseases,
  • Skin infections, or a blister formation

milia eye

In some people, milia form on the skin surface around the ears as a result of inflammation. They may also be found as part of a group of diseases. Here, milia are seen in groups spanning great lengths across the skin of the face, trunk, and even the genitals.

While they may be unpleasant, they are not known to cause any trouble. Rarely, they may be swollen or inflamed but the resolution is swift. Milia that is the result of injury to the skin is often found at the site of the injury.

Milia may be seen in individuals of all races, in every corner of the world. It is equally present in both men and women. Rarely, milia are seen in middle-aged women across their face and trunk, called milia une plaque.

How To Get Rid Of Milia Under Your Eyes

Generally, it is advised to avoid poking or picking at milia. It often goes away after a few weeks and is pretty harmless. In some people, they may become red, irritated or bleed when grazed, especially by thick dry clothing.

Removing milia crudely may cause the site to bleed or form scars, which is more disconcerting. If you want to get rid of milia by yourself, the following are tips to follow:

1. Wash Your Face With A Mild Soap



This will ensure that the skin is not stripped of its naturally occurring microbes and oil. Harsher soaps may lead to skin breakages which will cause further damage by inviting disease-causing organisms to fester in the breaks.

Pat the area dry. Ensure you do not rub or scrub the skin.


2. Use Sunscreen


Sunburn or inflammation caused by ultraviolet rays from the sun may cause damage to your skin, causing more milia formation or the persistence of current milia. The rays cause your skin to become hard and leathery.

If you go out a lot in the sun, wear sunscreen with a sun protection factor appropriate for your skin tone. (Usually 30 or higher).

3. Use A Retinoid Cream


These creams contain Vitamin A which is essential for good skin health. When applied over the surface of the milia, it helps in the resolution of milia.

Almond oils are also noted to be helpful in milia resolution because they contain vitamins.

4. Exfoliate


This is a very useful tip for your skin health and milia removal. It rids your skin of irritants and dead cells that may cause milia formation.

It also leaves your skin smoother and sharper. Some agents are also useful for regulating keratin production thereby preventing milia formation. However, avoid excessive exfoliation as this may leave you open to skin infections.

5. Facial Steaming


Opening your skin pores to let out irritants may be beneficial in solving your milia problem. Set up your bathroom for steam formation by soaking in hot water. Let the steam touch your face and after a few minutes, dab your face dry with a towel. Be careful not to burn your skin with the hot water. You should also avoid using this method in children.

6. Honey Mask

face mask

Honey masks have been shown to help reduce inflammation and reduce milia formation. They also have antimicrobial properties which protect your skin from foreign agents.

7. Rose Water

rose water

This is demineralized water with rose oil. It may help contain inflammation on your skin. You have to be careful in applying rose water to your face because it may irritate the eye if it gets in contact with it.

How Is Milia Diagnosed?


Your doctor is able to diagnose milia by just looking at it. If it is unclear to your doctor or there are other skin growths, a request is made for a small part of the skin (a biopsy) to be taken for further studies.

When To See Your Dermatologist


If milia do not resolve weeks after these tips, you may need to see your dermatologist. This is a sure way to be rid of milia. Your doctor may prescribe oral medicines and/or topical creams for your treatment.

If medical treatment using these agents is not satisfactory, surgical treatment may be embarked on. A very common procedure is deroofing. This is commonly done in the doctor’s office with no analgesia required. The milia are punctured with a needle and the contents are taken out. A paper clip may also be used.

Alternatively, liquid nitrogen may be used to freeze the milia (called cryotherapy). It is then cleared by your doctor. Laser ablation and the use of heat (diathermy) may also be employed but cryotherapy is more popular.

To conclude, milia are relatively harmless although they can be aesthetically displeasing. Several home remedies may be successfully attempted but if they persist, a visit to the dermatologist may be warranted.

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Zubair Abdulahi, MBBS

Dr. Zubair Abdulahi is a licensed medical practitioner with a degree in medicine and surgery who is interested in using new media to influence health decisions by providing information on health queries. He has written for top publications in Nigeria like the Guardian. When he's not working as a doctor, he enjoys the game of football as well as sight-seeing and listening to classical music.
Zubair Abdulahi, MBBS