and Treating White Bumps Around the Eyes: Causes and Solutions - Dermatology

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Acne


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

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

Dr. Liao Wenyu reply Dermatology


Hello: Based on your description, it is possible that it is a chalazion.
The only method for treatment is to puncture and drain it with a needle.
Currently, there are no ideal topical or oral medications to control it, but you still need to visit the outpatient clinic for a proper diagnosis.
Liao Wen-Yu

Reply Date: 2000/10/20

More Info


The appearance of small yellowish-white bumps around the eyes can be concerning, and it is essential to understand the potential causes and appropriate treatment options. These bumps may be indicative of several conditions, including milia, sebaceous cysts, or even allergic reactions.
Milia are small, keratin-filled cysts that often appear as tiny white or yellowish bumps on the skin, particularly around the eyes and cheeks. They are common in newborns but can occur in individuals of any age. Milia form when keratin becomes trapped beneath the skin's surface. They are generally harmless and do not require treatment unless they become bothersome. In such cases, a dermatologist can safely remove them through a minor procedure.

Sebaceous cysts are another possibility. These cysts form when a sebaceous gland becomes blocked, leading to the accumulation of sebum (oil). They can appear as small, round bumps and may be yellowish in color. While sebaceous cysts are usually benign, they can become inflamed or infected, necessitating medical intervention. Treatment may involve drainage or surgical removal, especially if they are recurrent or causing discomfort.

Allergic reactions can also manifest as small bumps or hives around the eyes. These reactions may be triggered by various allergens, including cosmetics, skincare products, or environmental factors. If the bumps are accompanied by itching, redness, or swelling, it is crucial to identify and avoid the allergen. Over-the-counter antihistamines or topical corticosteroids may help alleviate symptoms, but it is advisable to consult a healthcare professional for a proper diagnosis and treatment plan.

Treatment Options:
1. Topical Treatments: If the bumps are due to milia or a mild allergic reaction, topical treatments such as retinoids may help promote skin cell turnover and prevent the formation of new bumps. However, these should be used with caution around the delicate eye area.

2. Professional Removal: For persistent milia or sebaceous cysts, a dermatologist can perform a simple extraction procedure. This is typically done using a sterile needle or a small incision to remove the cyst or keratin plug.

3. Avoid Irritants: If you suspect an allergic reaction, it is essential to identify and avoid potential irritants. This may involve switching to hypoallergenic skincare products or avoiding certain ingredients known to cause reactions.

4. Consultation with a Specialist: If the bumps continue to appear or if you experience additional symptoms such as pain, swelling, or changes in vision, it is crucial to seek medical attention. An ophthalmologist or dermatologist can provide a thorough examination and recommend appropriate treatments based on the underlying cause.

In conclusion, while the presence of yellowish-white bumps around the eyes can be concerning, understanding the potential causes and treatment options can help manage the condition effectively. It is always best to consult with a healthcare professional for an accurate diagnosis and tailored treatment plan. Regular skincare routines, avoiding known irritants, and seeking timely medical advice can contribute to maintaining healthy skin around the eyes.

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