Causes of milia around the eyes: how can it be removed?

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Causes of milia around the eyes: how can it be removed?

Milia around the eyes are a common benign skin lesion seen in dermatology. They refer to small white or yellowish bumps that appear around the eyes and cheeks. Although these small bumps may look simple on the surface, they are actually caused by changes in the skin’s complex structure.

Causes of milia around the eyes: how can it be removed?

Looking at how milia around the eyes form,

it is known to occur when the stratum corneum of the skin overgrows excessively or when secretions from the sebaceous glands accumulate within pores. These processes can be further promoted when the skin’s normal turnover cycle is disrupted, eventually appearing as small bumps on the skin’s surface.

Causes of milia around the eyes: how can it be removed?

Milia are usually very small, about 1–2 mm in size, but their presence alone can still be bothersome. In particular, because they tend to occur in sensitive areas such as the eye area, which draws attention, the desire to remove them tends to be even stronger.

Milia are medically meaningful not only as a cosmetic issue, but also because they can be an indicator reflecting the overall condition of skin health.

In other words, milia are evidence that reflects

my current skin condition,

which is not healthy!

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Milia can be broadly divided into two types: primary milia, which occur naturally, and secondary milia, which occur after skin trauma.

Causes of milia around the eyes: how can it be removed?

Primary milia can occur regardless of age and are especially common in newborns. This is a temporary phenomenon that appears during the skin development process in the fetal stage, and in most cases it disappears naturally over time. On the other hand, milia that appear in adults are often secondary milia with an underlying cause and may be related to improper skin care habits or environmental factors.

Causes of milia around the eyes: how can it be removed?

For example, excessive use of cosmetics or incomplete cleansing can clog skin pores, and skin damage caused by UV exposure can also promote the formation of milia. In addition, as the skin ages and the production of collagen and elastin decreases, skin elasticity declines, and the turnover of the stratum corneum becomes less smooth, creating an environment in which milia can develop more easily.

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In most cases, milia treatment can be done with a simple procedure, but the approach may vary depending on the patient’s condition and the characteristics of the milia.

1> The most commonly used method is physical removal performed in a dermatology clinic. This involves making a small opening in the surface of the milia with a sharp needle or a small blade, then carefully removing the keratin plug inside using a comedone extractor.

-> This method has the advantage of showing immediate results, but it must be performed by a skilled professional. If done incorrectly, there is a risk of skin damage or infection. Do not try to treat it yourself.

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2> Another treatment method is removal using a laser. In particular, a carbon dioxide laser is efficient because it can treat a wide area with many milia all at once.

-> Laser treatment removes milia by burning them away. Recovery time may be needed after the procedure, but it has the advantage of being safer and having a lower recurrence rate, even if not 100%.

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Post-treatment care is also important. Immediately after the procedure, care should be taken to avoid getting the area wet as much as possible, and it is generally best to refrain from using cosmetics for a certain period. Avoid irritating the area.

※ If milia are removed with a needle, makeup can usually be applied after 2–3 days; if removed with a laser, it takes longer, and makeup can usually be applied after 5–7 days. Depending on the treatment area, a bandage may be applied for about 7–10 days to prevent secondary infection and help recovery, but leaving it alone does not usually cause any special problems. (If you need MD cream, a wound dressing product, please receive a prescription from the clinic and use it for a certain period of time.)

This aftercare plays an important role in maximizing the effectiveness of milia removal and preventing recurrence. However, since it is often difficult to completely treat milia at the root cause, repeated care may be needed whenever symptoms recur.

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For prevention of milia, everyday skin care habits are important. Thorough daily cleansing to remove cosmetics and impurities left on the skin, and maintaining proper moisturization to keep the skin barrier healthy, are helpful. It is also important to consistently use sunscreen to prevent skin damage, and to avoid excessive exfoliation or the use of irritating skincare products. Sensitive areas such as around the eyes require even more careful care, and when applying eye makeup, it is good to choose low-irritation products and make it a habit to remove them thoroughly. Through these daily habits, the occurrence of milia can be reduced and overall skin health can be maintained.

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Milia are relatively common skin conditions, but they can sometimes be confused with other skin lesions. For example, syringoma has an appearance very similar to milia, but it is a benign tumor caused by proliferation of the sweat duct and has characteristics different from milia. In addition, there are many cases where sebaceous hyperplasia or flat warts are mixed in. Therefore, for an accurate diagnosis and appropriate treatment, consultation and examination are essential.

Milia

Syringoma

The skin is the largest organ in our body and plays an important role in protecting the body from the external environment. Therefore, taking interest in skin problems such as milia and managing them appropriately can be seen as part of overall health care. Milia around the eyes or syringoma are usually mainly cosmetic issues. They do not have a major impact on health. However, if you personally feel significant discomfort or stress, and if you want quick cosmetic improvement, it may be a good idea to receive proper consultation and treatment at a dermatology clinic. Trying to pick them off by yourself often leads to worse results, so do not touch them.

Causes and treatment information for milia

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<Bellevue Clinic 'Mark-Vu' diagnostic test>

Bellevue Clinic uses the Mark-Vu skin diagnostic test to provide a final diagnosis by identifying various skin concerns that are difficult to confirm with the naked eye, such as skin texture, pigmentation, pores, wrinkles, skin tone, dark circles, radiance, redness, melanin, sebum, and acne bacteria. Based on these results, we provide detailed consultation to help you receive the most effective procedure. Thank you.

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