Concern

Milia

Reviewed by SkinKnowledgeBase Editorial TeamSources verified May 26, 2026Last updated May 26, 2026
Educational dermatology atlas illustration of small pearly keratin cysts beneath delicate under-eye skin, with no text labels
Milia are small keratin cysts; clinician extraction may be appropriate when removal is desired.

Quick Summary

Milia are tiny keratin-filled cysts that sit just beneath the skin surface. They often look like small pearly white bumps, especially around eyelids, cheeks, and delicate under-eye skin. They are not regular whiteheads and should not be squeezed.

Causes

Milia form when keratin becomes trapped below the surface. DermNet describes them as small cysts containing keratin, and Cleveland Clinic frames them as usually harmless. Around the eyes, heavy product layers, irritation, and natural skin turnover patterns can make people notice the texture more, but appearance alone cannot confirm the cause.

How cosmetic skincare can help

Cosmetic care is mostly prevention-minded and irritation-aware. Use lighter eye-area layers, avoid heavy residue if it seems to worsen bumps, and do not pick or squeeze. Salicylic acid may support clogged-looking, buildup-prone skin elsewhere on the face, but it should not be framed as removing milia or used aggressively near the eyes.

What skincare cannot do

Skincare should not be presented as dissolving, extracting, or curing established under-eye milia. A bump that looks white or firm near the eye is not automatically a clogged pore, and strong exfoliation close to the eyelids can irritate delicate skin. Paula’s Choice 2% BHA is therefore linked only for cautious non-eye-area buildup support, not as an under-eye application instruction.

When clinician care fits

Persistent, changing, painful, inflamed, bleeding, crusting, eyelid-margin, or uncertain bumps should be checked. When removal is desired, the safer lane is clinician confirmation and extraction rather than picking, squeezing, lancets, scrubs, or repeated acid use at home.

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Concern
Milia
Quick Summary
Milia are tiny keratin-filled cysts that sit just beneath the skin surface. They often look like small pearly white bumps, especially around eyelids, cheeks, and delicate under-eye skin. They are not regular whiteheads and should not be squeezed.
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