and Treating White Bumps Around the Eyes: Causes and Solutions

Acne

I have small yellowish-white bumps around my eyes that are difficult to squeeze out, leave scars, and keep appearing.
What disease is this, and how should it be treated?

biy, 20~29 year old female. Ask Date: 2000/10/20

Dr. Zheng Lizhen reply Dermatology

The small yellowish-white bumps around the eyes are likely not acne.
If they can be squeezed to release a white, powdery substance, they are called "milia." If they are solid and cannot be squeezed, they are likely "sweat gland tumors" (hidradenomas).
Attempting to squeeze out milia without proper disinfection can easily lead to infection and inflammation, resulting in scarring, so it is better to have a professional physician handle it.
Sweat gland tumors can be removed using laser treatment.

Reply Date: 2000/10/20

More Info

The presence of small yellow-white bumps around the eyes, often referred to as milia, is a common dermatological condition. Milia are tiny cysts that form when keratin, a protein found in skin, becomes trapped beneath the surface. They can appear anywhere on the body but are particularly common around the eyes and cheeks. While they are harmless and typically do not require treatment, many individuals seek solutions for cosmetic reasons.

Causes of Milia
1. Skin Damage: Milia can develop as a result of skin damage from conditions such as sun exposure, burns, or blistering. This damage can disrupt the normal shedding of skin cells, leading to the formation of these cysts.

2. Genetics: Some individuals may be genetically predisposed to developing milia. If family members have a history of these bumps, it may increase your likelihood of experiencing them.

3. Skin Care Products: Heavy creams or products that clog pores can contribute to the formation of milia. It's essential to choose non-comedogenic products, especially around the delicate eye area.

4. Age: As we age, our skin undergoes changes that can lead to milia formation. The skin's natural exfoliation process slows down, making it easier for keratin to become trapped.

5. Underlying Conditions: In some cases, milia can be associated with certain skin conditions or syndromes, such as steatocystoma multiplex or basal cell carcinoma, though this is rare.

Treatment Options
While milia are generally harmless, there are several treatment options available for those who wish to remove them:
1. Professional Extraction: The most effective way to remove milia is through professional extraction by a dermatologist or licensed esthetician. They can use a sterile needle or a small blade to carefully open the cyst and remove its contents.

2. Chemical Peels: Chemical peels can help exfoliate the skin and promote cell turnover, which may reduce the appearance of milia over time. However, this should be done under the supervision of a qualified professional.

3. Topical Retinoids: Prescription-strength topical retinoids can help increase cell turnover and prevent the formation of new milia. These should be used with caution, especially around the sensitive eye area.

4. Laser Therapy: In some cases, laser treatments can be effective in reducing the appearance of milia. This method is typically reserved for more severe cases or when other treatments have failed.

5. Preventive Measures: To prevent new milia from forming, consider using lighter, non-comedogenic skincare products. Regular exfoliation can also help keep the skin clear, but be gentle around the eye area.

When to See a Doctor
If you notice that the bumps are changing in appearance, becoming painful, or if you have concerns about their nature, it is essential to consult a healthcare professional. They can provide a proper diagnosis and rule out other potential skin conditions.

Conclusion
Milia are a common and generally benign skin condition characterized by small yellow-white bumps around the eyes. While they do not pose any health risks, many individuals seek treatment for cosmetic reasons. Professional extraction is the most effective method for removal, and preventive measures can help minimize the risk of recurrence. If you have persistent concerns or if the bumps change in appearance, it is advisable to consult a dermatologist for further evaluation and treatment options.

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