From the Research
The recommended treatment for milia on the eyelid is gentle removal by a dermatologist or ophthalmologist using a sterile needle or blade to create a tiny opening, followed by careful extraction of the keratin buildup, as this approach minimizes the risk of infection, scarring, or eye injury. This professional extraction is preferred for eyelid milia due to the sensitive location. For home care, warm compresses applied to the area for 5-10 minutes daily may help soften the milia and promote natural resolution. Gentle exfoliation with products containing salicylic acid or glycolic acid can be used on the surrounding skin (but not directly on the eyelid margin or near the eye) to prevent new milia formation.
- Key considerations for treatment include:
- Minimizing the risk of infection and scarring
- Avoiding damage to the delicate skin around the eye
- Promoting natural resolution of the milia
- Alternative treatments, such as CO2 laser vaporization, have been shown to be effective in some cases, as reported in a study published in 2010 1, but professional extraction remains the preferred method due to its safety and efficacy.
- Retinoid creams like adapalene 0.1% gel may be prescribed for persistent cases, applied carefully away from the eye itself, as they can help prevent new milia formation and promote skin renewal, although their use should be guided by a dermatologist or ophthalmologist.
- It is essential to avoid attempting to squeeze or puncture milia at home, as this can lead to complications such as infection, scarring, or eye injury, emphasizing the importance of professional treatment.