How to Remove Milia Around the Eyes

The small, white bumps commonly observed around the eyes—often colloquially referred to as “milium” or “fat granules”—are medically termed *milia*. Milia are retention cysts originating from the epidermis or epithelium of skin appendages. Their exact etiology remains unclear; however, in some patients, they develop following sun exposure, trauma, or localized scratching that triggers post-inflammatory changes. Certain dermatological conditions may also predispose individuals to milia formation.

Milia most frequently occur around the eyelids, as well as on the face, forehead, and external ear. In adults, they may rarely appear on the genitalia. Generally, no treatment is required. However, if lesions gradually enlarge and impair cosmetic appearance, patients should consult a dermatologist in an outpatient setting. Typically, after proper disinfection, milia can be removed using a sterile needle.

Laser therapy is another viable option. Moreover, some patients presenting with similar-appearing lesions actually have syringomas—a benign tumor arising from the sweat duct epithelium—rather than milia. In such cases, simple needle extraction is ineffective; laser therapy is necessary for definitive removal.

Since milia often result from clogged hair follicles or excessive sebum production coupled with inadequate facial cleansing, patients should maintain rigorous facial hygiene. Women who wear makeup must thoroughly cleanse their faces afterward.

Additionally, patients should minimize use of abrasive exfoliating products. Daily skincare products should preferably be natural and non-irritating. Diet also plays a role: patients should limit intake of high-fat, greasy, spicy, or otherwise irritating foods, as such diets—particularly those rich in fat and calories—may exacerbate symptoms.