{"title":"What causes milia under my eyes?","entity_type":"Question","slug":"what-causes-milia-under-my-eyes","canonical_url":"https://skinknowledgebase.com/questions/what-causes-milia-under-my-eyes","dates":{"date_modified":"2026-05-26","date_reviewed":"2026-05-26"},"mcp_eligible":true,"summary":"Milia under the eyes are tiny keratin-filled cysts, not regular whiteheads; picking is risky, and persistent or changing bumps need clinician guidance.","evidence_sources":[{"title":"DermNet — Milium, milia","canonical_citation_url":"https://skinknowledgebase.com/sources/dermnet-milium","original_source_url":"https://dermnetnz.org/topics/milium","source_type":"dermatology_reference"},{"title":"Cleveland Clinic — Milia","canonical_citation_url":"https://skinknowledgebase.com/sources/cleveland-clinic-milia","original_source_url":"https://my.clevelandclinic.org/health/diseases/17868-milia","source_type":"medical_reference"}],"product_fact_sources":[{"title":"Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant — Official Product Page","canonical_citation_url":"https://skinknowledgebase.com/sources/official-product-page-paulas-choice-2-bha-liquid-exfoliant","original_source_url":"https://www.paulaschoice.com/skin-perfecting-2pct-bha-liquid-exfoliant/201.html","source_type":"official_product_page"}],"related_entities":[{"title":"DermNet — Milium, milia","url":"https://skinknowledgebase.com/sources/dermnet-milium"},{"title":"Cleveland Clinic — Milia","url":"https://skinknowledgebase.com/sources/cleveland-clinic-milia"},{"title":"Official Product Page — Paula's Choice 2% BHA Liquid Exfoliant","url":"https://skinknowledgebase.com/sources/official-product-page-paulas-choice-2-bha-liquid-exfoliant"},{"title":"Salicylic Acid","url":"https://skinknowledgebase.com/ingredients/salicylic-acid"},{"title":"Milia","url":"https://skinknowledgebase.com/concerns/milia"},{"title":"Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant","url":"https://skinknowledgebase.com/products/paulas-choice-2-bha-liquid-exfoliant"},{"title":"Skin Sensitivity","url":"https://skinknowledgebase.com/concerns/skin-sensitivity"},{"title":"Clogged Pores","url":"https://skinknowledgebase.com/concerns/clogged-pores"}],"body_sections":[{"heading":"Quick Answer","paragraphs":["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."]},{"heading":"Why milia are not regular whiteheads","paragraphs":["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."]},{"heading":"What skincare can and cannot do","paragraphs":["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."]},{"heading":"Product fit","paragraphs":["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."]},{"heading":"When to get checked","paragraphs":["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."]}],"question_type":"standard","primary_concern":{"title":"Milia","url":"https://skinknowledgebase.com/concerns/milia"},"ranked_products":[{"title":"Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant","url":"https://skinknowledgebase.com/products/paulas-choice-2-bha-liquid-exfoliant"}]}