Under-eye milia are tiny white or yellowish cysts that form just beneath the delicate skin around the eyes. These bumps are made of keratin—a protein naturally found in the skin—and they appear when dead skin cells become trapped. Unlike acne or whiteheads, milia are not inflammatory and don’t result from clogged pores, but they can still be a cosmetic concern for many individuals, especially when they appear in visible or sensitive areas like the lower eyelid. Because the under-eye area is particularly thin and sensitive, treating milia in this region requires careful handling. While standard treatments for other facial areas may include peels, lasers, or aggressive exfoliants, the under-eye zone demands a gentler approach. In more advanced routines, treatments like Microneedling in Dubai have been explored not as a direct removal method, but as part of a broader plan to improve skin texture and reduce recurrence after safe extraction.
Why Are Milia Common Around the Eyes?
The under-eye skin has fewer oil glands, is more prone to dryness, and has slower cell turnover. This environment makes it easy for dead skin cells to become trapped and form milia. Additionally, many people apply rich eye creams or heavy makeup in this area, which can clog the skin over time.
Common causes include:
- Overuse of occlusive or thick skincare products
- Sun damage leading to reduced skin elasticity
- Post-procedure healing (e.g., after laser or dermabrasion)
- Genetic tendencies or chronic dry skin
Safe and Effective Treatment Options for Under Eye Milia
Treating milia under the eyes requires techniques that avoid trauma to the fragile skin. Below are the most effective methods suitable for this sensitive area.
Manual Extraction by a Professional
Why It Works:
This is the safest and most precise method for treating under-eye milia. A dermatologist or skincare specialist uses a sterile needle or lancet to gently open the skin and extract the keratin plug.
Caution:
Never try to pop or remove milia at home, especially around the eyes. This can lead to infection, bruising, or scarring.
Topical Retinoids (Used Around the Eye with Care)
How They Help:
Topical retinoids increase skin cell turnover and prevent keratin buildup. While they can be irritating, some low-strength formulations are suitable for use around the eyes when applied carefully and with supervision.
Tip:
Start with a pea-sized amount and apply sparingly. Always follow with sunscreen during the day, as retinoids can make skin more photosensitive.
Gentle Chemical Exfoliation
Mild Acids:
Low concentrations of glycolic acid or lactic acid can help exfoliate dead skin cells and promote natural cell shedding, which reduces the risk of milia formation.
For Under-Eye Use:
Avoid harsh peels in this area. Instead, opt for toners or eye-safe formulations containing gentle alpha-hydroxy acids.
Laser Therapy for Persistent Milia
How It Works:
Certain non-ablative lasers can target deep milia without damaging the skin surface. These are used when other treatments fail or when milia are too deep for manual extraction.
Note:
Laser treatments should be used with extreme care under the eyes and always performed by trained professionals to avoid pigmentation changes or burns.
Cryotherapy (Less Common Under Eyes)
Cryotherapy, which involves freezing milia with liquid nitrogen, is typically avoided around the eyes due to the risk of damaging the thin skin. It may be used in other facial areas but is rarely recommended for under-eye bumps.
Supportive Therapies Like Microneedling
Though not a direct milia treatment, Microneedling has become a popular way to rejuvenate the skin and support post-treatment healing. For under-eye care, specially-designed microneedling tools with short, fine needles are used to promote collagen, improve texture, and enhance the absorption of eye-safe retinoids and serums that reduce recurrence.
When used correctly, microneedling can:
- Improve skin resilience
- Minimize fine lines that may trap keratin
- Boost circulation and hydration
- Reduce the risk of future milia development
Best Practices for Preventing Under Eye Milia
Treatment is only one part of the solution. Ongoing prevention plays a vital role in keeping under-eye skin clear.
Skincare Tips:
- Use lightweight, non-comedogenic eye creams that hydrate without clogging.
- Avoid applying thick creams too close to the lash line.
- Cleanse gently, especially after wearing eye makeup.
- Protect skin from sun exposure with sunglasses and SPF to prevent damage.
Lifestyle Adjustments:
- Drink plenty of water to support skin health.
- Get regular sleep to improve skin repair.
- Avoid excessive rubbing or stretching of the under-eye area.
When to See a Specialist
If you notice milia that don’t go away after a few months, become widespread, or keep returning after treatment, it’s time to see a skin expert. Some types of milia can be more resistant or result from other skin conditions like rosacea or chronic dryness. A professional can evaluate your skin, remove the milia safely, and recommend a personalized treatment plan that includes both removal and prevention strategies.
Final Thoughts
Under-eye milia can be stubborn, but they don’t have to be permanent. With careful treatment, a gentle skincare routine, and supportive therapies like Microneedling, you can achieve smoother, clearer skin around the eyes. Choosing the right treatment for this delicate area is crucial. When done correctly, milia removal can restore your confidence without risking damage to the skin. Always prioritize safe methods and consult with a qualified professional to ensure lasting results.
