# 4 Dermatologist-Approved Ways to Get Rid of Milia

Those small white bumps clustered around your eyes and cheeks are milia, not the acne you've been treating. Dermatologists explain that milia form differently than pimples, so your standard acne routine won't work.

Milia develop when dead skin cells become trapped beneath the skin's surface, creating tiny cysts filled with keratin. Unlike acne, which forms from excess oil and bacteria, milia don't respond to acne medications or extractions. Board-certified dermatologists recommend four evidence-based approaches.

**Professional extraction** tops the list. A dermatologist uses a sterile needle or lancet to gently pierce the skin and remove the trapped material. This requires trained hands, as improper extraction can cause scarring or infection. Attempting removal at home risks permanent skin damage.

**Retinoid treatments** address milia by accelerating skin cell turnover. Products containing retinol or prescription retinoids like tretinoin help shed dead skin cells and prevent new milia from forming. Results take weeks, so consistency matters. Start with lower concentrations to avoid irritation.

**Chemical exfoliants** containing alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs) dissolve the bonds between dead skin cells. Dermatologists note that regular use of glycolic or salicylic acid serums can reduce milia buildup over time.

**Topical treatments with niacinamide or azelaic acid** support skin barrier function and prevent future blockages. These gentler options work well for sensitive skin prone to milia.

Prevention involves protecting skin from sun damage, which thickens the outer layer and traps more cells. Use broad-spectrum SPF 30 daily