How to Prevent Milia: Gentle Cleansing, Exfoliation, Moisturizing, and Sun Protection

Milia are tiny (1–2 mm) keratin-filled epidermoid cysts, common on face (eyelids, cheeks). Prevention focuses on reducing keratin trapping.

Prevention Strategies

1. Gentle cleansing 2×/day: Mild, non-stripping cleanser; lukewarm water.
2. Regular exfoliation (1–2×/week): Chemical (AHA/BHA: glycolic, lactic, salicylic acid) > physical scrubs. Avoid over-exfoliation (barrier damage).
3. Non-comedogenic moisturizers: Hyaluronic acid, glycerin, ceramides; oil-free if acne-prone.
4. Avoid picking/squeezing: Causes scarring, infection, more milia.
5. Light makeup, thorough removal: Mineral-based; double cleanse.
6. Daily broad-spectrum SPF 30+: UV damages barrier, promotes keratinization.

Treatment (if present)

• Topical retinoids (tretinoin, adapalene) promote turnover.
• Professional extraction (sterile needle, comedone extractor).
• Electrodesiccation, laser ablation for persistent.

Milia in infants (neonatal) resolve spontaneously; no treatment needed.