Milia are small, white bumps that often appear around the eyes, cheeks, and forehead. Though they resemble whiteheads, they are not acne and cannot be popped. These firm cysts form when keratin, a natural skin protein, becomes trapped beneath the skin’s surface. While they are harmless and painless, milia can be cosmetically frustrating, particularly for older adults, whose slower skin turnover makes them more prone to buildup.
Aging, sun damage, and the use of heavy creams are common contributors to milia. Sun exposure can thicken the skin, while rich moisturizers and long-term use of steroid creams may clog pores. Milia can also result from skin trauma, such as burns or rashes. Although they can appear without clear cause, these bumps are often more common in delicate areas where the skin is thinner, like around the eyes.
It’s important not to squeeze or attempt to pop milia, as doing so can cause scarring, infection, or skin discoloration. Instead, adopting gentle skincare habits can help manage them. Start by cleansing the skin daily with a mild, fragrance-free cleanser, and use a soft exfoliant once or twice a week. Natural exfoliants like honey and ground oats can help lift dead skin cells without irritation. Steam therapy once a week may also help loosen keratin buildup.
To prevent milia, avoid applying thick or oily products near the eyes. Use non-comedogenic moisturizers with ingredients like hyaluronic acid and niacinamide. Daily sunscreen use is also essential—sun damage is a major factor in skin thickening and slower healing. A broad-spectrum SPF of 30 or higher helps protect aging skin and reduces the risk of new milia forming.
For persistent or widespread milia, a dermatologist can offer treatments like gentle extraction, cryotherapy, or topical retinoids. While milia can be annoying, they are manageable with consistent care. Remember, having texture or imperfections is normal—especially as we age. With patience and kindness to yourself, your skin can remain healthy, radiant, and comfortable at every stage of life.
