White Bumps on Children's Nipples: Causes and Care - Dermatology

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Children developing pimples on their nipples?


Hello Doctor: My son has developed a small white pimple on his nipple.
We took him to see different doctors; one said, "It's nothing to worry about." Another had a nurse directly remove it, and although he didn't cry out loud, he shed a lot of tears.
After that, I tried to gently squeeze it at home, but I couldn't get it all out, and it reappeared after a while.
I'm also concerned about the risk of bacterial infection, so I'm unsure what to do.
Additionally, I would like to ask if it's appropriate for a nine-year-old child to have moles removed (as I'm worried about the impact on his physical and mental development), specifically a mole on his face that I would like to have removed.
Thank you, Doctor!

Xiao Mei, 40~49 year old female. Ask Date: 2008/08/26

Dr. Huang Ruiyun reply Dermatology


Hello! Whether a nine-year-old child can undergo a non-emergency, non-essential, invasive (painful) medical procedure without general anesthesia depends on the child's ability to cooperate.
Each situation is different; if the child has a strong desire to undergo the procedure voluntarily rather than feeling forced, it is generally easier to proceed.
Otherwise, it may be better to wait until the child is older and more willing to cooperate.
Wishing you peace and health.

Reply Date: 2008/08/26

More Info


When it comes to white bumps on children's nipples, it's important to understand that these can be quite common and are often benign. In many cases, these bumps are referred to as "milia" or "epidermoid cysts," which are small, white, keratin-filled cysts that can appear on the skin, including the nipple area. They are typically harmless and do not require treatment unless they become bothersome or infected.

Milia are often seen in infants and young children, and they occur when skin cells become trapped beneath the surface of the skin. This can happen for a variety of reasons, including hormonal changes, skin irritation, or simply the natural development of the skin. In your case, since your child has a white bump on the nipple, it is likely a milia or a similar benign cyst.
It's important to note that while these bumps can be unsightly, they are usually not a cause for concern. If a healthcare professional has assessed the bump and deemed it harmless, it is generally safe to leave it alone. However, if you notice any changes in size, color, or if the bump becomes painful or shows signs of infection (such as redness, warmth, or discharge), it would be wise to seek further medical evaluation.

Regarding the removal of the bump, squeezing or attempting to pop it at home is not recommended. This can lead to irritation, infection, or scarring. If the bump is persistent and bothersome, a pediatric dermatologist can provide safe and effective removal options. They may use techniques such as gentle extraction or laser treatment, depending on the specific characteristics of the bump.

As for your question about mole removal in a nine-year-old, it is essential to approach this with caution. Moles, or nevi, are common in children and can vary in size, shape, and color. Most moles are benign, but any changes in a mole's appearance, such as asymmetry, irregular borders, multiple colors, or an increase in size, should be evaluated by a dermatologist. If the mole is not changing and is simply a cosmetic concern, it may be best to leave it alone, especially considering the potential psychological impact of surgery on a child.

If you decide to pursue mole removal for cosmetic reasons, ensure that it is done by a qualified healthcare professional. They can assess the mole's characteristics and determine the best course of action. In some cases, they may recommend monitoring the mole over time rather than immediate removal.

In summary, the white bump on your child's nipple is likely a benign condition that does not require aggressive treatment. Regular monitoring and gentle care are usually sufficient. For any concerns about moles or other skin conditions, consulting with a pediatric dermatologist is the best course of action. They can provide tailored advice and treatment options that consider your child's overall health and well-being.

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