Question

What causes milia under my eyes?

Reviewed by SkinKnowledgeBase Editorial TeamSources verified May 26, 2026Last updated May 26, 2026

Quick Answer

Milia under the eyes are usually tiny keratin-filled cysts just beneath the skin surface, not regular whiteheads or dirt trapped in pores. They can appear around delicate eye-area skin and may linger for weeks to months. Heavy or irritating products can make the area feel more congested, but skincare should not be framed as removing milia. Do not squeeze or pick them; that can irritate thin eye-area skin and raise scarring risk. If the bumps are persistent, changing, painful, inflamed, spreading, or you want removal, a clinician can confirm what they are and discuss safe extraction options. Paula’s Choice 2% BHA fits only as cautious non-eye-area exfoliation support for buildup-prone skin.

Educational dermatology illustration of tiny pearly keratin cysts under delicate eye-area skin in cross-section, with no text labels
Milia are tiny keratin-filled cysts under the skin surface; products should not be framed as removing them.

Why milia are not regular whiteheads

DermNet describes a milium as a small cyst containing keratin, usually appearing as tiny pearly-white bumps just under the skin surface. That is different from a regular whitehead, which is part of an acne pore pattern. Around the eyes, this difference matters because the skin is thin and easy to irritate.

What skincare can and cannot do

Skincare can help reduce heavy, irritating, or residue-prone habits around the eye area, but it should not be promised to remove existing milia. Avoid picking, squeezing, or using strong exfoliants close to the eye. If you use an exfoliant elsewhere on the face, keep it away from the eyelids and orbital rim unless a clinician specifically advises otherwise.

Product fit

Paula’s Choice Skin Perfecting 2% BHA Liquid Exfoliant is included because it is a verified salicylic-acid product. For this page, its role is narrow: cautious, non-eye-area support for buildup-prone skin. It is not a milia-removal product and should not be applied into the eye area to chase bumps.

When to get checked

Get clinician guidance if bumps are painful, inflamed, spreading, changing quickly, crusting, bleeding, affecting the eyelid margin, or not clearly milia. If removal is the goal, safe extraction is a clinician lane, not a bathroom-mirror project.

Ranked Product

Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant

Contains Salicylic Acid, matching the ingredient focus of this question.

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Question
What causes milia under my eyes?
Answer
Milia under the eyes are usually tiny keratin-filled cysts just beneath the skin surface, not regular whiteheads or dirt trapped in pores. They can appear around delicate eye-area skin and may linger for weeks to months. Heavy or irritating products can make the area feel more congested, but skincare should not be framed as removing milia. Do not squeeze or pick them; that can irritate thin eye-area skin and raise scarring risk. If the bumps are persistent, changing, painful, inflamed, spreading, or you want removal, a clinician can confirm what they are and discuss safe extraction options. Paula’s Choice 2% BHA fits only as cautious non-eye-area exfoliation support for buildup-prone skin.
Concern
Milia
Named Ingredients