How to Remove Milia Around the Eyes

The small, white bumps commonly referred to as “milium” or “fat granules” around the eyes 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 local scratching—often as a consequence of 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 also appear on the genitalia. Typically, no treatment is required. However, if lesions gradually enlarge and impair cosmetic appearance, patients should consult a dermatologist in an outpatient setting. In most cases, sterile needle extraction suffices for removal.

Laser therapy is another viable treatment option. Importantly, some patients presenting with similar-appearing lesions do not have milia at all but rather *syringomas*—benign tumors arising from eccrine ducts. Such lesions cannot be removed using simple needle extraction and require laser treatment instead.

These lesions often result from clogged hair follicles or excessive sebum production coupled with inadequate facial cleansing, leading to localized obstruction. Patients should therefore maintain rigorous facial hygiene. Women who wear makeup must thoroughly cleanse their faces afterward.

In addition, use of abrasive exfoliating products should be minimized. Daily skincare products should ideally be natural and non-irritating. Dietary habits also matter: patients should limit intake of high-fat, greasy, spicy, or otherwise irritating foods, as well as high-calorie diets, which may exacerbate symptoms.