How to Get Rid of Milia: Those Annoying Fat Cysts

Milia are small, white or yellowish bumps that often appear on the face, especially around the eyes, cheeks, and nose. They are caused by keratin—an essential protein in your skin—becoming trapped beneath the surface. While harmless, milia can be persistent and frustrating, especially when they affect your complexion. Here’s how to understand and get rid of them safely.

What Causes Milia?

Milia form when dead skin cells or keratin become trapped in tiny pockets under the skin. Common causes include:

• Skin trauma: Burns, rashes, or abrasions can trigger milia.

• Heavy skincare products: Thick creams or oils can block pores.

• Sun damage: Overexposure can thicken skin, making milia more likely.

• Aging skin: Older skin regenerates more slowly, increasing the risk.

How to Identify Milia

Milia are usually:

• Small, white, or yellowish bumps

• Firm to the touch

• Typically painless and non-inflammatory

• Often appearing in clusters, particularly on the face

5 Safe Ways to Get Rid of Milia

1. Exfoliate Gently

Regular gentle exfoliation helps remove dead skin cells and prevent milia from forming. Use mild chemical exfoliants like glycolic acid or salicylic acid rather than harsh scrubs, which can irritate the skin.

2. Use Retinoid Creams

Topical retinoids increase cell turnover, helping trapped keratin escape naturally. Prescription-strength retinoids are most effective, but over-the-counter options can also help prevent new milia.

3. Professional Extraction

Dermatologists can remove milia safely using a sterile needle or small incision. Avoid trying to squeeze or pick them yourself—it can lead to infection or scarring.

4. Avoid Heavy Skincare Products

Thick creams, oils, and occlusive products can block pores and worsen milia. Opt for non-comedogenic moisturizers and serums to keep skin clear.

5. Consider Laser or Cryotherapy

For persistent milia, dermatologists may use laser treatments or cryotherapy to remove them effectively. These are usually considered when other treatments fail.

Preventing Milia

• Wash your face gently twice daily

• Avoid excessive sun exposure and always use sunscreen

• Remove makeup before bed

• Stick to lightweight, non-comedogenic skincare products

When to See a Dermatologist

While milia are harmless, consult a dermatologist if:

• They become inflamed or painful

• Over-the-counter treatments aren’t effective

• You want professional removal for cosmetic reasons

Milia may be small, but they can be a persistent annoyance. With the right skincare routine and occasional professional help, you can keep your skin smooth, clear, and bump-free.